1
|
Sutherland-Foggio M, Olsavsky AL, Skeens MA, Nahata L, Hill K, Schaefer M, Himelhoch A, Kenney AE, Humphrey L, Olshefski R, Gerhardt CA. Mixed-method examination of factors associated with adolescent decision-making and involvement in care in the context of advanced cancer. Palliat Support Care 2024:1-8. [PMID: 38353006 PMCID: PMC11360869 DOI: 10.1017/s1478951524000026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/09/2024]
Abstract
OBJECTIVES Adolescents with cancer often experience significant symptom burden and aggressive treatment near end-of-life. Increased adolescent involvement in care and decision-making may benefit health outcomes. Limited research has examined factors associated with adolescents' involvement in care in the context of advanced disease. Thus, we examined the impact of background factors and decision-making perceptions on both adolescents' involvement in care and their desired change in involvement. METHODS Adolescents with advanced cancer (<60% survival or refractory/relapsed disease), ages 10-23 (n = 41; Mage = 15.37), were recruited approximately 1 month after diagnosis to complete measures of decision-making perceptions and their family role. Hierarchical regressions examined the contributions of background factors and decision-making perceptions to adolescents' frequency and desired involvement in their care. Qualitative interviews regarding decision-making were analyzed using deductive analysis. RESULTS The model examining frequency of involvement in care was significant, F(5,34) = 3.12, p = .02, R2= .31. Older age was the only significant predictor (β = .13, p= .003). The model examining desired involvement was non-significant, F(5,34) = 2.22, p = .075. Qualitative analysis indicated that (1) older adolescents have more involvement in decision-making, (2) collaborative decision-making occurred between the adolescent and extended family, and (3) adolescents trusted others to make decisions. Integration of qualitative and quantitative data revealed congruence in findings. SIGNIFICANCE OF RESULTS Adolescents with advanced cancer, who consider how decisions directly impact them and prefer greater autonomy, may be more involved in their medical care. Research is needed to identify other longitudinal predictors of decision-making and involvement in care. Providers should consider encouraging families to communicate their preferences and engage in shared decision-making.
Collapse
Affiliation(s)
- Malcolm Sutherland-Foggio
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA
| | - Anna L. Olsavsky
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA
| | - Micah A. Skeens
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA
| | - Leena Nahata
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA
- Nationwide Children’s Hospital, Columbus, OH, USA
- Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA
| | - Kylie Hill
- University of Florida Department of Psychology, Gainsville, FL, USA
| | | | | | - Ansley E. Kenney
- Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
| | | | | | - Cynthia A. Gerhardt
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA
- Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA
| |
Collapse
|
2
|
Richter D, Clever K, Mehnert-Theuerkauf A, Schönfelder A. Fear of Recurrence in Young Adult Cancer Patients—A Network Analysis. Cancers (Basel) 2022; 14:cancers14092092. [PMID: 35565220 PMCID: PMC9105535 DOI: 10.3390/cancers14092092] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 04/04/2022] [Accepted: 04/14/2022] [Indexed: 02/07/2023] Open
Abstract
Simple Summary Fear of cancer recurrence is a main concern for the majority of cancer patients during their disease. Young adults with cancer may experience fear of recurrence throughout their lives, given their relatively long potential survival time. More research is needed to identify evidence-based interventions that can adequately address this fear. Investigating the underlying mechanisms that trigger and sustain fear of cancer recurrence is an important step toward this goal. Network analysis is a useful tool to study symptoms and their structural relationships. The aim of this study is to apply the network analysis approach in a sample of young cancer patients to comprehend their specific symptomatology and define the optimal structure of a questionnaire to assess fear of recurrence in this patient group. Future studies may seek to replicate our findings among different age group samples to identify network structures and potential targets for clinical intervention. Abstract Due to the high survival rates of many young cancer patients and a high risk of second tumors, fear of cancer recurrence (FCR) can cause serious impairment for adolescent and young adult (AYA) cancer patients. The aim of this study is to analyze the structure of the Fear of Disease Progression Questionnaire (FoP-Q-12) to better understand the construct of FCR. We performed a cross-sectional survey on a sample of AYA patients aged 15–39 years with different tumor entities. FCR was measured using the FoP-Q-12, and a network analysis was conducted to examine the relationship of FCR symptoms. The importance of individual items in the network was determined using centrality analyses. A total of 247 AYA patients (81.8% female, median age 31.0 years) participated in the study. The mean FCR score in the sample was 35.9 (SD = 9.9). The majority of patients reported having high FCR (59.5%), according to the established cut-off. The two questionnaire items with the strongest association related to fears about work, and the most central symptom was the fear of serious medical interventions. The centrality of emotional issues in the sample indicates that these symptoms should be prioritized in the development of interventions targeting FCR. Further research should address this topic with larger samples of patients in other age groups and in longitudinal studies.
