Baseline and short-term financial burden (FB) in colorectal cancer (CRC) treated with curative intent: Early results of ECOG-ACRIN EAQ162CD.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 1518-1518
Author(s):  
Sheetal Mehta Kircher ◽  
Fenghai Duan ◽  
Ilana F. Gareen ◽  
Ellen Underwood ◽  
Jorean Sicks ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Treatment Initiation ◽  
Financial Burden ◽  
Pearson Correlation ◽  
Well Being ◽  
Safety Net ◽  
Cost Difference ◽  
Curative Intent ◽  
Oncology Research ◽  
Community Oncology

1518 Background: Cancer therapy costs continue to rise, resulting in FB. FB in CRC treated with curative intent remains unexplored, particularly in the community oncology setting. We assess baseline FB and 3-month change, including predictors. Methods: Patients with newly diagnosed CRC treated with curative intent were enrolled through NCI Community Oncology Research Program (NCORP) Community Sites in a longitudinal study and completed the validated FACIT Comprehensive Score for Financial Toxicity (COST) instrument at baseline and 3 months. Higher COST score (range 0-44) indicates greater financial well-being. Pearson correlation compared baseline and 3-month measurements. Effects of patient demographics, clinical, self-efficacy variables (Table) and practice safety net affiliation were assessed using linear regression for baseline COST and COST difference at 3 months. F-tests identified covariates significantly predicting FB. Results: 450 and 296 participants completed the baseline and 3-month survey with a mean COST score 23.5 ± 11.9 and 24.6 ± 12.4, respectively (r=0.80, p<0.001), considered grade 1 or mild. Financial resource indicators such as income, insurance type, high-deductible insurance and savings, along with self-efficacy strongly predicted baseline FB (Table). No assessed covariates predicted COST difference. Safety-net affiliation (54/450, 12%) did not predict COST outcomes. Conclusions: Among those with CRC treated with curative intent in community settings, FB at treatment initiation and 3-month follow-up are highly correlated. Financial resources predict FB at treatment initiation. Self-efficacy to manage finances predicted FB, suggesting interventions such as financial counseling and navigation delivered early in the treatment course may minimize downstream FB. Clinical trial information: NCT03516942. [Table: see text]

scholarly journals Evolution of Cancer Care Delivery Research in the NCI Community Oncology Research Program

2019 ◽  
Vol 112 (6) ◽  
pp. 557-561 ◽  
Author(s):  
Ann M Geiger ◽  
Ann M O’Mara ◽  
Worta J McCaskill-Stevens ◽  
Brenda Adjei ◽  
Priyanga Tuovenin ◽  
...  
Keyword(s):  
Research Program ◽  
National Cancer Institute ◽  
Cancer Care ◽  
Care Delivery ◽  
Well Being ◽  
Practice Change ◽  
Evidence Based ◽  
Oncology Research ◽  
Community Oncology ◽  
Robust Portfolio

Abstract Research seeking to improve patient engagement with decision-making, use of evidence-based guidelines, and coordination of multi-specialty care has made important contributions to the decades-long effort to improve cancer care. The National Cancer Institute expanded support for these efforts by including cancer care delivery research in the 2014 formation of the National Cancer Institute Community Oncology Research Program (NCORP). Cancer care delivery research is a multi-disciplinary effort to generate evidence-based practice change that improves clinical outcomes and patient well-being. NCORP scientists and community-based clinicians and organizations rapidly embraced the addition of this type of research into the network, resulting in a robust portfolio of observational studies and intervention studies within the first 5 years of funding. This commentary describes the initial considerations in conducting this type of research in a network previously focused on cancer prevention, control, and treatment studies; characterizes the protocols developed to date; and outlines future directions for cancer care delivery research in the second round of NCORP funding.

scholarly journals Investigation of Health-Promoting Lifestyle and its Determinants Among Students of Medical Sciences in Iran

2020 ◽  
Vol 13 (1) ◽  
pp. 627-633
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Niloofar Aboozarzadeh ◽  
Leila Khojasteh ◽  
Zakieh Sadeghi ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Pearson Correlation ◽  
Well Being ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Promoting ◽  
The Mean ◽  
Health Promoting Lifestyle

