Illness Understanding of Oncology Patients in a Community-Based Cancer Institute

Sivendran, Shanthi; Jenkins, Sarah M.; Svetec, Sarah; Horst, Michael; Newport, Kristina; Yost, Kathleen J.; Yang, Manshu

doi:10.1200/jop.2017.020982

Cited by 12 publications

(21 citation statements)

References 21 publications

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“…Most of these studies used education as categorical variable with three 9,19,32,33,48,55‐57 or two categories 39 . Being women was also found to be associated with accurate prognostic awareness 9,49,52,54,55,70 . With increasing age the level of PA is getting worse 9,39,43,48,49,52,54,55,57 .…”

Section: Resultsmentioning

confidence: 99%

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Factors associated with prognostic awareness in patients with cancer: A systematic review

Vlčková

Tučková

Poláková³

et al. 2020

Psycho-Oncology

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Objectives Prognostic awareness relates to patients' capacity to understand their prognosis and the likely illness trajectory. Based on the current evidence, accurate PA is associated with decrease in uncertainty, depresivity, and anxiety and with increase in quality of life. However, other studies found also negative associations of PA and quality of life and mental health. This systematic review synthesizes the available literature on factors associated with accurate prognostic awareness in patients with cancer. Methods Four databases were systematically searched for studies assessing prognostic awareness in patients with cancer. In these studies, we looked for factors positively or negatively associated with prognostic awareness. Included studies were critically appraised for methodological quality. Results We screened 28 078 studies and included 70. In these studies, 102 factors were found to be related to prognostic awareness positively or negatively. Identified factors were divided into seven groups: demographic factors, factors related to coping, health condition factors, psychological factors, factors associated with end‐of‐life care, factors related to communication, and factors related to relatives. Prognostic awareness differs according to age, personality, communication with doctor, disease stage, or being outpatient. For some factors such as depression, anxiety, or quality of life, higher level of these factors was found to be associated with accurate and inaccurate prognostic awareness. Conclusions Prognostic awareness is a complex phenomenon associated with various positive and negative associations for patients with cancer. Clinicians must consider individual preferences and values of patients and their families when discussing prognosis and must be prepared for potential adverse outcomes.

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Section: Resultsmentioning

confidence: 99%

“…With increasing age the level of PA is getting worse 9,39,43,48,49,52,54,55,57 . Age was used as continuous variable 9,39,43,48,52,54 or categorical variable 49,55,57 . Lower income and economic problems are also associated with inaccurate level of PA 32,42,52 .…”

Section: Resultsmentioning

confidence: 99%

Factors associated with prognostic awareness in patients with cancer: A systematic review

Vlčková

Tučková

Poláková³

et al. 2020

Psycho-Oncology

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“…The lack of adequate factual knowledge about breast cancer as found in this study has consequences for patients' illness perception and treatment outcomes. [24][25][26] This is because perceptions of the causes of breast cancer could influence patients' ability to adhere to medical treatments as erroneous beliefs may lead to seeking alternative healthcare from unapproved sources. 27 In terms of patients' perception of the curability and duration of their illness, we found that the majority of the Open access participants believed that their illness can be completely cured; and that they believe they can live long with their illness as long as they have faith in God and adhere to medical treatments.…”

Section: Discussionmentioning

confidence: 99%

Illness perception and coping among women living with breast cancer in Ghana: an exploratory qualitative study

2020

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ObjectiveIllness perception has been shown to have significant influence on the well-being and coping strategies of persons living with chronic medical conditions. Understanding of how women living with breast cancer cognitively and emotionally represent their illness and coping strategies used is likely to help in designing focused psychosocial interventions aimed at improving their health and well-being. This study explored the illness perceptions and coping strategies among women receiving care for breast cancer.DesignA qualitative phenomenological study (using semi-structured in-depth interviews).SettingOncology department of a tertiary hospital in Ghana.ParticipantsEleven women receiving breast cancer treatment were purposively sampled and in-depth individual interviews were conducted with questions based on illness perception and coping literature.ResultsIn terms of illness perceptions, it emerged that most of the participants lacked adequate factual knowledge about breast cancer and perceived causes but believed in the curability of their illness through medical treatments and the help of God. Spirituality, social support and diversion coping were the key resources for coping among the participants.ConclusionBreast cancer patients lacked adequate factual knowledge of breast cancer and their perception about the causes of breast cancer is rooted in biopsycho-spiritual model of illness. The reliance on spirituality and social support as the main coping strategies suggests the need for psychosocial interventions tailored to the spiritual and psychosocial needs of the patients.

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“…Given the potential multiple sources of life expectancy information, greater clarity about the extent to which each of these different sources holds accurate and consistent perceptions of a patient's life expectancy is required. Inconsistent illness understanding can lead to disagreements about management strategies, which may culminate in conflict and suboptimal care (Freedman, Kouri, West, Lii, & Keating, ; Sivendran et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Inconsistent illness understanding can lead to disagreements about management strategies, which may culminate in conflict and suboptimal care (Freedman, Kouri, West, Lii, & Keating, 2016;Sivendran et al, 2017).…”

Section: Healthcare Provider N (%)mentioning

confidence: 99%

Radiation oncology outpatients’ patterns of life expectancy discussions

et al. 2019

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Objectives To describe the (a) number and type of cancer care providers that radiation oncology outpatients report discussing life expectancy with, and (b) perceptions of the acceptability and utility of life expectancy information. Methods A cross‐sectional survey of patients receiving radiotherapy was undertaken in four treatment centres. Patients indicated whether they had discussed life expectancy with a cancer doctor (i.e., medical oncologists, radiation oncologists, surgeon, haematologists) and/or other cancer care provider (i.e., general practitioner, radiation therapist, nurse); and acceptability and utility of information. Results Of 207 respondents, 133 (64%) had discussed life expectancy with at least one provider. General practitioners (GPs) were the most frequent source of information. Of those who had discussed life expectancy, half (n = 110/207) perceived cancer would not impact life expectancy. Information was easy to understand (91%), discussed sensitively (90%), helped plan for future (83%) and gave them certainty (86%). The information made 11% feel overloaded and 34% feel anxious. Conclusion Two‐thirds of respondents had discussed life expectancy with at least one cancer care provider. Providers from the range of disciplines involved in cancer care need to be skilled at communicating life expectancy information and recognising the adverse impact this may have on some patients.

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Illness Understanding of Oncology Patients in a Community-Based Cancer Institute

Cited by 12 publications

References 21 publications

Factors associated with prognostic awareness in patients with cancer: A systematic review

Factors associated with prognostic awareness in patients with cancer: A systematic review

Illness perception and coping among women living with breast cancer in Ghana: an exploratory qualitative study

Radiation oncology outpatients’ patterns of life expectancy discussions

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