Self-efficacy of advanced cancer patients for participation in treatment-related decision-making in six European countries : the ACTION study

© 2023. The Author(s)..

PURPOSE: Many patients prefer an active role in making decisions about their care and treatment, but participating in such decision-making is challenging. The aim of this study was to explore whether patient-reported outcomes (quality of life and patient satisfaction), patients' coping strategies, and sociodemographic and clinical characteristics were associated with self-efficacy for participation in decision-making among patients with advanced cancer.

METHODS: We used baseline data from the ACTION trial of patients with advanced colorectal or lung cancer from six European countries, including scores on the decision-making participation self-efficacy (DEPS) scale, EORTC QLQ-C15-PAL questionnaire, and the EORTC IN-PATSAT32 questionnaire. Multivariable linear regression analyses were used to examine associations with self-efficacy scores.

RESULTS: The sample included 660 patients with a mean age of 66 years (SD 10). Patients had a mean score of 73 (SD 24) for self-efficacy. Problem-focused coping (B 1.41 (95% CI 0.77 to 2.06)), better quality of life (B 2.34 (95% CI 0.89 to 3.80)), and more patient satisfaction (B 7.59 (95% CI 5.61 to 9.56)) were associated with a higher level of self-efficacy. Patients in the Netherlands had a higher level of self-efficacy than patients in Belgium ((B 7.85 (95% CI 2.28 to 13.42)), whereas Italian patients had a lower level ((B -7.50 (95% CI -13.04 to -1.96)) than those in Belgium.

CONCLUSION: Coping style, quality of life, and patient satisfaction with care were associated with self-efficacy for participation in decision-making among patients with advanced cancer. These factors are important to consider for healthcare professionals when supporting patients in decision-making processes.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer - 31(2023), 9 vom: 08. Aug., Seite 512

Sprache:

Englisch

Beteiligte Personen:

Yildiz, Berivan [VerfasserIn]
Korfage, Ida J [VerfasserIn]
Deliens, Luc [VerfasserIn]
Preston, Nancy J [VerfasserIn]
Miccinesi, Guido [VerfasserIn]
Kodba-Ceh, Hana [VerfasserIn]
Pollock, Kristian [VerfasserIn]
Johnsen, Anna Thit [VerfasserIn]
van Delden, Johannes J M [VerfasserIn]
Rietjens, Judith A C [VerfasserIn]
van der Heide, Agnes [VerfasserIn]

Links:

Volltext

Themen:

Advanced cancer
Coping
Decision-making
Journal Article
Self-efficacy
Support

Anmerkungen:

Date Completed 09.08.2023

Date Revised 22.09.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1007/s00520-023-07974-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360519709