Screening for psychosocial risk at pediatric cancer diagnosis: The psychosocial assessment tool

Anne E. Kazak, Lamia P. Barakat, Susan Ditaranto, Daniel Biros, Wei Ting Hwang, David Beele, Leslie Kersun, Melissa A. Alderfer, Ifigenia Mougianis, Matthew C. Hocking, Anne Reilly

Research output: Contribution to journalArticlepeer-review

63 Scopus citations


BACKGROUND: To investigate the feasibility of integrating an evidence-based screening tool of psychosocial risk in pediatric cancer care at diagnosis. METHODS: Parents of children newly diagnosed with cancer received either the Psychosocial Assessment Tool (PAT; n=52) or psychosocial care as usual (n=47; PAU), based on their date of diagnosis and an alternating monthly schedule. Time to completion of the PAT, time to communication of PAT results to clinical care teams, distribution of PAT risk scores, and identification of psychosocial risks in the medical record were examined. RESULTS: Of families receiving the PAT, 88% completed it within 48 hours. PAT was scored and results communicated within 48 hours in 98% of cases. Most families (72%) were classified as Universal risk based on the underlying Pediatric Psychosocial Preventative Health Model, 24% were classified as Targeted risk, and 4% scored in the Clinical range. Significantly more psychosocial risks were recorded in the medical record during PAT intervals than during PAU. CONCLUSIONS: An evidence-based psychosocial screener is feasible in pediatric oncology care and is associated with documentation of psychosocial risks in the medical record. Although the majority of families report low levels of psychosocial risk, about one-quarter report problems.

Original languageEnglish
Pages (from-to)289-294
Number of pages6
JournalJournal of Pediatric Hematology/Oncology
Issue number4
StatePublished - May 2011
Externally publishedYes


  • parents
  • pediatric oncology
  • psychosocial
  • risk
  • screening


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