Research Institute in Oncology and Hematology

Dr Thomas Hack

Psycho-social Oncology

Dr Thomas Hack

Winnipeg, MB
Email: Dr Thomas Hack, BComm, BSCX, MA, PhD


Psycho-social Oncology

Dr. Tom Hack is a Professor in the Faculties of Nursing, Medicine, and Graduate Studies at the University of Manitoba, and a clinical psychologist with CancerCare Manitoba. Dr. Hack has extensively explored coping and adjustment issues in breast cancer patients. He and his colleagues have found that the nature of a patient’s coping responses around the time of diagnosis is significantly predictive of adjustment and quality of life 3 years later. Patients who demonstrated avoidance and denial responses at the time of diagnosis were significantly worse off in terms of adjustment. While it is important to acknowledge and respect individual differences in the extent to which women want be involved in treatment decision-making, this finding has pointed out the need for interventions to enhance patients’ involvement in their care. Dr. Hack is also involved in a number of studies that look at the quality of life of patients who have undergone cancer treatment. The results of this research will be valuable for both patients and caregivers when treatment options are being considered, and follow-up care is provided. Dr. Hack’s overall goal is to reduce the patient burden of cancer diagnosis and treatment by developing interventions that will help them to be better informed treatment consumers, to strengthen their relationships with health professionals, and to reduce their emotional distress.


Team Members

Publications Since 2010

PubMed Listed Publications
  1. Sympathy, empathy, and compassion: A grounded theory study of palliative care patients' understandings, experiences, and preferences.
    Sinclair S, Beamer K, Hack TF , McClement S, Raffin Bouchal S, Chochinov HM, Hagen NA.
    Palliat Med. 2016 Aug 17. pii: 0269216316663499. [Epub ahead of print]

  2. Compassion training in healthcare: what are patients' perspectives on training healthcare providers?
    Sinclair S, Torres MB, Raffin-Bouchal S, Hack TF , McClement S, Hagen NA, Chochinov HM.
    BMC Med Educ. 2016 Jul 11;16:169. doi: 10.1186/s12909-016-0695-0.

  3. Are audio recordings the answer? - a pilot study of a communication intervention for non-English speaking patients with cancer.
    Lipson-Smith R, Hyatt A, Butow P, Hack TF , Jefford M, Hale S, Hocking A, Sirianni M, Ozolins U, Yiu D, Schofield P.
    Psychooncology. 2016 Jun 12. doi: 10.1002/pon.4193. [Epub ahead of print] No abstract available.

  4. A longitudinal analysis of chronic arm morbidity following breast cancer surgery.
    Boquiren VM, Hack TF , Thomas RL, Towers A, Kwan WB, Tilley A, Quinlan E, Miedema B.
    Breast Cancer Res Treat. 2016 Jun;157(3):413-25. doi: 10.1007/s10549-016-3834-8. Epub 2016 May 18.

  5. Parental Decision Making Regarding the Disclosure or Nondisclosure of a Mutation-Positive BRCA1/2 Test Result to Minors.
    Seenandan-Sookdeo KA, Hack TF , Lobchuk M, Murphy L, Marles S.
    Oncol Nurs Forum. 2016 May 1;43(3):330-41. doi: 10.1188/16.ONF.330-341.

  6. Compassion in Health Care: An Empirical Model.
    Sinclair S, McClement S, Raffin-Bouchal S, Hack TF , Hagen NA, McConnell S, Chochinov HM.
    J Pain Symptom Manage. 2016 Feb;51(2):193-203. doi: 10.1016/j.jpainsymman.2015.10.009. Epub 2015 Oct 26.

  7. Compassion: a scoping review of the healthcare literature.
    Sinclair S, Norris JM, McConnell SJ, Chochinov HM, Hack TF , Hagen NA, McClement S, Bouchal SR.
    BMC Palliat Care. 2016 Jan 19;15:6. doi: 10.1186/s12904-016-0080-0. Review.

  8. Dignity and Distress towards the End of Life across Four Non-Cancer Populations.
    Chochinov HM, Johnston W, McClement SE, Hack TF , Dufault B, Enns M, Thompson G, Harlos M, Damant RW, Ramsey CD, Davison S, Zacharias J, Milke D, Strang D, Campbell-Enns HJ, Kredentser MS.
    PLoS One. 2016 Jan 25;11(1):e0147607. doi: 10.1371/journal.pone.0147607. eCollection 2016.

  9. Patient-reported depression measures in cancer: a meta-review.
    Wakefield CE, Butow PN, Aaronson NA, Hack TF , Hulbert-Williams NJ, Jacobsen PB; International Psycho-Oncology Society Research Committee.
    Lancet Psychiatry. 2015 Jul;2(7):635-47. doi: 10.1016/S2215-0366(15)00168-6. Epub 2015 Jun 30. Review.

