TY - JOUR
T1 - Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors
AU - Moreno, Patricia I.
AU - Ramirez, Amelie G.
AU - San Miguel-Majors, Sandra L.
AU - Fox, Rina S.
AU - Castillo, Leopoldo
AU - Gallion, Kipling J.
AU - Munoz, Edgar
AU - Estabrook, Ryne
AU - Perez, Arely
AU - Lad, Thomas
AU - Hollowell, Courtney
AU - Penedo, Frank J.
N1 - Funding Information:
Research was supported by a National Cancer Institute grant (U54CA153511) awarded to Amelie G. Ramirez and Frank J. Penedo and a Susan G. Komen for the Cure grant (SAB-08-00005) awarded to Amelie G. Ramirez. Patricia I. Moreno and Rina S. Fox were supported through a National Cancer Institute Training Grant (5T32CA193193).
Publisher Copyright:
© 2018 American Cancer Society
PY - 2018/4/15
Y1 - 2018/4/15
N2 - BACKGROUND: The objective of the current study was to examine how modifiable factors such as satisfaction with cancer care and self-efficacy impact health-related quality of life (HRQOL) among Latino cancer survivors. METHODS: Latinos previously diagnosed with breast, prostate, or colorectal cancer (N = 288) completed questionnaires (Patient Satisfaction with Cancer Care Scale, Stanford Chronic Disease Self-Management Measures, Functional Assessment of Cancer Therapy-General, and Short Acculturation Scale for Hispanics) within 2 years after receiving primary cancer treatment. RESULTS: Path model analyses demonstrated that satisfaction with cancer care was associated with greater HRQOL and that this relationship was explained by several facets of self-efficacy (ie, confidence in managing psychological distress [z = 3.81; P<.001], social support from close others [z = 2.46; P =.014], social/recreational activities [z = 3.30; P =.001], and patient-provider communication [z = −3.72; P<.001]). Importantly, foreign-born, less acculturated, and monolingual Spanish-speaking survivors reported lower self-efficacy in patient-provider communication; however, adjusting for acculturation, language, nativity, and other covariates did not alter these results. CONCLUSIONS: Factors that contribute to disparities in HRQOL among Latino cancer survivors compared with non-Latino whites, such as low income, less education, and a lack of health insurance, can be difficult to address. The findings of the current study emphasize the importance of self-efficacy within the context of patient-centered cancer care practices (eg, patient inclusion in care decisions, sufficient time with provider, ready access to medical advice) and suggest that improving satisfaction with care may increase patients' confidence in managing important aspects of their cancer experience and, in turn, improve HRQOL among Latino cancer survivors. Cancer 2018.
AB - BACKGROUND: The objective of the current study was to examine how modifiable factors such as satisfaction with cancer care and self-efficacy impact health-related quality of life (HRQOL) among Latino cancer survivors. METHODS: Latinos previously diagnosed with breast, prostate, or colorectal cancer (N = 288) completed questionnaires (Patient Satisfaction with Cancer Care Scale, Stanford Chronic Disease Self-Management Measures, Functional Assessment of Cancer Therapy-General, and Short Acculturation Scale for Hispanics) within 2 years after receiving primary cancer treatment. RESULTS: Path model analyses demonstrated that satisfaction with cancer care was associated with greater HRQOL and that this relationship was explained by several facets of self-efficacy (ie, confidence in managing psychological distress [z = 3.81; P<.001], social support from close others [z = 2.46; P =.014], social/recreational activities [z = 3.30; P =.001], and patient-provider communication [z = −3.72; P<.001]). Importantly, foreign-born, less acculturated, and monolingual Spanish-speaking survivors reported lower self-efficacy in patient-provider communication; however, adjusting for acculturation, language, nativity, and other covariates did not alter these results. CONCLUSIONS: Factors that contribute to disparities in HRQOL among Latino cancer survivors compared with non-Latino whites, such as low income, less education, and a lack of health insurance, can be difficult to address. The findings of the current study emphasize the importance of self-efficacy within the context of patient-centered cancer care practices (eg, patient inclusion in care decisions, sufficient time with provider, ready access to medical advice) and suggest that improving satisfaction with care may increase patients' confidence in managing important aspects of their cancer experience and, in turn, improve HRQOL among Latino cancer survivors. Cancer 2018.
KW - Latino/Hispanic
KW - health-related quality of life
KW - patient-centered practices
KW - patient-provider communication
KW - satisfaction with care
KW - self-efficacy
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U2 - 10.1002/cncr.31263
DO - 10.1002/cncr.31263
M3 - Article
C2 - 29390165
AN - SCOPUS:85045142016
SN - 0008-543X
VL - 124
SP - 1770
EP - 1779
JO - Cancer
JF - Cancer
IS - 8
ER -