2.50
Hdl Handle:
http://hdl.handle.net/10755/157586
Type:
Presentation
Title:
Contextual Health Related Quality of Life in Rural Cancer Survivors
Abstract:
Contextual Health Related Quality of Life in Rural Cancer Survivors
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Pedro, Leli W., DNSc, RN, C, OCN, CNE
P.I. Institution Name:University of Colorado Denver College of Nursing
Title:Assistant Professor
Contact Address:13120 East 19th Ave, PO Box 6511, Aurora, CO, 80045, USA
Contact Telephone:303-724-8524
Purpose: The purpose of this presentation is to review Ashing-Giwa's contextual model of HRQoL and apply the model to rural cancer survivorship health related quality of life (HRQoL). Description of Framework: HRQoL is a commonly used framework to asses the impact of cancer and its treatment on cancer survivorship.  Ashing-Giwa's (2005) contextual model of HRQoL provides a framework that expands on the traditional HRQoL frameworks to enhance cultural and socioecological responsive research.  The model was primarily informed by her ?cancer survivorship research with the intent of applicability to other diseases and all ethnic groups. The model allows for examining lived socioecological and cultural contexts therefore it is trans-ethnic and trans-cultural?.  The Contextual Model of HRQoL was informed by: 1) the traditional HRQL model, 2) the biopsychosocial model, 3) qualitative and quantitative studies with survivors, 4) the cancer and cancer survivorship literature, and 5) the multicultural and psychological literature. Internal Consistency of the Framework:   Ashing-Giwa's contextual model provides a structure to guide the conceptualization and operationalization of rural cancer survivorship HRQoL. Components supported by rural health and cancer survivorship HRQoL literature are identified and organized into the structure of Ashing-Giwa?s  macro context (which consists of social-ecological, health care, and cultural contexts) and micro context (which consists of cancer specific medical factors, health efficacy, general health and co-morbidity, and psychological well-being dimensions) as it applies to rural cancer survivor. Logic Linking Framework to Research Problem:  Traditional HRQoL models have been useful in understanding the multi-dimensional nature of cancer survivorship.  As more documentation becomes available about the health outcomes of cancer survivorship and the impact of rurality on these health outcomes a framework that acknowledges and organizes relevant dimensions for the population of rural cancer survivors can facilitate the inquiry.  Without a relevant organizing framework for inquiry research design and targeted interventions may be limited in illuminating the HRQoL of rural cancer survivors. Conclusions & utility of framework: Cancer survivorship research has expanded in the last two decades. However, only a modest amount of this research has been conducted with rural cancer survivors. This research can benefit from a framework that operationalizes the relevant dimensions through which to explore risk factors for poor HRQoL and disparities in HRQoL outcomes for rural cancer survivors.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleContextual Health Related Quality of Life in Rural Cancer Survivorsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157586-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Contextual Health Related Quality of Life in Rural Cancer Survivors</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pedro, Leli W., DNSc, RN, C, OCN, CNE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Colorado Denver College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">13120 East 19th Ave, PO Box 6511, Aurora, CO, 80045, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">303-724-8524</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">leli.pedro@ucdenver.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this presentation is to review Ashing-Giwa's contextual model of HRQoL and apply the model to rural cancer survivorship health related quality of life (HRQoL).&nbsp;Description of Framework: HRQoL is a commonly used framework to asses the impact of cancer and its treatment on cancer survivorship.&nbsp; Ashing-Giwa's (2005) contextual model of HRQoL provides a framework that expands on the traditional HRQoL frameworks to enhance cultural and socioecological responsive research.&nbsp; The model was primarily informed by her ?cancer survivorship research with the intent of applicability to other diseases and all ethnic groups. The model allows for examining lived socioecological and cultural contexts therefore it is trans-ethnic and trans-cultural?.&nbsp; The Contextual Model of HRQoL was informed by: 1) the traditional HRQL model, 2) the biopsychosocial model, 3) qualitative and quantitative studies with survivors, 4) the cancer and cancer survivorship literature, and 5) the multicultural and psychological literature.&nbsp;Internal Consistency of the Framework: &nbsp;&nbsp;Ashing-Giwa's contextual model provides a structure to guide the conceptualization and operationalization of rural cancer survivorship HRQoL. Components supported by rural health and cancer survivorship HRQoL literature are identified and organized into the structure of Ashing-Giwa?s &nbsp;macro context (which consists of social-ecological, health care, and cultural contexts) and micro context (which consists of cancer specific medical factors, health efficacy, general health and co-morbidity, and psychological well-being dimensions) as it applies to rural cancer survivor. Logic Linking Framework to Research Problem:&nbsp; Traditional HRQoL models have been useful in understanding the multi-dimensional nature of cancer survivorship.&nbsp; As more documentation becomes available about the health outcomes of cancer survivorship and the impact of rurality on these health outcomes a framework that acknowledges and organizes relevant dimensions for the population of rural cancer survivors can facilitate the inquiry.&nbsp; Without a relevant organizing framework for inquiry research design and targeted interventions may be limited in illuminating the HRQoL of rural cancer survivors.&nbsp;Conclusions &amp; utility of framework: Cancer survivorship research has expanded in the last two decades. However, only a modest amount of this research has been conducted with rural cancer survivors. This research can benefit from a framework that operationalizes the relevant dimensions through which to explore risk factors for poor HRQoL and disparities in HRQoL outcomes for rural cancer survivors.</td></tr></table>en_GB
dc.date.available2011-10-26T20:00:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:00:36Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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