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Psychosocial predictors of hope two years after diagnosis of colorectal cancer: Implications for nurse‐led hope programmes
Author(s) -
Grealish Laurie,
Hyde Melissa K.,
Legg Melissa,
Lazenby Mark,
Aitken Joanne F.,
Dunn Jeff,
Chambers Suzanne K.
Publication year - 2019
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.13010
Subject(s) - medicine , psychosocial , colorectal cancer , quality of life (healthcare) , cancer , disease , social support , telephone interview , family medicine , gerontology , physical therapy , psychiatry , nursing , psychotherapist , psychology , social science , sociology
Objective To prospectively explore predictors of hope in people with colorectal cancer at 24 months post‐diagnosis. Methods The present study is a secondary analysis of two waves within a longitudinal survey of patients newly diagnosed with colorectal cancer in Queensland, Australia. Baseline predictors (sociodemographic, disease, lifestyle characteristics, cancer threat appraisal and quality of life domains) were measured via mailed surveys and telephone interviews at 6 months post‐diagnosis. Hope was measured via mailed surveys at 24 months post‐diagnosis. Results At 24 months post‐diagnosis, 1,265 participants completed the hope measure. Hope was predicted by higher education, physical activity, cancer threat appraisal and each quality of life domain (i.e., physical, social, emotional and functional well‐being; and colorectal cancer‐specific concerns), which explained 23.63% of the total variance in hope, F (14, 1,081) = 23.89, p < 0.001. Conclusion At 24 months post‐diagnosis, hope was associated with greater functional, social and emotional well‐being, and less threatened cancer appraisals. As hope programmes continue to be developed, designers should include activities that increase well‐being and reduce cancer threat appraisal for people with colorectal cancer.