Lindner, OC orcid.org/0000-0001-5442-8393, McCabe, MG, Boele, F orcid.org/0000-0003-0409-7949 et al. (4 more authors) (2019) Discussing factors associated with quality of life in cancer follow-up appointments: a preliminary test of a pragmatic model for clinical practice. Clinical Rehabilitation, 33 (4). pp. 762-772. ISSN 0269-2155
Abstract
Objective: The aim of this study is to perform a preliminary test of a practical, evidence-based model to enable discussions around quality of life–related concerns during cancer follow-up appointments.
Design: Cross-sectional study measuring quality of life, illness perceptions, emotional distress, fatigue, and subjective cognitive complaints.
Setting: Cancer outpatient follow-up clinics in four National Health Services in the United Kingdom.
Participants: Working-age post-treatment cancer patients, treated with curative intent.
Interventions: Not applicable.
Main measures: European Organisation for the Research and Treatment of Cancer – Quality of Life Questionnaire – Core 30, Illness Perceptions Questionnaire – Revised, Hospital Anxiety and Depression Scale, Chalder Fatigue Scale, and Cognitive Failures Questionnaire.
Results: Fifty-seven cancer patients, with a mean age of 36 years and on average 2.75 years post treatment, returned the completed questionnaires. Anxiety partially mediated the association between subjective cognitive complaints and illness identity (60%) and timeline (25%). Cognitive complaints mediated the relationships between quality of life and anxiety (45%), depression (30%), and fatigue (62%). Depression mediated the relationships between quality of life and illness identity (48%) and timeline (40%).
Conclusion: Our study provides a preliminary test of an evidence-based model to help elicit quality of life–related concerns during cancer follow-up appointments. Illness perceptions are associated with quality of life through the mediation of other cancer-relevant factors. Discussing the type, origin, and expected duration of symptoms may elicit other concerns, such as emotional distress, fatigue, or cognitive complaints, which explained a significant amount of the relationship between illness perceptions and quality of life.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2018, The Author(s). This is an author produced version of a paper published in Clinical Rehabilitation. Reprinted by permission of SAGE Publications. |
Keywords: | Quality of life; Follow-up care; Illness perceptions; Cancer; Survivors |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Cancer and Pathology (LICAP) > Patient Centred Outcomes Research The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 09 Jan 2019 14:50 |
Last Modified: | 27 Mar 2019 16:00 |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/0269215518820093 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:140661 |