Collapse
Affiliation(s)
- Diana Richter
- Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, 04103 Leipzig, Germany; (A.M.-T.); (A.S.)
- Correspondence: ; Tel.: +49-341-97-15438
| | - Katharina Clever
- Department of Psychosomatics and Psychotherapy, MEDIAN Centre for Rehabilitation Schmannewitz, 04774 Dahlen, Germany;
| | - Anja Mehnert-Theuerkauf
- Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, 04103 Leipzig, Germany; (A.M.-T.); (A.S.)
| | - Antje Schönfelder
- Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, 04103 Leipzig, Germany; (A.M.-T.); (A.S.)
| |
Collapse
|
3
|
McInally W, Gray-Brunton C, Chouliara Z, Kyle RG. Life Interrupted: Experiences of adolescents, young adults and their family living with malignant melanoma. J Adv Nurs 2021; 77:3867-3879. [PMID: 34245464 DOI: 10.1111/jan.14959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 05/31/2021] [Accepted: 06/15/2021] [Indexed: 11/30/2022]
Abstract
AIM Melanoma is one of the most common human malignancies; yet, it is often thought of as a disease of adulthood rather than one affecting adolescents and young adults. This study sought to understand the experiences of adolescents, young adults and their family living with malignant melanoma. DESIGN A qualitative study using Interpretive Phenomenological Analysis, through a multi-perspective design. METHODS Data collection was conducted between January and August 2018 in each participant's Primary Care Centre when they were attending for an outpatient appointment. Each young person and a nominated family member were interviewed (n = 10) either individually (n = 4) or as a dyad (n = 6) according to their personal choice. In-depth semi-structured interviews were conducted and audio-recorded with the participant's consent. Interview data were transcribed verbatim and analysed. FINDINGS The metanarrative 'Life Interrupted' was the core conceptual thread woven throughout the findings. It represents the interconnections and interrelationships between the adolescent or young adult and their family. Being able to recognize the disease and seek support was challenging with often limited physical, emotional or social support resulting in feelings of fear and isolation. Four super-ordinate themes were identified: (a) 'Is it Serious', (b) 'Too Much too Young', (c) 'Not the Same' and (d) 'Time to Live'. CONCLUSIONS With the rising incidence of MM in the adolescents and young adults population globally, there are demands to improve healthcare professionals and nurse's knowledge and understanding of MM. As young people with MM experience their journey outside specialist cancer services, the care delivery for this patient group and their families require stronger links between services. IMPACT This study will inform the improvement of care delivery for MM in order that this patient group is provided with the same access to service delivery as other adolescents and young adults with cancer.
