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Survivor profiles predict health behavior intent: the Childhood Cancer Survivor Study.

Publication ,  Journal Article
Cox, CL; Zhu, L; Finnegan, L; Steen, BD; Hudson, MM; Robison, LL; Oeffinger, KC
Published in: Psychooncology
May 2012

OBJECTIVES: To determine whether unique groups of adult childhood cancer survivors could be defined on the basis of modifiable cognitive, affective, and motivation indicators. Secondary objectives were to examine to what extent group membership co-varied with more static variables (e.g. demographics, disease, and treatment) and predicted intent for subsequent medical follow-up. METHODS: Using latent class analysis of data from 978 participants (ages, 18-52 years; mean, 31; and SD, 8) in the Childhood Cancer Survivor Study, we classified survivors according to their worries about health, perceived need for follow-up care, health motivation, and background variables. Intent to participate in medical follow-up, as a function of class membership, was tested using equality of proportions. RESULTS: The best-fitting model (BIC = 18 540.67, BLMRT = <0.001) was characterized by three distinctive survivor classes (worried, 19%; self-controlling, 26%; and collaborative, 55%) and three significant class covariates (gender, perceptions of health, and severity of late effects). A smaller proportion of survivors in the self-controlling group (81%) than in the worried (90%) (P = 0.015) and collaborative (88%) (P = 0.015) groups intended to obtain a routine medical checkup. A smaller proportion of survivors in the self-controlling group (32%) than in the collaborative (65%) (P = <0.001) and worried (86%) (P = <0.001) groups planned a cancer-related check-up. A smaller proportion of survivors in the collaborative group (65%) than in the worried group (86%) (P = <0.001) were likely to obtain a cancer-related check-up. CONCLUSIONS: Childhood cancer survivors can be classified according to the modifiable indicators. The classification is distinctive, predicts intent for future medical follow-up, and can inform tailored interventions.

Duke Scholars

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

May 2012

Volume

21

Issue

5

Start / End Page

469 / 478

Location

England

Related Subject Headings

  • Survivors
  • Patient Acceptance of Health Care
  • Oncology & Carcinogenesis
  • Neoplasms
  • Motivation
  • Middle Aged
  • Male
  • Intention
  • Humans
  • Health Behavior
 

Citation

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ICMJE
MLA
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Cox, C. L., Zhu, L., Finnegan, L., Steen, B. D., Hudson, M. M., Robison, L. L., & Oeffinger, K. C. (2012). Survivor profiles predict health behavior intent: the Childhood Cancer Survivor Study. Psychooncology, 21(5), 469–478. https://doi.org/10.1002/pon.1935
Cox, Cheryl L., Liang Zhu, Lorna Finnegan, Brenda D. Steen, Melissa M. Hudson, Leslie L. Robison, and Kevin C. Oeffinger. “Survivor profiles predict health behavior intent: the Childhood Cancer Survivor Study.Psychooncology 21, no. 5 (May 2012): 469–78. https://doi.org/10.1002/pon.1935.
Cox CL, Zhu L, Finnegan L, Steen BD, Hudson MM, Robison LL, et al. Survivor profiles predict health behavior intent: the Childhood Cancer Survivor Study. Psychooncology. 2012 May;21(5):469–78.
Cox, Cheryl L., et al. “Survivor profiles predict health behavior intent: the Childhood Cancer Survivor Study.Psychooncology, vol. 21, no. 5, May 2012, pp. 469–78. Pubmed, doi:10.1002/pon.1935.
Cox CL, Zhu L, Finnegan L, Steen BD, Hudson MM, Robison LL, Oeffinger KC. Survivor profiles predict health behavior intent: the Childhood Cancer Survivor Study. Psychooncology. 2012 May;21(5):469–478.
Journal cover image

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

May 2012

Volume

21

Issue

5

Start / End Page

469 / 478

Location

England

Related Subject Headings

  • Survivors
  • Patient Acceptance of Health Care
  • Oncology & Carcinogenesis
  • Neoplasms
  • Motivation
  • Middle Aged
  • Male
  • Intention
  • Humans
  • Health Behavior