Promoting the Health of Cancer Survivors with Pre-Existing Functional Limitations

描述（由申请人提供）：本研究的目的是调查具有预先存在的功能限制的癌症幸存者的健康促进行为和生活质量的相关性，并修改现有的健康干预措施以促进他们的健康。许多癌症幸存者经历长期影响。对于那些因脊髓灰质炎、脊髓损伤或多发性硬化症等诊断而存在功能限制的人来说，癌症的诊断和治疗可能会加剧他们在促进健康和预防继发性残疾方面所面临的挑战。因此，这些个体可能面临较低的生存率和继发性恶性肿瘤的更大风险。使用Stuifbergen的健康促进和残疾人生活质量的解释模型，本研究将探讨最能预测这一特殊群体的癌症幸存者的健康促进行为和健康相关的生活质量的因素。将招募来自美国各地的150名在癌症诊断之前存在功能限制并且已经超越癌症的积极诊断和治疗阶段的个体样本，以完成邮寄调查。调查将包括健康促进自我效能、人际关系和财务资源、抑郁、人口统计学特征、癌症史、合并症、健康促进障碍、健康促进行为和生活质量的测量。回归分析将用于检验预测因素、健康促进行为和健康相关生活质量之间的关系。调查结果将与来自焦点小组的信息相结合，以适应Stuifbergen的残疾人健康干预，以满足癌症幸存者的独特需求与预先存在的功能限制。然后，一个专家小组将在最后确定修改后的干预措施之前对其进行审查。这项探索性研究的结果将解决癌症幸存者办公室的目标，即调查医疗服务不足的癌症幸存者对健康生活方式的坚持（例如，残疾人健康计划（残疾人健康计划），以及“2010年健康人计划”促进残疾人健康的目标。公共卫生相关性：这项研究将提供幸存者，护理人员和医疗保健专业人员可以用来促进癌症幸存者的健康行为的信息，这些癌症幸存者在癌症诊断之前存在日常生活活动的限制。这些信息可以导致制定计划和政策，帮助这些人在癌症治疗后促进他们的健康。

DESCRIPTION (provided by applicant): The purpose of this study is to investigate correlates of health promoting behaviors and quality of life among cancer survivors with pre-existing functional limitations and to modify an existing wellness intervention to promote their health. Many cancer survivors experience long-term effects. For those with pre-existing functional limitations, resulting from diagnoses such as polio, spinal cord injury, or multiple sclerosis, cancer diagnosis and treatment may exacerbate their on-going challenge to promote health and prevent secondary disabling conditions. Consequently, these individuals may face lower survival rates and greater risk for secondary malignancies. Using Stuifbergen's explanatory model of health promotion and quality of life in persons with disabilities, this study will examine the factors that best predict health-promoting behaviors and health-related quality of life among this special group of cancer survivors. A sample of 150 individuals from throughout the United States with functional limitations that existed prior to their cancer diagnosis and who have moved beyond the active diagnosis and treatment phase of their cancer will be recruited to complete a mailed survey. The survey will include measures of reported self-efficacy for health promotion, interpersonal and financial resources, depression, demographic characteristics, cancer history, co-morbidities, barriers to health promotion, health-promoting behaviors, and quality of life. Regression analyses will be used to test the relationship among predictors, health-promoting behavior, and health-related quality of life. Survey results will be combined with information derived from focus groups to adapt Stuifbergen's wellness intervention for people with disabilities to meet the unique needs of cancer survivors with pre-existing functional limitations. An expert panel will then review the modified intervention before it is finalized. Findings from this exploratory study will address the goals of the Office of Cancer Survivorship to investigate adherence to healthy lifestyles among medically underserved cancer survivors (e.g., people with pre-existing functional limitations), as well as the goals of Healthy People 2010 to promote the health of people with disabilities. PUBLIC HEALTH RELEVANCE: This study will provide information that survivors, caregivers, and health care professionals can use to promote the health behaviors of cancer survivors who have limitations in activities of daily living that existed prior to their cancer diagnosis. Such information can lead to the development of programs and policies that help these individuals promote their health after cancer treatment.