Collapse
Affiliation(s)
| | | | - Zoe Chouliara
- Senior Practitioner, Counselling & Psychologist Edinburgh
| | - Richard G Kyle
- Research and Evaluation Division, Public Health Wales, Cardiff, UK
| |
Collapse
|
4
|
Ofori-Ansah S, Evans M, Jones J, Thomas N. Decision-making experiences of young adults with long-term conditions. J Ren Care 2021; 48:24-40. [PMID: 33665963 DOI: 10.1111/jorc.12367] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 12/21/2020] [Accepted: 01/22/2021] [Indexed: 01/22/2023]
Abstract
BACKGROUND Young adults with long-term conditions can struggle to accept their diagnosis and can become overwhelmed with managing their condition. Suboptimal transfer from paediatric to adult services with a resultant disengagement with the service can result in less involvement in care and decision-making. Shared decision-making can improve involvement in health decisions and increase satisfaction with treatment/therapy and care. OBJECTIVES An integrative literature review was conducted to explore and understand young adults' experiences of decision-making in health care. DESIGN An integrative literature review. DATA SOURCES CINAHL, EMCARE, PsycINFO, HMIC, EMBASE, Web of Science, PubMed, MEDLINE, EBSCOHOST and COCHRANE databases were searched for relevant literature published between January 1999 and January 2020. FINDINGS Thirteen primary research papers met the inclusion criteria. Four main themes were identified: (1) Information delivery and communication; (2) participation in decision-making; (3) social factors influencing decision-making and (4) emotional impact of decision-making. CONCLUSIONS Young adults with long-term conditions have specific decision-making needs which can impact their emotional health. Research with a specific focus on young adults' experiences of decision-making in health care is needed.
Collapse
Affiliation(s)
- Sarah Ofori-Ansah
- School of Health and Social Care, London South Bank University, London, UK
| | - Michelle Evans
- School of Health and Social Care, London South Bank University, London, UK
| | - Janice Jones
- School of Health and Social Care, London South Bank University, London, UK
| | - Nicola Thomas
- School of Health and Social Care, London South Bank University, London, UK
| |
Collapse
|
5
|
De-Juanas Á, Bernal Romero T, Goig R. The Relationship Between Psychological Well-Being and Autonomy in Young People According to Age. Front Psychol 2020; 11:559976. [PMID: 33362624 PMCID: PMC7758206 DOI: 10.3389/fpsyg.2020.559976] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 10/14/2020] [Indexed: 11/13/2022] Open
Abstract
Psychological well-being manifests itself in all aspects of human activity and is essential to understanding whether young people experience life satisfaction and whether, as they mature, well-being can be associated with different levels of personal autonomy. This quantitative study was developed within the framework of international research on young people's autonomy in the transition to adulthood. Its main objectives were to analyze the relationship between psychological well-being and autonomy and examine potential variations between the two variables according to age. To this end, Ryff's Psychological Well-Being Scale and the Transition to Adulthood Autonomy Scale (EDATVA) designed by Bernal et al., were used with a sample of 1,148 young people aged 16-21 from Madrid, Spain, and Bogotá, Colombia. The results show that almost all the dimensions on the Psychological Well-Being Scale correlate significantly and positively with the dimensions on the EDATVA scale. Specifically, moderate correlations were obtained between self-organization on the EDATVA scale and purpose in life (r = 0.568; p = 0.01) and environmental mastery (r = 0.447; p = 0.01) on the Psychological Well-Being Scale. In turn, autonomy on Ryff's scale obtained the highest correlation (r = 0.382; p = 0.01) with understanding context on the EDATVA scale. It was also found that the older 18-21 age group obtained higher scores than the younger 16-17 age group in all dimensions on both the EDATVA and the Psychological Well-Being Scale. Earlier studies endorse the results found in this research, especially the differences in the scores for both scales according to age groups. This opens avenues for future research to analyze the relationship between psychological well-being and autonomy as independent variables in other sectors of the population.