Background: A person's lifestyle plays an important role in his health. This study aimed at determining thehealth-promoting lifestyle and its related factors among the medical students of Shahroud Islamic Azad University. Methods: In this cross-sectional study, a total of500 students of medical sciences were selected using the stratified random sampling method and they completed the health-promoting lifestyle, self-efficacy, and well-being questionnaires. The collected data were entered into SPSS 16 and were analyzed with a T-test, Chi-square, Pearson correlation coefficient, and a backward regression model. Results: The mean age of the students was 22.25±1.45 and 65% of the participants were female. The mean scores of health-promoting lifestyle, well-being, and self-efficacy were 134.1±23.85, 14.41±5.09, and 41.67±8.05, respectively. Among the students, 32.8% had a health disorder and only 2.2% had a high self-efficacy. Well-being and self-efficacy were statistically correlated with the health-promoting lifestyle (p<0.001). The results showed that out of 17 independent variables, only 4 variables of educational level, academic year, marital status, well-being were the best predictors of health-promoting lifestyle. Conclusion: More than 90% of students had low self-efficacy and more than 30% of them did not have good well-being. Moreover, the health-promoting lifestyle of students was moderate. More attention to the above areas, such as well-being status and applying required interventions, can help to improve the situation.

scholarly journals Financial burden impact quality of life among Lymphatic Filariasis Patients

2021 ◽  
Author(s):  
Samuel Opoku Asiedu ◽  
Alexander Kwarteng ◽  
Emmanuel Kobla Atsu Amewu ◽  
Priscilla Kini ◽  
Bill Clinton Aglomasa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lymphatic Filariasis ◽  
Financial Burden ◽  
Pearson Correlation ◽  
Well Being ◽  
P Value ◽  
Life Questionnaire ◽  
Financial Condition ◽  
Study Participants

Abstract BackgroundHuman lymphatic filarial pathology is the leading cause of disability and poverty among people living with the infection. The second goal of the Global Programme to Eliminate Lymphatic Filariasis (GPELF) is to manage the disease's morbidity to improve patients' quality of life. Consequently, the current study assessed the overall quality of life of lymphatic filariasis (LF) pathology patients in some selected endemic communities in rural Ghana. MethodIn the present study, the Lymphatic Filariasis Quality of Life Questionnaire (LFSQQ) was used to evaluate the effect of lymphatic filariasis on the quality of life of people, with the disease in nine (9) communities in the Ahanta West District of the Western Region of Ghana where mass drug administration is being implemented for the past twenty years. Pearson’s correlation, linear regression, and one-way analysis of variance (ANOVA) analyses were used to assess the associations between the LFSQQ instrument domains.ResultsOf the 155 study participants recruited, 115 (74.19%) were females, and 40 (25.81%) males. A greater proportion of the study participants (40, 25.8%) were presented with stage two (2) lymphoedema, while only two patients had stage seven (7) lymphoedema. The average of the overall quality of life scores of study participants was 68.24. There was a negative Pearson correlation (r = -0.504, p-value < 0.001) between the stage of lymphoedema (severity of the disease) and the quality of life of the LF patients. In addition, a clear pattern of positive correlation (r = 0.71, p-value < 0.001) was observed between the disease burden and pain/discomfort domains of the study participants. Whereas the highest domain-specific score (85.03) was observed in the domain of self-care, we noted that the environmental domain, which consists of the financial status, was the lowest (45.94) among the study participants. ConclusionOur findings support previous works on the reduced quality of life among lymphatic filariasis patients with pathology. In this study, our results reveal a depressing financial condition among people presenting with late stages of LF pathologies, which eventually reduces their well-being.

scholarly journals Financial burden impact quality of life among lymphatic Filariasis patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Samuel Opoku Asiedu ◽  
Alexander Kwarteng ◽  
Emmanuel Kobla Atsu Amewu ◽  
Priscilla Kini ◽  
Bill Clinton Aglomasa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lymphatic Filariasis ◽  
Financial Burden ◽  
Pearson Correlation ◽  
Well Being ◽  
Life Questionnaire ◽  
Financial Condition ◽  
Severity Of The Disease ◽  
Study Participants

