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The Health Impact of Survivorship Care Plans among Breast Cancer Survivors: The Influence of the Social Cognitive Theory

Karmakar, Monita
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1564566737077347

Abstract Details

2019, Doctor of Philosophy, University of Toledo, Health Education.
Background: There is conflicting evidence regarding the effectiveness of providing cancer survivors with a survivorship care plans (SCP) at the end of their treatment. Further research is needed using health behavior theories to study its impact on realistic and relevant outcomes. Purpose: To identify 1) the effect of receiving a SCP on breast cancer survivors’ medical and lifestyle behaviors using the Social Cognitive Theory; 2) the impact of receiving a SCP on breast cancer survivors’ fear of recurrence; and 3) the factors that predict receipt of a SCP among breast cancer survivors. Method: Female breast cancer survivors were recruited using social media marketing on pages maintained by three large national cancer survivorship organizations and a local cancer survivorship center. We also recruited survivors using direct emails from two local hospitals. Data on SCP receipt, medical and lifestyle behaviors, Social Cognitive Theory constructs, fear of cancer recurrence, socio-demographics, and cancer history were collected using validated online survey. Linear and ordinal regressions were used to assess the impact of SCP receipt on fear of recurrence and health behaviors. Results: 263 breast cancer survivors completed the online survey of which 53% reported receiving a SCP. Only 54% of those who received a SCP had someone from their cancer care center discuss their SCP with them. Year of diagnosis was a significant predictor of SCP receipt with those diagnosed in 2013-2015 (OR=2.70; 95%CI: 1.20-6.09) and after 2016 (OR=3.02; 95%CI: 1.29-7.06) having higher odds of SCP receipt compared to those diagnosed between 2010-2012. Components of the SCP pertaining to the relevant topics rather than the entire SCP was associated with fear of recurrence (b=-1.176 ±0.542; p<0.05) and medication adherence (OR: 6.719; 95% CI: 1.197-37.73) in adjusted analysis. Those who received a SCP had significantly higher outcome expectation for adhering to medical behaviors (getting follow up tests, mammograms, and going to medical appointments), and for fruit and vegetable consumption (p<0.05). Conclusion: SCPs are effective tools for health communication and education. Our findings highlight the need to standardize contents of SCPs to ensure that cancer survivors are receiving all relevant information. The findings also emphasize the utility of the Social Cognitive Theory for implementation and evaluation of SCPs in future.
Timothy Jordan, PhD, MEd, (Committee Chair)
Joseph Dake, PhD, MPH (Committee Member)
Amy Thompson, PhD, CHES (Committee Member)
Iman Mohamed, MD, MRCP (UK) (Committee Member)
173 p.
Health Education

Recommended Citations

Citations

  • Karmakar, M. (2019). The Health Impact of Survivorship Care Plans among Breast Cancer Survivors: The Influence of the Social Cognitive Theory [Doctoral dissertation, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1564566737077347

    APA Style (7th edition)

  • Karmakar, Monita. The Health Impact of Survivorship Care Plans among Breast Cancer Survivors: The Influence of the Social Cognitive Theory . 2019. University of Toledo, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1564566737077347.

    MLA Style (8th edition)

  • Karmakar, Monita. "The Health Impact of Survivorship Care Plans among Breast Cancer Survivors: The Influence of the Social Cognitive Theory ." Doctoral dissertation, University of Toledo, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1564566737077347

    Chicago Manual of Style (17th edition)

toledo1564566737077347
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© 2019, all rights reserved.
This open access ETD is published by University of Toledo and OhioLINK.