Investigating the impact of self‐management behaviours on quality of life and fear of recurrence in head and neck cancer survivors: A population‐based survey

Simple item page
dc.contributor.authorDunne, Simonen
dc.contributor.authorCoffey, Lauraen
dc.contributor.authorSharp, Lindaen
dc.contributor.authorDesmond, Deirdreen
dc.contributor.authorCullen, Claireen
dc.contributor.authorO'Connor, Jeanen
dc.contributor.authorO'Sullivan, Eleanoren
dc.contributor.authorTimon, Conraden
dc.contributor.authorGallagher, Pamelaen
dc.contributor.funderIrish Cancer Societyen
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2024-05-16T12:59:32Z
dc.date.available2024-05-16T12:59:32Z
dc.date.issued2019-01-29en
dc.description.abstractObjectives: Emerging cancer‐survivorship research suggests that self‐management can lead to improved outcomes. However, research examining the impact of self‐management behaviours on quality of life (QoL) and fear of recurrence (FoR) in cancer survivors is lacking. This study investigated the relationship between self‐management behaviours and QoL and FoR following treatment for head and neck cancer (HNC). Methods: Postal surveys were sent to 734 eligible HNC survivors (ICD10 C01‐C14; C32) in the Republic of Ireland who were 12‐ to 60‐months post diagnosis. QoL and FoR were measured using the Functional Assessment of Cancer Therapy (FACT‐G and Head and Neck Cancer Subscale) measure and Fear of Relapse/Recurrence Scale, respectively. Seven self‐management behaviours were measured using the Health Education Impact Questionnaire. Results: Three hundred and ninety‐five HNC survivors completed surveys (50.3% response rate). After controlling for sociodemographic and clinical characteristics, self‐management behaviours accounted for 20% to 39.4% of the variance in QoL and FoR. Higher scores on positive and active engagement in life, constructive attitudes and approaches, and skill and technique acquisition were significantly associated with higher global QoL and lower FoR, whilst higher scores on positive and active engagement in life and constructive attitudes and approaches only were significantly associated with higher HNC‐specific QoL. Additionally, lower scores on self‐monitoring and insight were significantly associated with higher HNC‐specific and global QoL and lower FoR. Conclusions: The findings highlight the potential utility of self‐management interventions promoting active problem solving, positive self‐talk, and skill acquisition amongst cancer survivors. However, increased self‐monitoring may relate to negative outcomes in HNC, a finding that warrants further investigation.en
dc.description.sponsorshipIrish Cancer Society and Health Research Board (SRP13GAL; MRCG/2013/11)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationDunne, S., Coffey, L., Sharp, L., Desmond, D., Cullen, C., O'Connor, J., O'Sullivan, E., Timon, C. and Gallagher, P. (2019) 'Investigating the impact of self‐management behaviours on quality of life and fear of recurrence in head and neck cancer survivors: A population‐based survey', Psycho‐Oncology, 28(4), pp.742-749. Available at: https://doi.org/10.1002/pon.5010en
dc.identifier.doihttps://doi.org/10.1002/pon.5010en
dc.identifier.eissn1099-1611en
dc.identifier.endpage749en
dc.identifier.issn1057-9249en
dc.identifier.issued4en
dc.identifier.journaltitlePsycho‐Oncologyen
dc.identifier.startpage742en
dc.identifier.urihttps://hdl.handle.net/10468/15875
dc.identifier.volume28en
dc.language.isoenen
dc.publisherJohn Wiley & Sons, Inc.en
dc.rights© 2019, John Wiley & Sons Ltd. This is the accepted version of the following item: Dunne, S., Coffey, L., Sharp, L., Desmond, D., Cullen, C., O'Connor, J., O'Sullivan, E., Timon, C. and Gallagher, P. (2019) 'Investigating the impact of self‐management behaviours on quality of life and fear of recurrence in head and neck cancer survivors: A population‐based survey', Psycho‐Oncology, 28(4), pp.742-749, which has been published in final form at: https://doi.org/10.1002/pon.5010 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en
dc.subjectCanceren
dc.subjectCancer survivorshipen
dc.subjectFear of recurrenceen
dc.subjectHead and neck canceren
dc.subjectOncologyen
dc.subjectPsycho-oncologyen
dc.subjectQuality of lifeen
dc.subjectSelf-managementen
dc.titleInvestigating the impact of self‐management behaviours on quality of life and fear of recurrence in head and neck cancer survivors: A population‐based surveyen
dc.typeArticle (peer-reviewed)en
oaire.citation.issue4en
oaire.citation.volume28en
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Investigating_the_impact_of_self_managem.pdf
Size:
278.9 KB
Format:
Adobe Portable Document Format
Description:
Accepted Version
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Cork University Dental School and Hospital - Journal Articles