Confirmatory Factor Analysis of the Cancer Locus of Control Scale

Henderson, Jessica; Donatelle, Rebecca J.; Acock, Alan C.

doi:10.1177/0013164402238086

Cited by 10 publications

(9 citation statements)

References 4 publications

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“…The analysis of TOCA's structural equation model by using a randomly assigned validation sample (n = 1,719) showed that RMSEA = 0.052 and SRMR = 0.051, that NFI, IFI, NNFI, CFI were all greater than 0.85, and that GFI, AGFI, and PGFI were 0.769, 0.754, and 0.722, respectively. The TOCA adequately satisfied standard tests of goodness of fit ( Janssen, Jonge, and Bakker 1999;Henderson, Donatelle, and Acock 2002;Hau, Wen, and Cheng 2004).…”

Section: Methodsmentioning

confidence: 80%

Organizational Culture and Its Relationship with Hospital Performance in Public Hospitals in China

Zhou¹,

Bundorf

Chang

et al. 2011

Health Services Research

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Objective. To measure perceptions of organizational culture among employees of public hospitals in China and to determine whether perceptions are associated with hospital performance. Data Sources. Hospital, employee, and patient surveys from 87 Chinese public hospitals conducted during 2009. Study Design. Developed and administered a tool to assess organizational culture in Chinese public hospitals. Used factor analysis to create measures of organizational culture. Analyzed the relationships between employee type and perceptions of culture and between perceptions of culture and hospital performance using multivariate models. Principal Findings. Employees perceived the culture of Chinese public hospitals as stronger in internal rules and regulations, and weaker in empowerment. Hospitals in which employees perceived that the culture emphasized cost control were more profitable and had higher rates of outpatient visits and bed days per physician per day but also had lower levels of patient satisfaction. Hospitals with cultures perceived as customer-focused had longer length of stay but lower patient satisfaction. Conclusions. Managers in Chinese public hospitals should consider whether the culture of their organization will enable them to respond effectively to their changing environment. Key Words. Business and management, comparative health systems/international health, hospitals, organization theory In 2009, the Chinese government announced a major health care system reform, with public hospitals being an important target for reform efforts. Public hospitals generate the bulk of their revenues from regulated fees charged to patients and insurers. As the government sets fees for basic services very low to make these services more accessible to patients, hospitals have strong

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Section: Methodsmentioning

confidence: 80%

Organizational Culture and Its Relationship with Hospital Performance in Public Hospitals in China

Zhou¹,

Bundorf

Chang

et al. 2011

Health Services Research

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“…Survey questions were initially based on a literature review of validated and widely adopted patient experience instruments [ 15 – 17 ] and consultation with local experts in hospital management. A pilot test of the questionnaire was conducted in 2013 among 5,569 outpatients at three Tier 3 hospitals, five Tier 2 hospitals and eight community health centers (Tier 1); psychometric analysis using the pilot data indicated high construct validity based on standard tests of goodness of fit in structural equation models [ 18 , 19 ] and high internal reliability for all questions included (overall Cronbach’s alpha = 0.97). We provided goodness of fit statistics and internal reliability measures for individual dimensions as well as the entire questionnaire for both the 2013 data (pilot) and the 2014 data (used in this study) in S1 Text .…”

Section: Methodsmentioning

confidence: 99%

Patient experience with outpatient encounters at public hospitals in Shanghai: Examining different aspects of physician services and implications of overcrowding

et al. 2017

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BackgroundOver 90% of outpatient care in China was delivered at public hospitals, making outpatient experience in this setting an important aspect of quality of care.ObjectiveTo assess outpatient experience with different aspects of physician services at China’s public hospitals and its association with overcrowding of the hospital outpatient departments.Research designRetrospective analysis of a large survey of outpatient experience in Shanghai, China. We tested the hypotheses that patient experience was poorer with physician-patient communication, education, and shared decision-making and where and when there was greater overcrowding of the hospital outpatient departments. Ordered logistic models were estimated separately for general and specialty hospitals.Subjects7,147 outpatients at 40 public hospitals in Shanghai, China, in 2014.MeasuresPatient experience with physician services were self-reported based on 12 questions as part of a validated instrument. Indicators of overcrowding included time of visit (morning vs. afternoon, Monday vs. rest of the week) and hospital outpatient volume in the first half of 2014.ResultsOverall, patients reported very favorable experience with physician services. Two out of the 12 questions pertaining to both communication and shared decision-making consistently received lower ratings. Hospitals whose outpatient volumes were in the top two quartiles received lower patient ratings, but the relationship achieved statistical significance among specialty hospitals only.ConclusionsInadequate physician-patient communication and shared decision-making and hospital overcrowding compromise outpatient experience with physician services at Chinese public hospitals. Effective diversion of patients with chronic and less complex conditions to community health centers will be critical to alleviate the extreme workloads at hospitals with high patient volumes and, in turn, improve patient experience.

