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Survivor typologies predict medical surveillance participation: the childhood cancer survivor study.

Publication ,  Journal Article
Cox, CL; Zhu, L; Hudson, MM; Steen, BD; Robison, LL; Oeffinger, KC
Published in: Psychooncology
July 2013

BACKGROUND: Adult survivors of childhood cancer adhere poorly to recommended medical surveillance. We sought to identify modifiable factors that contribute to non-adherence. METHODS: Latent class analysis categorized survivors (ages 18-52 years) at risk of cardiac, breast, or bone late sequelae on the basis of their health-related concerns, fears, and motivation. These classifications were compared at two time points for self-reported adherence to recommended echocardiography, mammography, and bone densitometry screening. RESULTS: Three classes (worried, collaborative, and self-controlling) characterized survivors in each of the three risk groups: cardiac (N=564; Bayesian information criterion [BIC] =10,824.66; Lo-Mendell-Rubin parametric likelihood ratio test [LRMLRT] P= .002), breast (N=584; BIC=11,779.97; LRMLRT P< .001), and bone (N=613; BIC=11,773.56; LMRLRT P= .028). Only 9% of at-risk survivors in the self-controlling class reported undergoing bone density screening in 2005, compared with 17.2% in the collaborative class (P= .034). Thirteen percent of the self-controlling, 24% of collaborative (P= .025), and 34% of worried (P= .010) classes reported undergoing bone densitometry in 2009. Whereas 73% of at-risk survivors in the worried class reported having had an echocardiogram in 2009, only 57% of the collaborative (P= .040) and 43% of self-controlling (P< .001) classes did. In 2005 and 2009, respectively, fewer survivors in the self-controlling class (37% and 53%) than in the collaborative (51%, P= .038 and 70%, P= .01) and worried (58%, P= .002 and 69%, P= .025) classes reported undergoing mammograms. CONCLUSIONS: Modifiable intrapersonal characteristics associated with these three classes predict self-reported participation in medical surveillance. Continued observation and validation of these survivor profiles may inform tailored interventions to enhance survivors' screening participation. Copyright © 2012 John Wiley & Sons, Ltd.

Duke Scholars

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

July 2013

Volume

22

Issue

7

Start / End Page

1534 / 1542

Location

England

Related Subject Headings

  • Young Adult
  • Survivors
  • Surveys and Questionnaires
  • Retrospective Studies
  • Patient Compliance
  • Patient Acceptance of Health Care
  • Outcome Assessment, Health Care
  • Oncology & Carcinogenesis
  • Neoplasms
  • Motivation
 

Citation

APA
Chicago
ICMJE
MLA
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Cox, C. L., Zhu, L., Hudson, M. M., Steen, B. D., Robison, L. L., & Oeffinger, K. C. (2013). Survivor typologies predict medical surveillance participation: the childhood cancer survivor study. Psychooncology, 22(7), 1534–1542. https://doi.org/10.1002/pon.3167
Cox, Cheryl L., Liang Zhu, Melissa M. Hudson, Brenda D. Steen, Leslie L. Robison, and Kevin C. Oeffinger. “Survivor typologies predict medical surveillance participation: the childhood cancer survivor study.Psychooncology 22, no. 7 (July 2013): 1534–42. https://doi.org/10.1002/pon.3167.
Cox CL, Zhu L, Hudson MM, Steen BD, Robison LL, Oeffinger KC. Survivor typologies predict medical surveillance participation: the childhood cancer survivor study. Psychooncology. 2013 Jul;22(7):1534–42.
Cox, Cheryl L., et al. “Survivor typologies predict medical surveillance participation: the childhood cancer survivor study.Psychooncology, vol. 22, no. 7, July 2013, pp. 1534–42. Pubmed, doi:10.1002/pon.3167.
Cox CL, Zhu L, Hudson MM, Steen BD, Robison LL, Oeffinger KC. Survivor typologies predict medical surveillance participation: the childhood cancer survivor study. Psychooncology. 2013 Jul;22(7):1534–1542.
Journal cover image

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

July 2013

Volume

22

Issue

7

Start / End Page

1534 / 1542

Location

England

Related Subject Headings

  • Young Adult
  • Survivors
  • Surveys and Questionnaires
  • Retrospective Studies
  • Patient Compliance
  • Patient Acceptance of Health Care
  • Outcome Assessment, Health Care
  • Oncology & Carcinogenesis
  • Neoplasms
  • Motivation