Abstract Background Human lymphatic filarial pathology is the leading cause of disability and poverty among people living with the infection. The second goal of the Global Programme to Eliminate Lymphatic Filariasis (GPELF) is to manage the disease’s morbidity to improve patients’ quality of life. Consequently, the current study assessed the overall quality of life of lymphatic filariasis (LF) pathology patients in some selected endemic communities in rural Ghana. Method In the present study, the Lymphatic Filariasis Quality of Life Questionnaire (LFSQQ) was used to evaluate the effect of lymphatic filariasis on the quality of life of people, with the disease in nine (9) communities in the Ahanta West District of the Western Region of Ghana where mass drug administration is being implemented for the past twenty years. Pearson’s correlation, linear regression, and one-way analysis of variance (ANOVA) analyses were used to assess the associations between the LFSQQ instrument domains. Results Of the 155 study participants recruited, 115 (74.19%) were females, and 40 (25.81%) males. A greater proportion of the study participants (40, 25.8%) were presented with stage two (2) lymphoedema, while only two patients had stage seven (7) lymphoedema. The average of the overall quality of life scores of study participants was 68.24. There was a negative Pearson correlation (r = − 0.504, p-value < 0.001) between the stage of lymphoedema (severity of the disease) and the quality of life of the LF patients. In addition, a clear pattern of positive correlation (r = 0.71, p-value < 0.001) was observed between the disease burden and pain/discomfort domains of the study participants. Whereas the highest domain-specific score (85.03) was observed in the domain of self-care, we noted that the environmental domain, which consists of the financial status, was the lowest (45.94) among the study participants. Conclusion Our findings support previous works on the reduced quality of life among lymphatic filariasis patients with pathology. In this study, our results reveal a depressing financial condition among people presenting with late stages of LF pathologies, which eventually reduces their well-being.

scholarly journals University Teachers Perceptions of Self-Efficacy and Its Relationship with Workplace Stress

2020 ◽  
Vol V (II) ◽  
pp. 182-189
Author(s):  
Bushra Naoreen ◽  
Muhammad Naeem Mohsin ◽  
Shamaiela Mehboob Ali Farooqi Ali Farooqi
Keyword(s):  
Self Efficacy ◽  
Pearson Correlation ◽  
Teaching Efficacy ◽  
Sampling Technique ◽  
Well Being ◽  
Vital Role ◽  
Workplace Stress ◽  
Teachers Perceptions ◽  
University Teachers ◽  
High Level

The efficacious attitude of a person plays a vital role to develop psychological well-being, interpersonal and self-esteem. An individual with high level of self-efficacy is able to regulate and balance thoughts over actions. The basic purpose of the current study was to find out the relationship between self-efficacy and workplace stress of university teachers. A quantitative co-relational research design was followed to achieve the research objectives. 180 faculty members working in three different public sector universities in Pakistan were selected using multiphase sampling technique. Self-developed self-efficacy scale (based on two factors; general teaching efficacy and personal teaching efficacy) and workplace stress inventory were used to collect the required data. Data were analyzed applying mean score, t-test and Pearson correlation. Findings of the study reveal indirect correlation between the level of teachers self-efficacy and their perceived stress at workplace. Few recommendations were made on the basis of the findings of this study.

scholarly journals Satisfaction with life and its determinants in the group of patients with ulcerative colitis

2019 ◽  
Vol 18 (1) ◽  
pp. 21-28
Author(s):  
Maria Kózka ◽  
Wioletta Skowron
Keyword(s):  
Ulcerative Colitis ◽  
Life Satisfaction ◽  
Self Efficacy ◽  
Satisfaction With Life ◽  
Pearson Correlation ◽  
Well Being ◽  
Nonparametric Tests ◽  
Level Of Satisfaction ◽  
The Individual ◽  
Difficult Situations

