Patient-reported self-efficacy, anxiety, and health-related quality of life during chemotherapy: results from a longitudinal study

Constantina Papadopoulou, Grigorios Kotronoulas, Annegret Schneider, Morven I. Miller, Jackie McBride, Zoe Polly, Simon Bettles, Alison Whitehouse, Lisa McCann, Nora Kearney, Roma Maguire

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose/Objectives: To explore changes over time in self-efficacy and the predictive ability of changes in state anxiety and health-related quality of life during chemotherapy.
 Design: Secondary analysis of a longitudinal dataset derived from a larger, multicenter study.
 Setting: Outpatient oncology clinics across eight general hospitals in England, Scotland, and Northern Ireland.
 Sample: 137 patients scheduled to receive adjuvant chemotherapy for breast or colorectal cancer.
 Methods: At the beginning of each of six chemotherapy cycles, participants completed the Strategies Used by People to Promote Health questionnaire, the State-Trait Anxiety Inventory, and the Functional Assessment of Cancer Therapy-Breast or -Colorectal questionnaire. Multilevel model analysis was used to analyze longitudinal data, adjusted for demographic and clinical variables.
 Main research variables: Self-efficacy, anxiety, and health-related quality of life.
 Findings: No significant time effects were found for patients' overall perceived self-efficacy or self-efficacy parameters. A trend toward greater self-efficacy was evident as chemotherapy progressed. Self-efficacy was significantly associated with decreased state anxiety throughout chemotherapy. Increases in overall self-efficacy and perceived ability to maintain a positive attitude were significantly associated with over-time increases in physical, emotional, and functional well-being, as well as with fewer cancer-related concerns.
 Conclusions: Findings highlight the importance of clinical assessments throughout treatment that focus on patients' perceived self-efficacy as a positive regulator of mood and well-being. Implications for nursing: The current study suggests self-efficacy enhancement should be a key component of psycho-behavioral programs designed to support patients with cancer throughout chemotherapy.
LanguageEnglish
Pages127-136
Number of pages10
JournalOncology Nursing Forum
Volume44
Issue number1
DOIs
Publication statusPublished - 31 Jan 2017

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Self Efficacy
Longitudinal Studies
Anxiety
Quality of Life
Drug Therapy
Aptitude
Breast Neoplasms
Multilevel Analysis
Northern Ireland
Scotland
Adjuvant Chemotherapy
Ambulatory Care Facilities
General Hospitals
England
Multicenter Studies
Colorectal Neoplasms
Neoplasms
Nursing
Demography
Equipment and Supplies

Keywords

  • quality of life
  • chemotherapy
  • anxiety
  • self-efficacy

Cite this

Papadopoulou, Constantina ; Kotronoulas, Grigorios ; Schneider, Annegret ; Miller, Morven I. ; McBride, Jackie ; Polly, Zoe ; Bettles, Simon ; Whitehouse, Alison ; McCann, Lisa ; Kearney, Nora ; Maguire, Roma. / Patient-reported self-efficacy, anxiety, and health-related quality of life during chemotherapy : results from a longitudinal study. In: Oncology Nursing Forum. 2017 ; Vol. 44, No. 1. pp. 127-136.
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abstract = "Purpose/Objectives: To explore changes over time in self-efficacy and the predictive ability of changes in state anxiety and health-related quality of life during chemotherapy.
 Design: Secondary analysis of a longitudinal dataset derived from a larger, multicenter study.
 Setting: Outpatient oncology clinics across eight general hospitals in England, Scotland, and Northern Ireland.
 Sample: 137 patients scheduled to receive adjuvant chemotherapy for breast or colorectal cancer.
 Methods: At the beginning of each of six chemotherapy cycles, participants completed the Strategies Used by People to Promote Health questionnaire, the State-Trait Anxiety Inventory, and the Functional Assessment of Cancer Therapy-Breast or -Colorectal questionnaire. Multilevel model analysis was used to analyze longitudinal data, adjusted for demographic and clinical variables.
 Main research variables: Self-efficacy, anxiety, and health-related quality of life.
 Findings: No significant time effects were found for patients' overall perceived self-efficacy or self-efficacy parameters. A trend toward greater self-efficacy was evident as chemotherapy progressed. Self-efficacy was significantly associated with decreased state anxiety throughout chemotherapy. Increases in overall self-efficacy and perceived ability to maintain a positive attitude were significantly associated with over-time increases in physical, emotional, and functional well-being, as well as with fewer cancer-related concerns.
 Conclusions: Findings highlight the importance of clinical assessments throughout treatment that focus on patients' perceived self-efficacy as a positive regulator of mood and well-being. Implications for nursing: The current study suggests self-efficacy enhancement should be a key component of psycho-behavioral programs designed to support patients with cancer throughout chemotherapy.",
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Patient-reported self-efficacy, anxiety, and health-related quality of life during chemotherapy : results from a longitudinal study. / Papadopoulou, Constantina; Kotronoulas, Grigorios; Schneider, Annegret; Miller, Morven I.; McBride, Jackie; Polly, Zoe; Bettles, Simon; Whitehouse, Alison; McCann, Lisa; Kearney, Nora; Maguire, Roma.