  10. What do measures of patient satisfaction with the doctor tell us?
    Boquiren VM, Hack TF , Beaver K, Williamson S.
    Patient Educ Couns. 2015 Jun 10. pii: S0738-3991(15)00264-5. doi: 10.1016/j.pec.2015.05.020. [Epub ahead of print] Review.

  11. Cancer distress screening data: translating knowledge into clinical action for a quality response.
    Howell D, Hack TF , Green E, Fitch M.
    Palliat Support Care. 2014 Feb;12(1):39-51. doi: 10.1017/S1478951513000382. Epub 2013 Aug 13. Review.

  12. Citation analysis of Canadian psycho-oncology and supportive care researchers.
    Hack TF , Crooks D, Plohman J, Kepron E.
    Support Care Cancer. 2014 Feb;22(2):315-24.

  13. An exploration of the patient navigator role: perspectives of younger women with breast cancer.
    Pedersen AE, Hack TF , McClement SE, Taylor-Brown J.
    Oncol Nurs Forum. 2014 Jan 1;41(1):77-88. doi: 10.1188/14.ONF.77-88.

  14. Promoting consultation recording practice in oncology: identification of critical implementation factors and determination of patient benefit.
    Hack TF , Ruether JD, Weir LM, Grenier D, Degner LF.
    Psychooncology. 2013 Jun;22(6):1273-82. doi: 10.1002/pon.3135. Epub 2012 Jul 23.

  15. Health care provider communication: an empirical model of therapeutic effectiveness.
    Chochinov HM, McClement SE, Hack TF , McKeen NA, Rach AM, Gagnon P, Sinclair S, Taylor-Brown J.
    Cancer. 2013 May 1;119(9):1706-13. doi: 10.1002/cncr.27949. Epub 2013 Jan 22.

  16. The Patient Dignity Inventory: applications in the oncology setting.
    Chochinov HM, McClement SE, Hack TF , McKeen NA, Rach AM, Gagnon P, Sinclair S, Taylor-Brown J.
    J Palliat Med. 2012 Sep;15(9):998-1005. doi: 10.1089/jpm.2012.0066.

  17. Behind closed doors II: systematic analysis of prostate cancer patients' primary treatment consultations with radiation oncologists and predictors of satisfaction with communication.
    Hack TF , Ruether JD, Pickles T, Bultz BD, Chateau D, Degner LF.
    Psychooncology. 2012 Aug;21(8):809-17. doi: 10.1002/pon.1984. Epub 2011 May 6.

  18. Dignity therapy: a feasibility study of elders in long-term care.
    Chochinov HM, Cann B, Cullihall K, Kristjanson L, Harlos M, McClement SE, Hack TF , Hassard T.
    Palliat Support Care. 2012 Mar;10(1):3-15. doi: 10.1017/S1478951511000538. Review.

  19. Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial.
    Chochinov HM, Kristjanson LJ, Breitbart W, McClement S, Hack TF , Hassard T, Harlos M.
    Lancet Oncol. 2011 Aug;12(8):753-62. doi: 10.1016/S1470-2045(11)70153-X. Epub 2011 Jul 6.

  20. Facilitating the implementation of empirically valid interventions in psychosocial oncology and supportive care.
    Hack TF , Carlson L, Butler L, Degner LF, Jakulj F, Pickles T, Dean Ruether J, Weir L.
    Support Care Cancer. 2011 Aug;19(8):1097-105. doi: 10.1007/s00520-011-1159-z. Epub 2011 Apr 15. Review.

  21. Study protocol: addressing evidence and context to facilitate transfer and uptake of consultation recording use in oncology: a knowledge translation implementation study.
    Hack TF , Ruether JD, Weir LM, Grenier D, Degner LF.
    Implement Sci. 2011 Mar 14;6:20. doi: 10.1186/1748-5908-6-20.

  22. The British Columbia Patient Navigation Model: a critical analysis.
    Pedersen AE, Hack TF .
    Oncol Nurs Forum. 2011 Mar;38(2):200-6. doi: 10.1188/11.ONF.200-206.

  23. Research citation analysis of nursing academics in Canada: identifying success indicators.
    Hack TF , Crooks D, Plohman J, Kepron E.
    J Adv Nurs. 2010 Nov;66(11):2542-9. doi: 10.1111/j.1365-2648.2010.05429.x. Epub 2010 Aug 23.

  24. Predictors of arm morbidity following breast cancer surgery.
    Hack TF , Kwan WB, Thomas-Maclean RL, Towers A, Miedema B, Tilley A, Chateau D.
    Psychooncology. 2010 Nov;19(11):1205-12. doi: 10.1002/pon.1685.

  25. Learning from dying patients during their final days: life reflections gleaned from dignity therapy.
    Hack TF , McClement SE, Chochinov HM, Cann BJ, Hassard TH, Kristjanson LJ, Harlos M.
    Palliat Med. 2010 Oct;24(7):715-23. doi: 10.1177/0269216310373164. Epub 2010 Jul 6.

