Predictors of Quality of Life for Long-Term Cancer Survivors With Preexisting Disabling Conditions

Becker, Heather; Kang, Sook Jung; Stuifbergen, Alexa K.

doi:10.1188/12.onf.e122-e131

Cited by 19 publications

(15 citation statements)

References 53 publications

(62 reference statements)

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“…The associations we observed among our survivors are similar to those found in prior studies because education is a proxy for socioeconomic status and thus indicates earning power or lack thereof [31,32,33]. Becker et al [34] observed that comorbidities were associated with not only physical and functional health but also social and emotional health as well. The associations we observed here may point to high-risk groups that can be targeted for interventions.…”

Section: Discussionsupporting

confidence: 87%

Construct Validity of the Late-Life Function and Disability Instrument in African American Breast Cancer Survivors

et al. 2016

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Limited data exist on the validity of the Late-Life Function and Disability (LLFD) instrument in cancer survivors. We examined the construct validity of the abbreviated LLFD instrument in a sample of African-American breast cancer survivors. African American breast cancer survivors (n = 181) aged 50 years and older completed the abbreviated LLFD instrument and questions about sociodemographic and lifestyle characteristics. Confirmatory factor analysis (CFA), Cronbach alphas, and structural models were used to evaluate the construct validity of these measures. Minor modifications were made to the three-factor functional component portion of the inventory to improve model fit. Cronbach alpha’s (range 0.85–0.92) and inter-factor correlations (r = 0.3–0.5, all p < 0.05) were appropriate. The two-factor disability component fit the data and Cronbach alpha’s (0.91 and 0.98) were appropriate with a high inter-factor correlation (r = 0.95, p < 0.01). The average variance extracted (range = 0.55–0.93) and composite reliabilities (range = 0.86–0.98) were in acceptable ranges. Floor effects ranged from 7% for advanced lower function to 74% for personal role disability. Education and number of comorbidities were correlated significantly with functional outcomes. The abbreviated LLFD instrument had adequate construct validity in this sample of African American breast cancer survivors. Further studies are needed that examine the stability of the instrument over time.

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Section: Discussionsupporting

confidence: 87%

Construct Validity of the Late-Life Function and Disability Instrument in African American Breast Cancer Survivors

et al. 2016

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“…The study began with a nationwide survey of factors predicting health-promoting behaviors and quality of life among cancer survivors who had completed active treatment. As described elsewhere, 145 adult cancer survivors with chronic and disabling conditions prior to their cancer diagnosis and treatment completed surveys by mail (Becker et al, 2012). In the study’s second phase, focus group participants were recruited to discuss their experience with living with a cancer diagnosis within the context of a pre-existing functional disability, and provided information that could be used to adapt a wellness intervention for people with disabilities to the needs of cancer survivors with other prior disabling conditions.…”

Section: Methodsmentioning

confidence: 99%

“…For example, women with mobility impairments who are breast cancer survivors may experience physical access barriers to care such as difficulties with imaging equipment and procedures and transferring to exam tables (Iezzoni, Kilbridge, & Park, 2010). Further, in a recent study of predictors of quality of life for long-term cancer survivors with preexisting disabling conditions, Becker, Kang, and Stuifbergen (2012) found that participants had poorer physical well-being than survivors without such preexisting conditions.…”

mentioning

confidence: 99%

A Double Whammy: Health Promotion Among Cancer Survivors With Preexisting Functional Limitations

Volker¹,

Becker²,

Kang³

et al. 2012

Oncology Nursing Forum

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Purpose/Objectives To explore the experience of living with a cancer diagnosis within the context of a pre-existing functional disability and to identify strategies to promote health in this growing population of cancer survivors. Research Approach Qualitative descriptive Setting Four sites in the United States Participants 19 female cancer survivors with pre-existing disabling conditions Methodologic Approach Four focus groups were conducted. The audiotapes were transcribed and analyzed using content analysis techniques. Main Research Variables cancer survivor, disability, health promotion Findings Analytic categories included living with a cancer diagnosis, health promotion strategies, and wellness program development for survivors with pre-existing functional limitations. Participants described many challenges associated with managing a cancer diagnosis on top of living with a chronic disabling functional limitation. They identified strategies they used to maintain their health and topics to be included in health promotion programs tailored for this unique group of cancer survivors. Conclusions The “double whammy” of a cancer diagnosis for persons with pre-existing functional limitations requires modification of health promotion strategies and programs to promote wellness in this group of cancer survivors. Interpretation Nurses and other health care providers must attend to patients’ pre-existing conditions as well as the challenges of the physical, emotional, social, and economic sequelae of a cancer diagnosis.

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“…The present sample was a subsample drawn from a larger study of quality of life for cancer survivors with preexisting disabling conditions (Becker, Kang, & Stuifbergen, in press). For that study, following Institutional Review Board approval, a nationwide sample of survivors from throughout the U.S. was recruited via contacts with disability programs, Independent Living Centers, and other disability researchers; recruitment information was also posted on national disability and cancer websites and in disability publications.…”

Section: Methodsmentioning

confidence: 99%

CNE Quiz

2012

J Gerontol Nurs

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Older cancer survivors, who often cope with multiple disabling conditions, can find health promotion challenging. This study's purpose was to explore predictors of health promotion for older cancer survivors with a disabling condition that existed prior to their cancer diagnosis. The 92 cancer survivors were predominantly women with preexisting neuromuscular impairments and an average age of 69 years. Half were breast cancer survivors, and 58% were 6 or more years since their cancer diagnosis. In hierarchical regression analyses, self-efficacy for health promotion and social support were the strongest predictors of the total HPLPII and its subscales. The findings suggest that nursing interventions to assist older cancer survivors with multiple chronic conditions in building their social support and perceived self-efficacy may help them lead more healthy lives.

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Predictors of Quality of Life for Long-Term Cancer Survivors With Preexisting Disabling Conditions

Cited by 19 publications

References 53 publications

Construct Validity of the Late-Life Function and Disability Instrument in African American Breast Cancer Survivors

Construct Validity of the Late-Life Function and Disability Instrument in African American Breast Cancer Survivors

A Double Whammy: Health Promotion Among Cancer Survivors With Preexisting Functional Limitations

CNE Quiz

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