In: Oncology Nursing Forum, Vol. 44, No. 1, 31.01.2017, p. 127-136.

Research output: Contribution to journalArticle

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AU - Miller, Morven I.

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AU - Maguire, Roma

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N2 - Purpose/Objectives: To explore changes over time in self-efficacy and the predictive ability of changes in state anxiety and health-related quality of life during chemotherapy.
 Design: Secondary analysis of a longitudinal dataset derived from a larger, multicenter study.
 Setting: Outpatient oncology clinics across eight general hospitals in England, Scotland, and Northern Ireland.
 Sample: 137 patients scheduled to receive adjuvant chemotherapy for breast or colorectal cancer.
 Methods: At the beginning of each of six chemotherapy cycles, participants completed the Strategies Used by People to Promote Health questionnaire, the State-Trait Anxiety Inventory, and the Functional Assessment of Cancer Therapy-Breast or -Colorectal questionnaire. Multilevel model analysis was used to analyze longitudinal data, adjusted for demographic and clinical variables.
 Main research variables: Self-efficacy, anxiety, and health-related quality of life.
 Findings: No significant time effects were found for patients' overall perceived self-efficacy or self-efficacy parameters. A trend toward greater self-efficacy was evident as chemotherapy progressed. Self-efficacy was significantly associated with decreased state anxiety throughout chemotherapy. Increases in overall self-efficacy and perceived ability to maintain a positive attitude were significantly associated with over-time increases in physical, emotional, and functional well-being, as well as with fewer cancer-related concerns.
 Conclusions: Findings highlight the importance of clinical assessments throughout treatment that focus on patients' perceived self-efficacy as a positive regulator of mood and well-being. Implications for nursing: The current study suggests self-efficacy enhancement should be a key component of psycho-behavioral programs designed to support patients with cancer throughout chemotherapy.

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 Design: Secondary analysis of a longitudinal dataset derived from a larger, multicenter study.
 Setting: Outpatient oncology clinics across eight general hospitals in England, Scotland, and Northern Ireland.
 Sample: 137 patients scheduled to receive adjuvant chemotherapy for breast or colorectal cancer.
 Methods: At the beginning of each of six chemotherapy cycles, participants completed the Strategies Used by People to Promote Health questionnaire, the State-Trait Anxiety Inventory, and the Functional Assessment of Cancer Therapy-Breast or -Colorectal questionnaire. Multilevel model analysis was used to analyze longitudinal data, adjusted for demographic and clinical variables.
 Main research variables: Self-efficacy, anxiety, and health-related quality of life.
 Findings: No significant time effects were found for patients' overall perceived self-efficacy or self-efficacy parameters. A trend toward greater self-efficacy was evident as chemotherapy progressed. Self-efficacy was significantly associated with decreased state anxiety throughout chemotherapy. Increases in overall self-efficacy and perceived ability to maintain a positive attitude were significantly associated with over-time increases in physical, emotional, and functional well-being, as well as with fewer cancer-related concerns.
 Conclusions: Findings highlight the importance of clinical assessments throughout treatment that focus on patients' perceived self-efficacy as a positive regulator of mood and well-being. Implications for nursing: The current study suggests self-efficacy enhancement should be a key component of psycho-behavioral programs designed to support patients with cancer throughout chemotherapy.

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