Lebenssituation von Ratsuchenden in Krebsberatungsstellen: Ein Fragebogen zu psychosozialen Belastungen (FPSB)
摘要
Outpatient cancer counseling centers (OCC) offer people affected by cancer low-threshold access to psychosocial support. In order to give counselors a structured overview of the initial situation of people seeking advice, they are asked to fill out a questionnaire. For this purpose, the authors developed a new questionnaire on psychosocial stress (FPSB).
AimThe aim of the feasibility study was to use the FPSB in routine practice and to examine it in terms of (a) implementation, (b) comprehensibility, (c) known-group comparison, (d) internal consistency, and (e) observations by counseling professionals. Based on the results, the FPSB was to be revised.
MethodsOver a 4-month period, the FPSB was used and statistically evaluated in all initial consultations in 7 OCC of the authors. In addition, freely formulated written experiences of the participating advisors were requested, summarized, and taken into account in the revision.
ResultsA total of 318 people seeking advice from 7 OCC completed the FPSB; 260 (82%) of them were completed in full. The range of responses for all questions was from 0 to 10. The mean values ranged from 2.6 to 6.4. The highest levels of distress were reported in distress and fear of progression. Several known-group comparisons could be confirmed. The internal consistency of the FPSB (Cronbach’s α) was 0.91. All feedback from counseling professionals rated the FPSB positively. However, the lack of social aspects and the use of technical terms and adverbs were criticized. Accordingly, the authors added five questions to the FPSB and modified it.
ConclusionThe results indicate that the FPSB is well suited for assessing the initial psychosocial situation of people seeking advice in OCC. The new version of the FPSB should be validated and proposed as an alternative to the Distress Thermometer (DT).