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“…The Impact of Event scale (IES) 37 , a 15-item instrument, was used to assess subjective distress about cancer-related concerns in the previous week. The control over the cause of their cancer and course of cancer subscales were used from the Cancer Locus of Control scale (CLOC) 38 .…”

Section: Methodsmentioning

confidence: 99%

“…The control over the cause of their cancer and course of cancer subscales were used from the Cancer Locus of Control scale. 38…”

Section: Cognitive Predictorsmentioning

confidence: 99%

Predictors of smoking relapse in patients with thoracic cancer or head and neck cancer

Simmons

Litvin

Jacobsen

et al. 2012

Cancer

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BACKGROUND:Cancer patients who continue smoking are at increased risk for adverse outcomes including reduced treatment efficacy and poorer survival rates. Many patients spontaneously quit smoking after diagnosis; however, relapse is understudied. The goal of this study was to evaluate smoking-related, affective, cognitive, and physical variables as predictors of smoking after surgical treatment among patients with lung cancer and head and neck cancer. METHODS: A longitudinal study was conducted with 154 patients (57% male) who recently quit smoking. Predictor variables were measured at baseline (ie, time of surgery); smoking behavior was assessed at 2, 4, 6, and 12 months after surgery. Analyses of 7-day point prevalence were performed using a Generalized Estimating Equations approach. RESULTS: Relapse rates varied significantly depending on presurgery smoking status. At 12 months after surgery, 60% of patients who smoked during the week prior to surgery had resumed smoking versus only 13% who were abstinent prior to surgery. Smoking rates among both groups were relatively stable across the 4 follow-ups. For patients smoking before surgery (N ¼ 101), predictors of smoking relapse included lower quitting self-efficacy, higher depression proneness, and greater fears about cancer recurrence. For patients abstinent before surgery (N ¼ 53), higher perceived difficulty quitting and lower cancer-related risk perceptions predicted smoking relapse. CONCLUSIONS: Efforts to encourage early cessation at diagnosis, and increased smoking relapse-prevention efforts in the acute period following surgery, may promote long-term abstinence. Several modifiable variables are identified to target in future smoking relapse-prevention interventions for cancer patients. Cancer 2013;119:1420-7. V C 2012 American Cancer Society.KEYWORDS: tobacco use, smoking relapse, head and neck cancer, lung cancer. INTRODUCTIONCigarette smoking is responsible for 30% of all cancer-related mortalities. 1 Lung cancers and head and neck cancers are among the malignancies most strongly linked to tobacco use, 1 and a significant proportion of patients with lung cancer and/or head and neck cancer are current smokers at the time of diagnosis. 2,3 Smoking cessation reduces morbidity and mortality in these patients, 4,5 whereas continued smoking after diagnosis increases patients' risk for other smoking-related illnesses (eg, coronary heart disease), second primary tumors, 6,7 and disease recurrence. 5,6 Continued smoking also has more immediate adverse impact, including reduced cancer treatment efficacy, 8,9 higher rates of treatment complications and side effects, 10-13 greater treatment-related weight loss, 14 and poorer quality of life. [15][16][17] The majority of patients smoking at the time of their diagnosis spontaneously quit smoking (eg, 86% among patients with lung cancer 18 ; 84% among patients with head and neck cancer 19 ), with the greatest proportion of quit attempts occurring at diagnosis. 20 Furthermore, smoking cessation interventions for can...

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Confirmatory Factor Analysis of the Cancer Locus of Control Scale

Cited by 10 publications

References 4 publications

Organizational Culture and Its Relationship with Hospital Performance in Public Hospitals in China

Organizational Culture and Its Relationship with Hospital Performance in Public Hospitals in China

Patient experience with outpatient encounters at public hospitals in Shanghai: Examining different aspects of physician services and implications of overcrowding

Predictors of smoking relapse in patients with thoracic cancer or head and neck cancer

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