Suchergebnisse

AbstractPurposeThe current study specified the initial qualitative stage to develop an instrument that assesses whether patients with cancer in Korea are ready for the transition from hospital‐based to community‐based survivorship care, focusing on psychosocial and behavioral aspects.MethodsIndividual interviews with cancer survivors, family members, and healthcare professionals in South Korea were conducted. Subsequently, analyses of qualitative data for creating items and pilot testing were performed to develop an instrument for Korean cancer survivors.ResultsAn item pool for an initial version of a new instrument called the "Preparedness for Transition to Survivorship Care Instrument (PTSCI)" was developed by creating 20 themes and 41 subthemes around each of the 401 codes. After assessing face validity, a set of 46 items was chosen. The 46 items were organized into 6 components: (1) physical, (2) cognitive, (3) psychological, (4) social, (5) health management, and (6) information. The Cronbach's alpha of the instrument in the pilot testing was 0.872.DiscussionThe PTSCI offers an opportunity to identify the psychosocial and behavioral status of patients with cancer in the survivorship phase. This new instrument can be used to test psychosocial and behavioral interventions for individuals who are not ready for the survivorship care phase.

AbstractPurposeThe current study tests the validity and reliability of the short version of the Health Promoting Lifestyle Profile II (HPLP‐II) when used to measure health promotion for Korean cancer survivors.MethodsThe survey data were collected from 175 Korean cancer survivors who were diagnosed with breast or colorectal cancer in South Korea. The confirmatory factor analysis (CFA) and structural equation modeling were conducted to examine the construct and criterion validity of the Korean version of the HPLP‐II.ResultsFindings demonstrated that excluding nutrition and stress management, four subscales showed good internal consistency. The three competing models of the HPLP‐II were tested to determine the factor structure of the HPLP‐II for Korean cancer survivors: (a) the original 6‐factor, (b) the modified 4‐factor, and (c) the modified 5‐factor. The five‐factor solution with 23 items was selected for the final model. The criterion‐related validity based on the relationships between health promotion and HRQOL was demonstrated.DiscussionThis study makes an important contribution to understanding the health promotion measure used by Korean cancer survivors. Specifically, this study provides a rationale to investigate the validity of a measure before such measures are used in the different language and cultural groups.

Objective: The current study examines the equivalence of a measure of family coping, the Family Crisis Oriented Personal Evaluation scales (F-COPES), in Chinese American and Korean American breast cancer survivors (BCS). Methods: Factor structure and cross-ethnicity equivalence of the F-COPES were tested using structural equation modeling with 157 Chinese American and Korean American BCS in California. Results: Of the original F-COPES subscales, acquiring social support, reframing, and passive appraisal did not adequately fit the data. Thus, a modified five-factor structure of the F-COPES was created. The modified F-COPES was validated with respect to quality of life, psychological distress, and family communication. Conclusions: The findings illustrate the importance of cross-ethnicity measurement testing and provide a rationale for developing culturally tailored measurements for ethnic minority populations.

Purpose: The current study aimed to investigate the effects of a trauma recovery program named the "My Special Program for Acute Burn Survivors (SPA)" program in Korean burn patients. Methods: This was a randomized pretest-posttest control group study that included patients with an acute burn injury. Participants in the intervention group ( n = 42) completed the "SPA" program, whereas those in the control group ( n = 43) received standard care. Participants completed baseline and follow-up measures that assessed perceived stress, psychological distress, and post-traumatic stress disorder (PTSD). Results: The results for perceived stress revealed a statistically significant change regardless of assigned group. For psychological distress, there was an interaction effect of time and condition in terms of the anxiety subscale only. The findings for PTSD revealed a statistically significant decrease in the total PTSD score for the intervention group only. Conclusion: The current study suggests that SPA interventions may help alleviate and prevent negative outcomes among burn patients.

Objectives: The purpose of this study was to determine the effects of technology-based cancer survivorship care interventions according to the types of intervention and participant characteristics for adult cancer survivors; and the extent to which the types of intervention and participant characteristics moderate the observed effects. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing technology-based survivorship care interventions with control groups for posttreatment adult cancer survivors. Results: A total of 50 RCTs with 422 effect sizes suggested an overall significant treatment effect of technology-based survivorship care interventions. Survivorship care domains, comparison groups, and targeted outcomes were significant moderators influencing treatment effects. Conclusions: Our findings reinforce the value and applicability of technology-based survivorship care interventions that promote skill-building specifically. Interventions addressing multidimensional domains for survivorship care should be developed with advances in technology, which in turn influence enhancing cancer survivors' capacities to address psychosocial challenges.