Sustained Living: An JAMA-Aligned Psychosocial and Impairment-Driven Rehabilitation Model for Adult Oncology Article Swipe
İsmail Akgül1*, Sana Parveen2, Mualla Yıldız3
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.5281/zenodo.17586000
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.5281/zenodo.17586000
Background: We provide a clinic-ready synthesis of psychosocial determinants in cancer care and operationalize a Sustained Living framework integrated with Lifelong Rehabilitation for routine practice. Methods: We conducted a narrative review emphasizing pragmatic evidence from guidelines and randomized or observational studies on distress screening (Distress Thermometer), brief mood measures (PHQ-4, HADS), patient-reported outcomes (EORTC QLQ-C30, PROMIS), financial toxicity (COST), rehabilitation and exercise, meaning-centered and dignity therapies, caregiver interventions, and electronic symptom monitoring. Themes were mapped to ethical principles: dignity, autonomy, and justice and translated into implementable ambulatory workflows with explicit thresholds, reassessment cadence (4–8 weeks), and role-based referrals. Findings: Distress is common and actionable; threshold-based screening (e.g., DT ≥4) supports stepped assessment and matched referral to psychology, rehabilitation, and navigation. Early multimodal psychosocial and rehabilitation interventions improve quality of life, reduce depression, and sustain participation. PRO-anchored monitoring lowers emergency use and may extend survival. Financial toxicity is measurable with COST and mitigable through benefits counseling and navigation. Figures and tables provide a triage algorithm, an impairment-driven rehabilitation pathway, core PRO domains/measures/actions, and a financial-toxicity toolkit to support rapid adoption in routine clinics. Implications for Practice: Embedding structured screening, targeted referral, and PRO-informed follow-up as standard work enables ambulatory oncology teams to deliver equitable, value-based care while centering dignity, autonomy, and functional recovery. The Sustained Living paradigm reframes advanced cancer care around living-normalizing rehabilitation, goal setting, and social reintegration from diagnosis through end of life, and aligning practice with what patients value most. We prioritized validated tools and high‑impact guidance for feasibility and implementation.
Related Topics
Concepts
Psychosocial
Rehabilitation
Medicine
Distress
Psychological intervention
Mood
Referral
Triage
Nursing
Operationalization
Physical therapy
Ambulatory
Psycho-oncology
Palliative care
Quality of life (healthcare)
Observational study
Ambulatory care
Activities of daily living
eHealth
Psychology
Specialty
Occupational therapy
Health care
MEDLINE
Randomized controlled trial
Cancer survivor
Health psychology
Pain medicine
Evidence-based practice
Family medicine
Telehealth
Rehabilitation counseling
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5281/zenodo.17586000
- OA Status
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- OpenAlex ID
- https://openalex.org/W7105527303
All OpenAlex metadata
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- OpenAlex ID
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https://openalex.org/W7105527303Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.5281/zenodo.17586000Digital Object Identifier
- Title
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Sustained Living: An JAMA-Aligned Psychosocial and Impairment-Driven Rehabilitation Model for Adult OncologyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-11-12Full publication date if available
- Authors
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İsmail Akgül1*, Sana Parveen2, Mualla Yıldız3List of authors in order
- Landing page
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https://doi.org/10.5281/zenodo.17586000Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://doi.org/10.5281/zenodo.17586000Direct OA link when available
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Psychosocial, Rehabilitation, Medicine, Distress, Psychological intervention, Mood, Referral, Triage, Nursing, Operationalization, Physical therapy, Ambulatory, Psycho-oncology, Palliative care, Quality of life (healthcare), Observational study, Ambulatory care, Activities of daily living, eHealth, Psychology, Specialty, Occupational therapy, Health care, MEDLINE, Randomized controlled trial, Cancer survivor, Health psychology, Pain medicine, Evidence-based practice, Family medicine, Telehealth, Rehabilitation counselingTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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