适度
医学
心理干预
背景(考古学)
生存曲线
临床心理学
结构方程建模
生活质量研究
癌症存活率
老年学
癌症
公共卫生
心理学
精神科
护理部
内科学
社会心理学
生物
统计
古生物学
数学
作者
Chiara Acquati,Judith H. Hibbard,Ellen Miller‐Sonet,Anao Zhang,Elena Valentina Ionescu
标识
DOI:10.1007/s11764-021-01085-9
摘要
PurposeThe present work investigated the relationship between patient activation, treatment decision-making, and adherence to the prescribed treatment regimen. Given the role of informal caregivers in patient-reported outcomes, it was additionally assessed whether caregiver involvement acted as a moderator of this relationship.MethodsSurvey data collected from 504 cancer survivors were utilized. Structural equation modeling (SEM) controlling for covariates was used to examine the relationship between patient activation measure (PAM), caregiver involvement, and the identified outcomes. Moderator analysis was conducted using multiple group SEM.ResultsPatient activation was significantly associated with treatment planning being reflective of survivors’ goals and values (p < 0.001); adherence to treatment (p = 0.011); and satisfaction (p < 0.001). Caregiver’s involvement significantly moderated the association between activation and adherence to treatment.ConclusionsPatient activation was positively associated with all three selected outcomes. However, for cancer survivors reporting low rates of caregiver’s involvement, patient activation was not associated with treatment adherence. Research is needed to test and deliver self-management interventions inclusive of informal caregivers.Implications for Cancer SurvivorsFindings supported the need not only to monitor and sustain patient activation across the cancer continuum, but also to assume a dyadic perspective when designing self-management interventions in cancer survivorship.
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