Influence of Personal and Contextual Factors and Cognitive Appraisal on Quality of Life Over Time in Persons Newly Diagnosed with Cancer

2.50
Hdl Handle:
http://hdl.handle.net/10755/304212
Category:
Full-text
Type:
Presentation
Title:
Influence of Personal and Contextual Factors and Cognitive Appraisal on Quality of Life Over Time in Persons Newly Diagnosed with Cancer
Author(s):
Kessler, Theresa A.
Lead Author STTI Affiliation:
Zeta Epsilon
Author Details:
Theresa A. Kessler, PhD, RN, ACNS-BC, CNE, terry.kessler@valpo.edu
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: As cancer treatment has become more successful, measurement of outcomes focusing on quantity, such as disease free survival, mortality, and cancer relapse rates, are insufficient. It is important to understand how individuals newly diagnosed with cancer perceive their experience and manage the day to day effects of treatment over time. The purpose of this study was to assess personal and contextual factors and cognitive appraisals and their impact on quality of life over time for individuals facing a new diagnosis of cancer.

Methods: Using a longitudinal design, 120 individuals were recruited from 3 oncology offices. Data were collected at 3 points: initial diagnosis, 4 months and 12 months following diagnosis. Based on the Transactional model of stress and coping, constructs were measured by a researcher developed instrument to assess personal and contextual factors, the Cognitive Appraisal of Health Scale, and the Quality of Life Index.

Results: The subjects (n = 84) ranged in age from 23 ' 78 (M = 62, SD = 13.2).' The majority were female (71%), married (79%), and retired 43%.' The top 3 cancer diagnoses were: 39% breast, 18% lung, and 11% colon. 43% received chemotherapy as their initial treatment. The 7 independent variables of age, number of symptoms, time since diagnosis, cognitive appraisals of threat, challenge, harm/loss, and benign irrelevant explained 86% (F=64.77, p<.001) of the variance in quality of life scores at initial diagnosis, 79% (F=17.08, p<.001) of the variance at 4 months, and 90% (F=35.79, p<.001) of the variance at 12 months.'

Conclusion: The findings provide theoretical support for the impact personal and contextual factors and cognitive appraisals have on quality of life following a diagnosis of cancer. An improved understanding of the cancer experience enhances the health care community's ability to support survivors and prevent adverse outcomes.

Keywords:
cognitive appraisal; cancer; quality of life
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleInfluence of Personal and Contextual Factors and Cognitive Appraisal on Quality of Life Over Time in Persons Newly Diagnosed with Canceren
dc.contributor.authorKessler, Theresa A.en
dc.contributor.departmentZeta Epsilonen
dc.author.detailsTheresa A. Kessler, PhD, RN, ACNS-BC, CNE, terry.kessler@valpo.eduen
dc.identifier.urihttp://hdl.handle.net/10755/304212-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b>As cancer treatment has become more successful, measurement of outcomes focusing on quantity, such as disease free survival, mortality, and cancer relapse rates, are insufficient. It is important to understand how individuals newly diagnosed with cancer perceive their experience and manage the day to day effects of treatment over time. The purpose of this study was to assess personal and contextual factors and cognitive appraisals and their impact on quality of life over time for individuals facing a new diagnosis of cancer. <p><b>Methods: </b>Using a longitudinal design, 120 individuals were recruited from 3 oncology offices. Data were collected at 3 points: initial diagnosis, 4 months and 12 months following diagnosis. Based on the Transactional model of stress and coping, constructs were measured by a researcher developed instrument to assess personal and contextual factors, the Cognitive Appraisal of Health Scale, and the Quality of Life Index. <p><b>Results: </b>The subjects (<i>n</i> = 84) ranged in age from 23 ' 78 (<i>M</i> = 62, <i>SD</i> = 13.2).' The majority were female (71%), married (79%), and retired 43%.' The top 3 cancer diagnoses were: 39% breast, 18% lung, and 11% colon. 43% received chemotherapy as their initial treatment. The 7 independent variables of age, number of symptoms, time since diagnosis, cognitive appraisals of threat, challenge, harm/loss, and benign irrelevant explained 86% (<i>F</i>=64.77, <i>p</i><.001) of the variance in quality of life scores at initial diagnosis, 79% (<i>F</i>=17.08, <i>p</i><.001) of the variance at 4 months, and 90% (<i>F</i>=35.79, <i>p</i><.001) of the variance at 12 months.' <p><b>Conclusion: </b>The findings provide theoretical support for the impact personal and contextual factors and cognitive appraisals have on quality of life following a diagnosis of cancer. An improved understanding of the cancer experience enhances the health care community's ability to support survivors and prevent adverse outcomes.en
dc.subjectcognitive appraisalen
dc.subjectcanceren
dc.subjectquality of lifeen
dc.date.available2013-10-22T20:31:16Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:31:16Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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