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Table 2 Algorithm for patient allocation to Intervention

From: A randomised trial of a psychosocial intervention for cancer patients integrated into routine care: the PROMPT study (promoting optimal outcomes in mood through tailored psychosocial therapies)

DT1 score <4

DT1 score 4 or greater

No risk factors

+ risk factors2

HADS3 < 8

+/- risk factors2

HADS3 < 8

+/- risk factors2

HADS3 8-21

+/- risk factors2

HADS3 22 or greater

Usual care

Low-intensity Intervention

Patient self-directed

resource suite only

Medium-

intensity

Intervention

Tailored

psychosocial

Intervention

delivered by

trained Health

Professional

Specialised

Treatment

with an

appropriately

qualified

practitioner

via a pre-defined

clinical pathway

  1. DT1: Distress Thermometer
  2. Risk Factors2: Risk factors as identified in the National Breast and Ovarian Cancer Centre Psychosocial Checklist (PSCL)
  3. HADS3: Hospital Anxiety and Depression Scale