Evaluation of outcomes in counselling for cancer patients and families across Wales


Session type:

Helen French1, Sioned Pearce1, Rachel Iredale1
1Tenovus, Cardiff, UK


Tenovus Wales' largest cancer charity is committed to providing cancer care and support to anyone affected by cancer, in the heart of the community. The counselling team delivers a range of therapeutic interventions at twelve locations across South, East and West Wales. By evaluating outcomes in counselling Tenovus is demonstrating a model of good practice for developing client-centred and accessible cancer counselling services.


Client work is evaluated using Clinical Outcome Routine Evaluation (CORE-10), a ten question version of the alternative 34 question, which is a clinical screening tool developed for audit, evaluation and outcome measures. CORE- 10 assesses clients' subjective well-being including, anxiety, depression and life functioning. CORE -10 is used during an initial telephone assessment,on the first, third and sixth counselling session. CORE-10 ‘clinical scores' are calculated by adding the scores for all 10 questions together, dividing them by the number of questions completed then multiplying them by 10.


We analysed the results from 107 clients CORE-10 evaluation forms, from December 2011 to January 2013.The average clinical score on CORE-10 at the first counselling session for all clients was 18.46 and the average clinical score at the third CORE measure, on session six was 7.58.

Evaluation by gender, showed the average clinical score for women at CORE-10 session one was 19.3 which reduced to 9.4 at the third CORE-10 measure, on session six. For men the average clinical score at CORE-10 session one was 15.1 which reduced to 7.5 at the third CORE -10 measure, on session six. Both these average scores were below the clinical cut off point, for anxiety, depression and stress.


Using CORE-10 as an evaluation tool for counselling clients affected by cancer evidences improvements in clients' feelings of well-being whilst receiving counselling, and results show that both men and women respond positively to counselling.