Predictors of change in unmet supportive care needs in cancer

McDowell, M. E., Occhipinti, S., Ferguson, M., Dunn, J. and Chambers, S. K. (2010) Predictors of change in unmet supportive care needs in cancer. Psycho-Oncology, 19 5: 508-516. doi:10.1002/pon.1604


Author McDowell, M. E.
Occhipinti, S.
Ferguson, M.
Dunn, J.
Chambers, S. K.
Title Predictors of change in unmet supportive care needs in cancer
Journal name Psycho-Oncology   Check publisher's open access policy
ISSN 1057-9249
1099-1611
Publication date 2010-05
Year available 2009
Sub-type Article (original research)
DOI 10.1002/pon.1604
Volume 19
Issue 5
Start page 508
End page 516
Total pages 7
Place of publication West Sussex, United Kingdom
Publisher John Wiley & Sons
Collection year 2011
Language eng
Formatted abstract
Objective: Patient Reported Outcome (PRO) assessments can assist health professionals to
tailor their health practices to the individual needs of patients and improve patient care over
time. The present study assessed prospective predictors of unmet supportive care needs in
cancer patients over a six-month period.
Methods: Participants were recruited from a regional cancer treatment centre in Australia
and completed the Supportive Care Needs Survey (SCNS) at recruitment (n = 5439; 61.4%
response rate) and six months follow-up (n = 5396). Hierarchical logistic regression was used to
identify predictors of change in unmet needs across each supportive care domain. Predictor
variables were socio-demographic, treatment and psychosocial factors including depression,
anxiety, social support, and patient satisfaction.
Results:
Unmet needs were reported by approximately two-thirds of patients at baseline and
half of patients at six months follow-up. Having unmet needs at baseline was the strongest
predictor of unmet needs at six months. Longer time since diagnosis was a consistent predictor
of greater unmet needs, associated with change in physical/daily living, psychological and
health system and information unmet needs over time. By contrast, a complex relationship was
found in that patient satisfaction, psychosocial and treatment characteristics predicted higher
needs in some domains and lower needs in others.
Conclusions: Unmet supportive care needs persist over time and psychological needs may
emerge later in the illness continuum. Interventions to meet the needs of longer term cancer
survivors are needed and should closely articulate with reported supportive care needs.
Copyright © 2009 John Wiley & Sons, Ltd.
Keyword Cancer
Oncology
Supportive care needs
Quality-of-life
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 14 JUL 2009

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Social Science Publications
 
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Created: Sun, 23 May 2010, 00:00:55 EST