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The effect of pre-transplant pain and chronic disease self-efficacy on quality of life domains in the year following hematopoietic stem cell transplantation.

Publication ,  Journal Article
O'Sullivan, ML; Shelby, RA; Dorfman, CS; Kelleher, SA; Fisher, HM; Rowe Nichols, KA; Keefe, FJ; Sung, AD; Somers, TJ
Published in: Support Care Cancer
April 2018

PURPOSE: Pain is common for hematopoietic stem cell transplant (HSCT) patients and may be experienced pre-transplant, acutely post-transplant, and for months or years following transplant. HSCT patients with persistent pain may be at risk for poor quality of life following transplant; however, the impact of pre-transplant pain on quality of life post-transplant is not well understood. Self-efficacy for chronic disease management is associated with quality of life among cancer patients and may impact quality of life for HSCT patients. The primary aim was to examine the effect of pre-transplant pain and self-efficacy on quality of life domains in the year following transplant. METHODS: One hundred sixty-six HSCT patients completed questionnaires providing information on pain, self-efficacy, and quality of life prior to transplant, at discharge, and 3-, 6-, and 12-months post-transplant as part of a longitudinal, observational study. Linear mixed modeling examined the trajectories of these variables and the effect of pre-transplant pain and self-efficacy on post-transplant quality of life. RESULTS: Pain and social and emotional quality of life remained stable in the year following transplant while self-efficacy and physical and functional quality of life improved. Pre-transplant pain was significantly related to lower physical well-being post-transplant. Lower pre-transplant self-efficacy was related to lower quality of life across all domains post-transplant. CONCLUSION: Above and beyond the effect of pre-transplant pain, self-efficacy for managing chronic disease is important in understanding quality of life following transplant. Identifying patients with pain and/or low self-efficacy pre-transplant may allow for early intervention with self-management strategies.

Duke Scholars

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Published In

Support Care Cancer

DOI

EISSN

1433-7339

Publication Date

April 2018

Volume

26

Issue

4

Start / End Page

1243 / 1252

Location

Germany

Related Subject Headings

  • Surveys and Questionnaires
  • Socioeconomic Factors
  • Self Efficacy
  • Quality of Life
  • Pain
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Male
  • Longitudinal Studies
 

Citation

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O’Sullivan, M. L., Shelby, R. A., Dorfman, C. S., Kelleher, S. A., Fisher, H. M., Rowe Nichols, K. A., … Somers, T. J. (2018). The effect of pre-transplant pain and chronic disease self-efficacy on quality of life domains in the year following hematopoietic stem cell transplantation. Support Care Cancer, 26(4), 1243–1252. https://doi.org/10.1007/s00520-017-3947-6
O’Sullivan, Madeline L., Rebecca A. Shelby, Caroline S. Dorfman, Sarah A. Kelleher, Hannah M. Fisher, Krista A. Rowe Nichols, Francis J. Keefe, Anthony D. Sung, and Tamara J. Somers. “The effect of pre-transplant pain and chronic disease self-efficacy on quality of life domains in the year following hematopoietic stem cell transplantation.Support Care Cancer 26, no. 4 (April 2018): 1243–52. https://doi.org/10.1007/s00520-017-3947-6.
O’Sullivan ML, Shelby RA, Dorfman CS, Kelleher SA, Fisher HM, Rowe Nichols KA, et al. The effect of pre-transplant pain and chronic disease self-efficacy on quality of life domains in the year following hematopoietic stem cell transplantation. Support Care Cancer. 2018 Apr;26(4):1243–52.
O’Sullivan, Madeline L., et al. “The effect of pre-transplant pain and chronic disease self-efficacy on quality of life domains in the year following hematopoietic stem cell transplantation.Support Care Cancer, vol. 26, no. 4, Apr. 2018, pp. 1243–52. Pubmed, doi:10.1007/s00520-017-3947-6.
O’Sullivan ML, Shelby RA, Dorfman CS, Kelleher SA, Fisher HM, Rowe Nichols KA, Keefe FJ, Sung AD, Somers TJ. The effect of pre-transplant pain and chronic disease self-efficacy on quality of life domains in the year following hematopoietic stem cell transplantation. Support Care Cancer. 2018 Apr;26(4):1243–1252.
Journal cover image

Published In

Support Care Cancer

DOI

EISSN

1433-7339

Publication Date

April 2018

Volume

26

Issue

4

Start / End Page

1243 / 1252

Location

Germany

Related Subject Headings

  • Surveys and Questionnaires
  • Socioeconomic Factors
  • Self Efficacy
  • Quality of Life
  • Pain
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Male
  • Longitudinal Studies