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    Discussing factors associated with quality of life in cancer follow-up appointments: a preliminary test of a pragmatic model for clinical practice

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    Authors
    Lindner, O
    McCabe, Martin
    Boele, F
    Mayes, A
    Talmi, D
    Radford, John A
    Wearden, A
    Affiliation
    Division of Psychological and Social Medicine, Leeds Institute of Health Sciences, School of Medicine, University of Leeds, Leeds, UK
    Issue Date
    2018
    
    Metadata
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    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.
    Citation
    Lindner OC, McCabe MG, Boele F, Mayes A, Talmi D, Radford J, et al. Discussing factors associated with quality of life in cancer follow-up appointments: a preliminary test of a pragmatic model for clinical practice. Clin Rehabil. 2018 Dec 24.
    Journal
    Clinical Rehabilitation
    URI
    http://hdl.handle.net/10541/621525
    DOI
    10.1177/0269215518820093
    PubMed ID
    30582361
    Additional Links
    https://dx.doi.org/10.1177/0269215518820093
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1177/0269215518820093
    Scopus Count
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    All Christie Publications

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