  26. The sequelae of anxiety in breast cancer: a human response to illness model.
    Pedersen AE, Sawatzky JA, Hack TF .
    Oncol Nurs Forum. 2010 Jul;37(4):469-75. doi: 10.1188/10.ONF.469-475. Review.

  27. Predictors of distress and quality of life in patients undergoing cancer therapy: impact of treatment type and decisional role.
    Hack TF , Pickles T, Ruether JD, Weir L, Bultz BD, Mackey J, Degner LF.
    Psychooncology. 2010 Jun;19(6):606-16. doi: 10.1002/pon.1590.

  28. Behind closed doors: systematic analysis of breast cancer consultation communication and predictors of satisfaction with communication.
    Hack TF , Pickles T, Ruether JD, Weir L, Bultz BD, Degner LF.
    Psychooncology. 2010 Jun;19(6):626-36. doi: 10.1002/pon.1592.

  29. Pilots of oncology health care: a concept analysis of the patient navigator role.
    Pedersen A, Hack TF .
    Oncol Nurs Forum. 2010 Jan;37(1):55-60. doi: 10.1188/10.ONF.55-60.

Research Funding

Hack TF , Ruether, J.D., Pitz, M., Degner, L.F.
Impact of treatment consultation recordings on cancer patient outcomes: A prospective, parallel, randomized controlled trial.
Canadian Institutes of Health Research.
April 1, 2013 – March 31, 2016.
Total: $178,590

Hack TF , Jardine, C.
Consultation recording implementation and audit.
CancerCare Manitoba Infrastructure Grant,
November 23, 2012 – June 30, 2014.
Total: $18,487.

Hack TF
Research chair in psychosocial and supportive care oncology research,
Canadian Breast Cancer Research Foundation,
September 1, 2012 – August 31, 2015.
Total: $600,000 over 3 years.

Sinclair, S., Chochinov, H., McClement, S. E., Hack TF , Raffin Bouchal, S., Hagen, N.
Understanding Compassion at the End of Life: Informing and Shaping Spiritual Care.
Canadian Institutes of Health Research.
April 1, 2013 – September 30, 2014.
Total: $88,410

Schofield, P., Butow, P., Hack TF , Tattersall, M., Hale, S, Jefford, M.
A phase II randomised controlled trial of consultation audio recordings plus question prompt lists for people with cancer from Greek, Chinese, or Arabic background.
National Health and Medical Research Council of Australia.
November 1, 2012 –October 30, 2015.
Total: 609,493 (AUD); 624,987 (CAD).

Chochinov, H.M., McClement, S., Hack TF , Enns, M., Harlos, M., Johnston, W., Davison, S., Dumont, R., Zacharias, J., Ramsey, C., Strang, D.
Personhood & dignity at end-of-life within non-cancer populations.
Canadian Institutes of Health Research - Meetings, Planning and Dissemination Grant.
November 1, 2012 – October 31, 2013.
Total: $22,700.

Chochinov, H.M., McClement, S., Hack TF , Thompson, G., Harlos, M., Lobchuk, M.
Dignity talk: A phase-1 trial of a palliative care intervention for patients and their families.
Canadian Institutes of Health Research.
October 1, 2012 –September 30, 2015.
Total: $258,504.

Chochinov, H., McClement, S., Hack TF , Harlos, M., Hassard, T., Enns, M., Zacharias, J., Ramsey, C., Richman-Eisenstat, J., Strang, D., Johnson, W., Davison, S., Damant, R.
Dignity and distress across end-of-life populations.
Canadian Institutes of Health Research.
April 1, 2009 – March 31, 2013.
Total: $606,000.

Thompson, G., Chochinov, H.M., Hack TF , McClement, S., Rogers, K., & St. John, P.
Developing a question prompt sheet for family caregivers of older adults with dementia in long-term care.
Manitoba Health Research Council.
July, 2011- August, 2014.
Total: $152,054

Chochinov, H.M., McClement, S., Hassard, T., Hack TF , Harlos, M., Thompson, G.
The Patient Dignity Question (PDQ): A novel approach to enhancing care for patients near the end-of-life.
Canadian Cancer Society Research Institute.
July 1, 2010 - June 30, 2013
Total: $137,000.

Hack TF ., Degner, L., Ruether, D., Weir, L., Latosinsky, S., Grenier, D.
Addressing “evidence” and “context” to facilitate the transfer and uptake of consultation recording use in oncology: A knowledge translation implementation study.
Canadian Breast Cancer Research Alliance/Canadian Institutes of Health Research.
October 1, 2008 – March 31, 2013.
Total: $288,380.

Loiselle, C.G., Bottorff, J.L., Hack TF , Carlson, L., Maunsell, E., Howell, D., Oliffe, J., Grunfeld, E.
PORT: Psychosocial oncology research training program (PORT): A renewal application. Strategic Training Initiative in Health Research (STIHR)
Canadian Institutes of Health Research.
April 1, 2009 – March 31, 2015.
Total: $1,950,000.





RIOH gratefully acknowledges the generous support of



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