Collapse
Affiliation(s)
- Ángel De-Juanas
- Faculty of Education, Universidad Nacional de Educación a Distancia, Madrid, Spain
| | | | - Rosa Goig
- Faculty of Education, Universidad Nacional de Educación a Distancia, Madrid, Spain
| |
Collapse
|
6
|
Melendro M, Campos G, Rodríguez-Bravo AE, Arroyo Resino D. Young People's Autonomy and Psychological Well-Being in the Transition to Adulthood: A Pathway Analysis. Front Psychol 2020; 11:1946. [PMID: 32849141 PMCID: PMC7427428 DOI: 10.3389/fpsyg.2020.01946] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Accepted: 07/14/2020] [Indexed: 11/21/2022] Open
Abstract
Young people transition to adulthood via diverse pathways; among the most significant are those dominated by education, employment, or social disadvantage. These pathways are determined, to a large extent, by the level of well-being and autonomy young people develop to help them face their own realities. The aim of this study is to analyze the relationship between young people's psychological well-being and autonomy - key factors in the transition to adulthood - and the relationship these factors have with the main pathways followed during transition. To this end, Ryff's Model of Psychological Well-being and the Transition to Adulthood Autonomy Scale (EDATVA) were used to evaluate a total of 1148 Spanish and Colombian subjects aged between 16 and 21. Correlations and differences between scores were subsequently analyzed. Subjects were also asked to identify the most relevant aspect of their transition to adulthood as either education, employment, or social disadvantage. Results from all three pathways for transition to adulthood show a trend in which higher levels of well-being correspond to higher levels of autonomy. In general, the results for the young people on the education pathway show high levels of autonomy and well-being, as well as a significantly higher level of critical thinking compared to young people on other pathways. The scores from employed young people reveal a greater capacity for self-organization in relation to the other two pathways. The results for disadvantaged young people show significantly greater socio-political engagement than that of young people on the education and employment pathways. However, the disadvantaged group also displays the lowest level of psychological well-being. These results provide elements for a better understanding of young people's different transition pathways to adulthood and constitute an important point of reference for future research. They also provide data that may be relevant in guiding potential educational, psychological, and social interventions within this population group.
Collapse
Affiliation(s)
- Miguel Melendro
- Faculty of Education, Universidad Nacional de Educación a Distancia, Madrid, Spain
| | - Gema Campos
- Faculty of Education, Universidad de Alcalá, Alcalá de Henares, Spain
| | | | | |
Collapse
|
7
|
Chang CW, Chen FP, Tai H. Parental Factors for Mental Health Service Engagement Among Chinese Young Adults. Community Ment Health J 2020; 56:710-716. [PMID: 31853691 DOI: 10.1007/s10597-019-00531-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Accepted: 12/14/2019] [Indexed: 11/28/2022]
Abstract
Mental health service disengagement can have devastating consequences for people in need of mental health services. This study explored parental factors in mental health service engagement among Chinese young adult mental health service users. Seventy-two Chinese young adults, aged from 18 to 26 years, were recruited from a Hong Kong community mental health service center. Nearly three-fifths (58.3%) of participants were female and over two-fifths (44.2%) attended college. Results of logistic regression analysis showed that Chinese young adult mental health service users with high levels of perceived need for services and low levels of perceived parental involvement in mental health services were more likely to engage in mental health services. However, concerns about the parent-child relationship, perceived parental encouragement and perceived parental demand for mental health service use were not associated with mental health service engagement. The practice implications of these results are discussed in light of the Chinese context.
Collapse
Affiliation(s)
- Ching-Wen Chang
- Department of Social Work, The Chinese University of Hong Kong, Shatin, Hong Kong.
| | - Fang-Pei Chen
- Department of Social Welfare & Center for Innovative Research on Aging Society, National Chung Cheng University, Minhsiung Township, Chiayi County, Taiwan
| | - Hiuning Tai
- Baptist Oi Kwan Social Service, Hong Kong Island, Hong Kong
| |
Collapse
|
8
|
Using a Heuristic App to Improve Symptom Self-Management in Adolescents and Young Adults with Cancer. J Adolesc Young Adult Oncol 2019; 8:131-141. [DOI: 10.1089/jayao.2018.0103] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
|
9
|
LaRosa KN, Stern M, Lynn C, Hudson J, Reed DR, Donovan KA, Quinn GP. Provider perceptions' of a patient navigator for adolescents and young adults with cancer. Support Care Cancer 2019; 27:4091-4098. [PMID: 30778757 DOI: 10.1007/s00520-019-04687-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 02/05/2019] [Indexed: 11/28/2022]
Abstract
PURPOSE Healthcare providers (HCPs) and other staff at a comprehensive Cancer Center were interviewed on how to best implement a patient navigator position when working with adolescents and young adults (AYA) with cancer. Research objectives included assessing staff perceptions of (a) barriers to optimal care for AYA, (b) roles and responsibilities for a patient navigator, and (c) training needed for future patient navigators. METHODS Semi-structured interviews were conducted with 17 staff members providing care to AYA. Verbatim transcripts were hand-coded using inductive content analysis. RESULTS Roles and responsibilities of a patient navigator were described as needing to coordinate services, be knowledgeable of resources inside and outside the Cancer Center, provide emotional support, advocate for AYA, assist with financial and insurance issues, and serving as the first point of contact. CONCLUSIONS Staff serving AYA reported the desired roles and training they wished a patient navigator to possess. This study contributes to the literature by conducting stakeholder assessment of the goals and roles of an AYA patient navigator (PN). PN positions should be adapted to the workflow and ethos of the institution.