AbstractIntroduction. Satisfaction with life and its determinants are components of human well-being, which the individual assesses in the area of quality of life, based on the own adopted criteria. Of particular interest is the recognition of these factors in people who are struggling with chronic diseases such as ulcerative colitis.Aim. The aim of the work was to get to know the level of life satisfaction as well as its determinants such as acceptance of the disease and generalized self-efficacy of patients with ulcerative colitis.Material and methods. The prospective study included 102 patients with diagnosed ulcerative colitis, who were tested for the level of life satisfaction and the level of disease acceptance and generalized self-efficacy. Descriptive statistics, parametric and nonparametric tests were used for data analysis. Correlation analyzes for variables expressed in ordinal scales were made using r-Pearson correlation. Significance was assumed at the level of p <0.05.Results. The level of life satisfaction, acceptance of the disease and generalized self-efficacy in the subjects were reduced. The level of life satisfaction was dependent on the level of self-efficacy and acceptance of the disease. The level of life satisfaction of the respondents correlated with the generalized own effectiveness and acceptance of the disease. A higher level of life satisfaction was obtained by respondents with a higher level of disease acceptance and convinced of effective coping with difficult situations. Men presented better results than women.Conclusions. Satisfaction with life and its determinants in patients with ulcerative colitis were reduced. The respondents with vocational education achieved lower results than those with secondary and higher education. Women presented lower variable levels than men. The level of satisfaction was dependent on the acceptance of the disease and on the generalized own effectiveness.

scholarly journals The Relationship Between Self-Regulation, Self-Efficacy, and Psychological Well-Being Among the Salahaddin University Undergraduate Students in Kurdistan

2021 ◽  
Vol 2 (2) ◽  
pp. 105-126
Author(s):  
Reben Ramadhan Salleh ◽  
Nik A. Hisham Hisham Ismail ◽  
Faizah Idrus
Keyword(s):  
Undergraduate Students ◽  
Self Efficacy ◽  
Pearson Correlation ◽  
Self Regulation ◽  
Well Being ◽  
Psychological Well Being ◽  
Healthy Growth ◽  
Quota Sampling ◽  
The Relationship ◽  
University Undergraduate Students

Self-regulation, self-efficacy, and psychological well-being are essential requirements in the academic environment. Psychological well-being is indispensable for students’ emotional balance and healthy growth and development. The recent study investigated the relationship between self-regulation, self-efficacy, and psychological well-being among Kurdish students at Salahaddin University. The objectives of the research are as follows: (1) to examine the prevalence level of self-regulation, self-efficacy, and psychological well-being among the Salahaddin University undergraduate students; (2) to examine the relationship of self-regulation and self-efficacy with psychological well-being among the Salahaddin University undergraduate students; and (3) to examine the effect of self-regulation and self-efficacy on psychological well-being among the Salahaddin University undergraduate students. The study employed quota sampling, and there were 407 respondents selected for it. Analysis techniques were presented in descriptive, Pearson Correlation, and Multiple Regression Analysis (MRA). The research shows a low level of self-regulation and self-efficacy among the Salahaddin University undergraduate students. However, psychological well-being is high. The study further demonstrates a positive and statistically significant relationship between self-regulation, self-efficacy, and psychological well-being among the Salahaddin University undergraduate students. Finally, the study showed that only self-regulation significantly affected psychological well-being among the Salahaddin University undergraduate students.

scholarly journals Phase III Randomized Controlled Trial of eRAPID: eHealth Intervention During Chemotherapy

2021 ◽  
pp. JCO.20.02015
Author(s):  
Kate Absolom ◽  
Lorraine Warrington ◽  
Eleanor Hudson ◽  
Jenny Hewison ◽  
Carolyn Morris ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Therapy ◽  
Functional Assessment ◽  
Self Efficacy ◽  
Patient Population ◽  
Symptom Control ◽  
Well Being ◽  
Symptom Reporting ◽  
Curative Intent

