Capacity for Direct Attention and Psychological Distress in Patients Receiving Outpatient Cancer Chemotherapy

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Hdl Handle:
http://hdl.handle.net/10755/165617
Category:
Abstract
Type:
Presentation
Title:
Capacity for Direct Attention and Psychological Distress in Patients Receiving Outpatient Cancer Chemotherapy
Author(s):
Agretelis, Joan
Author Details:
Joan Agretelis, Massachusetts General Hospital, Boston, Massachusetts, USA
Abstract:
Problem: Ambulatory infusion units are caring for a consistently higher volume of cancer patients. Large amounts of complex information regarding disease, treatment, side effects, and self-care strategies are presented to patients during the first chemotherapy visit. This information is provided to distressed patients in a distracting environment. Patients may need to increase mental effort to suppress competing stimuli and direct attention. This increased effort could result in attentional fatigue and impair learning. There are no published reports regarding these factors in patients embarking on an initial course of chemotherapy. Assessing patient capacity to direct attention and identifying factors that inhibit directed attention can assist the nurse in developing strategies to enhance patient education. Purpose: The purpose of this study is to identify and compare the level of capacity for direct attention and psychological distress during an initial visit for chemotherapy and at four to six weeks thereafter. Theoretical/Scientific Framework: This study utilizes Cimprich's (1992) theoretical perspective of attention in relation to patient education. Methods: This descriptive study uses a repeated measures design. Forty cancer patients scheduled for initial chemotherapy will be enrolled. The Digit Span Test will be used to measure focused attention and working memory. The Letter-Number Sequencing Test will be used to measure auditory working memory (The Psychological Corporation, 1997). As subtests of the Wechsler Memory Scale, both the Digit Span Test (0.87) and Letter Number Sequencing (0.75-0.88) are highly correlated with a variety of attention and concentration measures. Psychological distress will be measured with the short form of the Profile of Mood States (POMS) (McNair, Lorr, & Droppleman, 1992). This instrument is highly correlated with the 65-item POMS (r = 0.95). All study variables will be repeated during a routine visit to the infusion unit four to six weeks later. Data Analysis: Descriptive statistics will be presented for demographic and medical data. Paired t-tests will examine differences in POMS total score, Digit Span, and Letter Numbering Sequencing Tests. Pearson correlation will examine relationships between level of psychological distress (POMS total score), and ability for direct attention (Digit Span and Letter Number Sequencing Test scores).
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCapacity for Direct Attention and Psychological Distress in Patients Receiving Outpatient Cancer Chemotherapyen_GB
dc.contributor.authorAgretelis, Joanen_US
dc.author.detailsJoan Agretelis, Massachusetts General Hospital, Boston, Massachusetts, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165617-
dc.description.abstractProblem: Ambulatory infusion units are caring for a consistently higher volume of cancer patients. Large amounts of complex information regarding disease, treatment, side effects, and self-care strategies are presented to patients during the first chemotherapy visit. This information is provided to distressed patients in a distracting environment. Patients may need to increase mental effort to suppress competing stimuli and direct attention. This increased effort could result in attentional fatigue and impair learning. There are no published reports regarding these factors in patients embarking on an initial course of chemotherapy. Assessing patient capacity to direct attention and identifying factors that inhibit directed attention can assist the nurse in developing strategies to enhance patient education. Purpose: The purpose of this study is to identify and compare the level of capacity for direct attention and psychological distress during an initial visit for chemotherapy and at four to six weeks thereafter. Theoretical/Scientific Framework: This study utilizes Cimprich's (1992) theoretical perspective of attention in relation to patient education. Methods: This descriptive study uses a repeated measures design. Forty cancer patients scheduled for initial chemotherapy will be enrolled. The Digit Span Test will be used to measure focused attention and working memory. The Letter-Number Sequencing Test will be used to measure auditory working memory (The Psychological Corporation, 1997). As subtests of the Wechsler Memory Scale, both the Digit Span Test (0.87) and Letter Number Sequencing (0.75-0.88) are highly correlated with a variety of attention and concentration measures. Psychological distress will be measured with the short form of the Profile of Mood States (POMS) (McNair, Lorr, & Droppleman, 1992). This instrument is highly correlated with the 65-item POMS (r = 0.95). All study variables will be repeated during a routine visit to the infusion unit four to six weeks later. Data Analysis: Descriptive statistics will be presented for demographic and medical data. Paired t-tests will examine differences in POMS total score, Digit Span, and Letter Numbering Sequencing Tests. Pearson correlation will examine relationships between level of psychological distress (POMS total score), and ability for direct attention (Digit Span and Letter Number Sequencing Test scores).en_GB
dc.date.available2011-10-27T12:21:54Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:21:54Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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