Collapse
Affiliation(s)
- Kayla N LaRosa
- Department of Educational and Psychology Studies, University of South Florida, Tampa, FL, USA.,University of South Florida, Tampa, FL, USA
| | - Marilyn Stern
- University of South Florida, Tampa, FL, USA. .,Department of Child and Family Studies, University of South Florida, Tampa, FL, USA. .,Health Outcomes and Behavior Program, Moffitt Cancer Center, Tampa, FL, USA. .,Adolescent and Young Adult Program, Moffitt Cancer Center, Tampa, FL, USA. .,, Tampa, FL, USA.
| | - Courtney Lynn
- Department of Educational and Psychology Studies, University of South Florida, Tampa, FL, USA.,University of South Florida, Tampa, FL, USA
| | - Janella Hudson
- Health Outcomes and Behavior Program, Moffitt Cancer Center, Tampa, FL, USA.,Morsani College of Medicine, University of South Florida, Tampa, FL, 33612, USA
| | - Damon R Reed
- Adolescent and Young Adult Program, Moffitt Cancer Center, Tampa, FL, USA.,Morsani College of Medicine, University of South Florida, Tampa, FL, 33612, USA.,Sarcoma Program, Moffitt Cancer Center, Tampa, FL, USA
| | - Kristine A Donovan
- Health Outcomes and Behavior Program, Moffitt Cancer Center, Tampa, FL, USA.,Adolescent and Young Adult Program, Moffitt Cancer Center, Tampa, FL, USA.,Morsani College of Medicine, University of South Florida, Tampa, FL, 33612, USA
| | - Gwendolyn P Quinn
- Department of OB-GYN, School of Medicine, New York University, New York, NY, 10016, USA.,Department of Population Health, School of Medicine, New York University, New York, NY, 10016, USA.,Center for Medical Ethics, New York University, New York, NY, 10016, USA
| |
Collapse
|
10
|
Niepage M, Georgievski G, Shama W, Lucchetta S. Exploring Adolescents' Cancer Journey Through Photovoice: A Narrative Synthesis. J Adolesc Young Adult Oncol 2018; 7:15-21. [DOI: 10.1089/jayao.2017.0073] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Mark Niepage
- Department of Social Work, The Hospital for Sick Children, Toronto, Canada
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
| | - Georgi Georgievski
- Department of Social Work, The Hospital for Sick Children, Toronto, Canada
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
| | - Wendy Shama
- Department of Social Work, The Hospital for Sick Children, Toronto, Canada
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
| | - Sonia Lucchetta
- Department of Social Work, The Hospital for Sick Children, Toronto, Canada
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
| |
Collapse
|
11
|
Kaal SEJ, Husson O, van Duivenboden S, Jansen R, Manten-Horst E, Servaes P, Prins JB, van den Berg SW, van der Graaf WTA. Empowerment in adolescents and young adults with cancer: Relationship with health-related quality of life. Cancer 2017; 123:4039-4047. [PMID: 28696580 PMCID: PMC5655905 DOI: 10.1002/cncr.30827] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2016] [Revised: 05/10/2017] [Accepted: 05/22/2017] [Indexed: 12/30/2022]
Abstract
BACKGROUND The difficulties adolescents and young adults (AYAs) encounter during a cancer experience may result in a reduction in or absence of empowerment. The aims of the current study were to assess levels of empowerment and associated (demographic, clinical, or psychological) factors and examine the association between empowerment and health-related quality of life (HRQOL) among AYA patients with cancer. METHODS Patients aged 18 to 35 years at time of cancer diagnosis and who were seen by 1 of the members of the specialized multidisciplinary AYA team of the Radboud University Medical Center were invited to complete questionnaires regarding empowerment; HRQOL; and sociodemographic, clinical, and psychological characteristics (autonomy, coping, unmet social support needs, and psychological