Paper
Barriers to the provision of evidence-based psychosocial care in oncology
Penelope Schofield,
Mariko Carey,
Billie Bonevski,
Rob Sanson-Fisher,
Corresponding Author
Penelope Schofield
Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne, Victoria, Australia
Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett Street, Victoria 8006, AustraliaSearch for more papers by this authorMariko Carey
Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne, Victoria, Australia
Search for more papers by this authorBillie Bonevski
University of Newcastle, Callaghan, Newcastle, New South Wales, Australia
Search for more papers by this authorRob Sanson-Fisher
University of Newcastle, Callaghan, Newcastle, New South Wales, Australia
Search for more papers by this authorPenelope Schofield,
Mariko Carey,
Billie Bonevski,
Rob Sanson-Fisher,
Corresponding Author
Penelope Schofield
Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne, Victoria, Australia
Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett Street, Victoria 8006, AustraliaSearch for more papers by this authorMariko Carey
Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne, Victoria, Australia
Search for more papers by this authorBillie Bonevski
University of Newcastle, Callaghan, Newcastle, New South Wales, Australia
Search for more papers by this authorRob Sanson-Fisher
University of Newcastle, Callaghan, Newcastle, New South Wales, Australia
Search for more papers by this authorAbstract
Meeting the psychological, social and physical needs of people with cancer is a challenge for individual health practitioners, health administrators and health policy makers. However, there is a considerable gap between recommended best-evidence psychosocial and supportive care and actual practice. This paper provides a discussion of the reasons for this gap using the precede-proceed model as a theoretical framework. The model is a useful way of classifying potential barriers to the application of recommended best practice into three categories: predisposing factors which influence motivation to behave in a particular way, enabling factors which facilitate the enactment of the behaviour and reinforcing factors which increase the likelihood that the behaviour will be maintained over time. Ways of addressing these barriers are proposed and discussed. Copyright © 2005 John Wiley & Sons, Ltd.
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