PURPOSE Electronic patient self-Reporting of Adverse-events: Patient Information and aDvice (eRAPID) is an online eHealth system for patients to self-report symptoms during cancer treatment. It provides automated severity-dependent patient advice guiding self-management or medical contact and displays the reports in electronic patient records. This trial evaluated the impact of eRAPID on symptom control, healthcare use, patient self-efficacy, and quality of life (QOL) in a patient population treated predominantly with curative intent. METHODS Patients with colorectal, breast, or gynecological cancers commencing chemotherapy were randomly assigned to usual care (UC) or the addition of eRAPID (weekly online symptom reporting for 18 weeks). Primary outcome was symptom control (Functional Assessment of Cancer Therapy-General, Physical Well-Being subscale [FACT-PWB]) assessed at 6, 12, and 18 weeks. Secondary outcomes were processes of care (admissions or chemotherapy delivery), patient self-efficacy, and global quality of life (Functional Assessment of Cancer Therapy–General, EQ5D-VAS, and EORTC QLQ-C30 summary score). Multivariable mixed-effects repeated-measures models were used for analyses. Trial registration: ISRCTN88520246. RESULTS Participants were 508 consenting patients (73.6% of 690 eligible) and 55 health professionals. eRAPID compared to UC showed improved physical well-being at 6 ( P = .028) and 12 ( P = .039) weeks and no difference at 18 weeks (primary end point) ( P = .69). Fewer eRAPID patients (47%) had clinically meaningful physical well-being deterioration than UC (56%) at 12 weeks. Subgroup analysis found benefit in the nonmetastatic group at 6 weeks ( P = .0426), but not in metastatic disease. There were no differences for admissions or chemotherapy delivery. At 18 weeks, patients using eRAPID reported better self-efficacy ( P = .007) and better health on EQ5D-VAS ( P = .009). Average patient compliance with weekly symptom reporting was 64.7%. Patient adherence was associated with clinician's data use and improved FACT-PWB at 12 weeks. CONCLUSION Real-time monitoring with electronic patient-reported outcomes improved physical well-being (6 and 12 weeks) and self-efficacy (18 weeks) in a patient population predominantly treated with curative intent, without increasing hospital workload.

scholarly journals Cancer Care Delivery Research: Building the Evidence Base to Support Practice Change in Community Oncology

2015 ◽  
Vol 33 (24) ◽  
pp. 2705-2711 ◽  
Author(s):  
Erin E. Kent ◽  
Sandra A. Mitchell ◽  
Kathleen M. Castro ◽  
Darren A. DeWalt ◽  
Arnold D. Kaluzny ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Care ◽  
Care Delivery ◽  
Well Being ◽  
Evidence Base ◽  
Care Quality ◽  
Practice Change ◽  
Health Technologies ◽  
Oncology Research ◽  
Community Oncology

Understanding how health care system structures, processes, and available resources facilitate and/or hinder the delivery of quality cancer care is imperative, especially given the rapidly changing health care landscape. The emerging field of cancer care delivery research (CCDR) focuses on how organizational structures and processes, care delivery models, financing and reimbursement, health technologies, and health care provider and patient knowledge, attitudes, and behaviors influence cancer care quality, cost, and access and ultimately the health outcomes and well-being of patients and survivors. In this article, we describe attributes of CCDR, present examples of studies that illustrate those attributes, and discuss the potential impact of CCDR in addressing disparities in care. We conclude by emphasizing the need for collaborative research that links academic and community-based settings and serves simultaneously to accelerate the translation of CCDR results into practice. The National Cancer Institute recently launched its Community Oncology Research Program, which includes a focus on this area of research.

Personality's Correlates of Adult Development and Aging

2003 ◽  
Vol 8 (3) ◽  
pp. 131-147 ◽  
Author(s):  
Gian Vittorio Caprara ◽  
Mariagiovanna Caprara ◽  
Patrizia Steca
Keyword(s):  
Personality Traits ◽  
Adult Development ◽  
Self Efficacy ◽  
Age Groups ◽  
Well Being ◽  
Efficacy Beliefs ◽  
Cross Sectional ◽  
Education And Health ◽  
Development And Aging ◽  
And Gender

Three cross-sectional studies examined stability and change in personality over the course of life by measuring the relations linking age to personality traits, self-efficacy beliefs, values, and well-being in large samples of Italian male and female participants. In each study, relations between personality and age were examined across several age groups ranging from young adulthood to old age. In each study, personality constructs were first examined in terms of mean group differences accrued by age and gender and then in terms of their correlations with age across gender and age groups. Furthermore, personality-age correlations were also calculated, controlling for the demographic effects accrued by marital status, education, and health. Findings strongly indicated that personality functioning does not necessarily decline in the later years of life, and that decline is more pronounced in males than it is in females across several personality dimensions ranging from personality traits, such as emotional stability, to self-efficacy beliefs, such as efficacy in dealing with negative affect. Findings are discussed in terms of their implications for personality theory and social policy.

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