Introduction
Methods
Design
Participants
Procedures
Data analysis
Results
Participants
Characteristic | n (%) |
---|---|
NFOSI-18 Score1 | Mean (range, median) |
DRS-P subscale | 25 (9–31, 27)2 |
Total score | 52.5 (31–60, 56)3 |
Age | 59.5 (39–73, 57) |
Education | |
Eighth grade or less | 1 (5%) |
High school | 7 (33%) |
Some college | 10 (48%) |
College | 2 (9%) |
Advanced degree | 1 (5%) |
Ethnicity | |
Hispanic or Latino origin | 2 (9.5%) |
Non-Hispanic or Latino origin | 19 (90.5%) |
Race | |
White | 16 (76%) |
African American or Black | 3 (14%) |
Asian | 1 (5%) |
Other (biracial) | 1 (5%) |
Marital Status | |
Never married | 2 (9.5%) |
Married | 11 (52%) |
In a committed relationship | 1 (5%) |
Divorced | 5 (24%) |
Widowed | 2 (9.5%) |
Employment Status | |
Employed full-time | 9 (43%) |
Employed part-time | 2 (9.5%) |
Homemaker | 1 (5%) |
Unemployed | 1 (5%) |
Retired | 2 (9.5%) |
On disability | 4 (19%) |
On leave of absence | 2 (9.5%) |
Characteristic | n (%) |
---|---|
Years since diagnosis | Mean (range, median) |
1.33 (0.03–9, 0.5) | |
ECOG Status1 (Self-reported) | |
0 | 2 (10%) |
1 | 11 (52%) |
2 | 8 (38%) |
Diagnosis | |
Ovarian | 13 (62%) |
Primary Peritoneal | 4 (19%) |
Ovarian and Fallopian Tube | 3 (14%) |
Fallopian Tube | 1 (5%) |
Cytoreductive surgery | |
Yes | 13 (62%) |
No | 8 (38%) |
Treatment (Tx) status at the time of interview | |
1st line Tx | 9 (43%) |
Receiving Tx for a recurrence | 6 (29%) |
Tx naive | 3 (14%) |
Received Tx within past 12 months | 3 (14%) |
Neoadjuvant chemotherapy | |
No | 11 (52%) |
Yes | 10 (48%) |
Question 1: Do patients consider ‘pain’ and ‘cramps’ to be redundant concepts?
Patient interpretation of ‘pain’
Patient interpretation of ‘cramps’
Themes | |||||||
---|---|---|---|---|---|---|---|
Concepts | Pain | Discomfort | Hurt | Interference | Digestion | Menstrual Cramps | Muscle Tightening |
Pain | X | X | X | X | |||
Cramps | X | X | X | X | X |
Question 2: Are ‘fatigue’ and ‘lack of energy’ overlapping concepts?
Patient interpretation of ‘fatigue’
Patient interpretation of ‘lack of energy’
Moreover, our investigation into potential item redundancy revealed that a majority (n = 16, 76%) considered the items to be “different” or “similar but different.”[Fatigue is] a feeling of overwhelming tiredness. Even little tasks tire me. A lack of energy…is related to motivation, so if I wake up in the morning and don’t want to do anything. That…is lack of energy. If I do a few things and I’m tired…that [is] fatigue.
Themes | |||||||
---|---|---|---|---|---|---|---|
Concepts | Tiredness | Energy | Comparison | Intensity | Rest | Capability | Motivation |
Fatigue | X | X | X | X | X | ||
Lack of energy | X | X | X | X | X |
Question 3: Does the item “I am bothered by constipation” assess severity?
Item | Is the severity of constipation something that determines how much it bothers you? | Item endorsement (Patients who selected 0 vs 1–4)1 | Imagine your constipation getting worse, would you be more bothered by it? (n = 11)2 | Imagine your constipation getting better, would you be less bothered by it? (n = 11)2 |
---|---|---|---|---|
I am bothered by constipation | Yes = 16 (76%) | 0 = 10 (48%) | Yes = 9 (82%) | Yes = 11 (100%) |
No = 2 (10%) | 1–4 = 11 (52%) | No = 1 (9%) | No = 0 (0%) | |
Missing = 3 (14%)3 | Missing = 1 (9%)3 |
Question 4: What factors do patients consider when responding to: “I am sleeping well?”
Item | Is this question relevant to your experiences with ovarian cancer? | Were you thinking of disease-related factors when answering this question? | Were you thinking about treatment-related factors when answering? | Were you thinking about other factors when answering? |
---|---|---|---|---|
I am sleeping well | Yes = 15 (71%) | Yes = 11 (52%) | Yes = 12 (57%) | Yes = 7 (33%) |
No = 6 (29%) | No = 10 (48%) | No = 5 (24%) | No = 14 (67%) | |
N/A = 4 (19%)1 |