distress). RESULTS A total of 83 AYA patients completed the questionnaires. The mean age of the participants at the time of diagnosis was 27.5 years. The vast majority had been treated with chemotherapy (86%), had a more advanced stage of disease, and had completed treatment at the time of participation (74%). The mean empowerment level was 154.1 (standard deviation, 17.8) with a range of 114 to 200. Multivariate analysis demonstrated that the autonomy subscales of self-awareness (β = .35), capacity for managing new situations (β = .19), and social support (β = .35) were found to be positively associated with empowerment. Coping difficulties (β = -.19) were found to be negatively associated with empowerment. Empowerment was independently associated with physical (β = .31), psychological (β = .50), social (β = .39), religious (β = .33), and total HRQOL (β = .52; all P<.01). CONCLUSIONS Low levels of empowerment were associated with low levels of autonomy and social support, female sex, and coping difficulties among AYA patients with cancer. Recognizing these patients as candidates for empowerment interventions ultimately could help to improve HRQOL in late adolescence and young adulthood. Cancer 2017;123:4039-47. © 2017 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Collapse
Affiliation(s)
- Suzanne E J Kaal
- Department of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.,Dutch AYA "Young & Cancer" Platform, AYA Platform Radboudumc, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Olga Husson
- Dutch AYA "Young & Cancer" Platform, AYA Platform Radboudumc, Radboud University Medical Center, Nijmegen, The Netherlands.,Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Saskia van Duivenboden
- Department of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Rosemarie Jansen
- Department of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.,Dutch AYA "Young & Cancer" Platform, AYA Platform Radboudumc, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Eveliene Manten-Horst
- Department of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.,Dutch AYA "Young & Cancer" Platform, AYA Platform Radboudumc, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Petra Servaes
- Dutch AYA "Young & Cancer" Platform, AYA Platform Radboudumc, Radboud University Medical Center, Nijmegen, The Netherlands.,Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Judith B Prins
- Dutch AYA "Young & Cancer" Platform, AYA Platform Radboudumc, Radboud University Medical Center, Nijmegen, The Netherlands.,Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Sanne W van den Berg
- Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Winette T A van der Graaf
- Department of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.,Dutch AYA "Young & Cancer" Platform, AYA Platform Radboudumc, Radboud University Medical Center, Nijmegen, The Netherlands.,Division of Clinical Studies, Institute of Cancer Research, Royal Marsden NHS Foundation Trust, London, United Kingdom
| |
Collapse
|
12
|
Ruhe KM, Badarau DO, Brazzola P, Hengartner H, Elger BS, Wangmo T. Participation in pediatric oncology: views of child and adolescent patients. Psychooncology 2015; 25:1036-42. [DOI: 10.1002/pon.4053] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2015] [Revised: 11/10/2015] [Accepted: 11/13/2015] [Indexed: 11/10/2022]
Affiliation(s)
- Katharina M. Ruhe
- Institute for Biomedical Ethics; University of Basel; Basel Switzerland
| | | | - Pierluigi Brazzola
- Ospedale Regionale di Bellinzona e Valli-Bellinzona; Pediatria; Bellinzona Switzerland
| | | | - Bernice S. Elger
- Institute for Biomedical Ethics; University of Basel; Basel Switzerland
| | - Tenzin Wangmo
- Institute for Biomedical Ethics; University of Basel; Basel Switzerland
| | | |
Collapse
|