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

描述(申请人提供)：这项研究的目的是调查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。许多癌症幸存者都会经历长期的影响。对于那些由于小儿麻痹症、脊髓损伤或多发性硬化症等诊断而导致先前存在功能障碍的人，癌症诊断和治疗可能会加剧他们促进健康和防止继发性残疾状况的持续挑战。因此，这些人可能面临较低的存活率和较高的继发性恶性肿瘤风险。利用Stuifbergen关于残疾人健康促进和生活质量的解释模型，这项研究将研究最能预测这一特殊癌症幸存者群体的健康促进行为和与健康相关的生活质量的因素。来自全美各地的150名在被诊断为癌症之前存在功能限制且已超过癌症积极诊断和治疗阶段的人的样本将被招募来完成一项邮寄调查。这项调查将包括报告的健康促进自我效能、人际和经济资源、抑郁、人口统计特征、癌症病史、并存疾病、健康促进障碍、健康促进行为和生活质量。回归分析将被用来检验预测因素、促进健康的行为和与健康相关的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针对残疾人的健康干预，以满足患有先前存在功能限制的癌症幸存者的独特需求。然后，一个专家小组将在最终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涉及癌症生存办公室的目标，即调查医疗服务不足的癌症幸存者(例如，有既往功能障碍的人)遵守健康生活方式的情况，以及2010年健康人促进残疾人健康的目标。公共卫生相关性：这项研究将提供信息，供幸存者、照顾者和卫生保健专业人员使用，以促进癌症幸存者的健康行为，这些人在被诊断为癌症之前，日常生活活动能力有限。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.