Abstract
Background/Aim: Self-management is a key component of effective chronic illness care and improved patient outcomes. Research focusing on self-management among head and neck cancer (HNC) survivors, however, has been lacking. This study addresses that knowledge gap by investigating the role of specific self-management behaviours in predicting post-primary-treatment HNC survivors’ health related quality of life (HRQL).
Patient/Methods: Participants (N=395) recruited to participate in a national survey were HNC survivors, aged 18yrs+ at diagnosis and 1-5yrs post-primary treatment. Canonical-Correlation-Analysis (CCA) explored the relationships between self-management (using heiQ subscales - emotional distress, constructive-attitudes/approaches, skill/technique acquisition, positive/active engagement, social-integration/support, health directed activity, health service navigation and self-monitoring/insight) and health-related quality of life (using FACT-H&N subscales - social, emotional, physical, and functional-wellbeing and HNC specific symptoms).
Results: The CCA uncovered a large and significant relationship between self-management and HRQL. The full model was significant ( = .76, p
Clinical Implications: This is the first study to provide evidence of a relationship between self-management and HRQL among HNC survivors. It also demonstrates how specific dimensions of self-management and HRQL relate to each other following primary treatment for HNC. These findings point to the value of developing a targeted self-management intervention to improve the HRQL of this patient group.
Patient/Methods: Participants (N=395) recruited to participate in a national survey were HNC survivors, aged 18yrs+ at diagnosis and 1-5yrs post-primary treatment. Canonical-Correlation-Analysis (CCA) explored the relationships between self-management (using heiQ subscales - emotional distress, constructive-attitudes/approaches, skill/technique acquisition, positive/active engagement, social-integration/support, health directed activity, health service navigation and self-monitoring/insight) and health-related quality of life (using FACT-H&N subscales - social, emotional, physical, and functional-wellbeing and HNC specific symptoms).
Results: The CCA uncovered a large and significant relationship between self-management and HRQL. The full model was significant ( = .76, p
Clinical Implications: This is the first study to provide evidence of a relationship between self-management and HRQL among HNC survivors. It also demonstrates how specific dimensions of self-management and HRQL relate to each other following primary treatment for HNC. These findings point to the value of developing a targeted self-management intervention to improve the HRQL of this patient group.
| Original language | English (Ireland) |
|---|---|
| Title of host publication | 10th International Quality of Life in Head and Neck Cancer Conference - the Liverpool Medical Institute (LMI), Corner of Mount Pleasant and Hope Street, Liverpool, UK |
| Place of Publication | Liverpool |
| Pages | 25-25 |
| Number of pages | 1 |
| Publication status | Published - 11 Nov 2016 |
| Event | 10th International Quality of Life in Head and Neck Cancer Conference - the Liverpool Medical Institute (LMI), Corner of Mount Pleasant and Hope Street, Liverpool, UK., Liverpool, United Kingdom Duration: 10 Nov 2016 → 11 Nov 2016 Conference number: 10 https://hancsupport.co.uk/sites/default/files/events/files/2016QOL_International_Conference.pdf |
Conference
| Conference | 10th International Quality of Life in Head and Neck Cancer Conference |
|---|---|
| Country/Territory | United Kingdom |
| City | Liverpool |
| Period | 10/11/2016 → 11/11/2016 |
| Internet address |
Keywords
- Head and neck cancer
- HNC
- Quality of life
- Health
- Cancer
- Cancer survivorship
- Self-Management
- Canonical-Correlation-Analysis
- CCA
