Can the theory of planned behavior help explain attendance to follow-up care of childhood cancer survivors?
Psychooncology
; 27(6): 1501-1508, 2018 06.
Article
em En
| MEDLINE
| ID: mdl-29473254
ABSTRACT
OBJECTIVE:
Childhood cancer survivors are at high risk for late effects. Regular attendance to long-term follow-up care is recommended and helps monitoring survivors' health. Using the theory of planned behavior, we aimed to (1) investigate the predictors of the intention to attend follow-up care, and (2) examine the associations between perceived control and behavioral intention with actual follow-up care attendance in Swiss childhood cancer survivors.METHODS:
We conducted a questionnaire survey in Swiss childhood cancer survivors (diagnosed with cancer aged <16 years between 1990 and 2005; ≥5 years since diagnosis). We assessed theory of planned behavior-related predictors (attitude, subjective norm, perceived control), intention to attend follow-up care, and actual attendance. We applied structural equation modeling to investigate predictors of intention, and logistic regression models to study the association between intention and actual attendance.RESULTS:
Of 299 responders (166 [55.5%] females), 145 (48.5%) reported attending follow-up care. We found that subjective norm, ie, survivors' perceived social pressure and support (coef = 0.90, P < 0.001), predicted the intention to attend follow-up; attitude and perceived control did not. Perceived control (OR = 1.58, 95%CI1.04-2.41) and intention to attend follow-up (OR = 6.43, 95%CI4.21-9.81) were positively associated with attendance.CONCLUSIONS:
To increase attendance, an effort should be made to sensitize partners, friends, parents, and health care professionals on their important role in supporting survivors regarding follow-up care. Additionally, interventions promoting personal control over the follow-up attendance might further increase regular attendance.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Cooperação do Paciente
/
Assistência ao Convalescente
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Sobreviventes de Câncer
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Neoplasias
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article