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Journal of Cancer Survivorship
Erschienen in: Journal of Cancer Survivorship 5/2022

12.09.2021

Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers’ involvement

verfasst von: Chiara Acquati, Judith H. Hibbard, Ellen Miller-Sonet, Anao Zhang, Elena Ionescu

Erschienen in: Journal of Cancer Survivorship | Ausgabe 5/2022

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Abstract

Purpose

The 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.

Methods

Survey 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.

Results

Patient 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.

Conclusions

Patient 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 Survivors

Findings 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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Metadaten
Titel
Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers’ involvement
verfasst von
Chiara Acquati
Judith H. Hibbard
Ellen Miller-Sonet
Anao Zhang
Elena Ionescu
Publikationsdatum
12.09.2021
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 5/2022
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-021-01085-9

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