Abstract

Objectives

Uptake of psychosocial services during cancer treatment remains relatively low. To use these services efficiently, novel approaches – based on evidence-based theory – are needed to understand cancer patients’ readiness to seek psychosocial services. Guided by the transtheoretical model (TTM), we investigated individuals’ readiness to use psychosocial services by assessing decisional conflict (pros/cons) and self-efficacy, which are established as the most important constructs of predicting a specific behavior.

Methods

In these secondary analyses, we examined demographic and treatment-related factors in a national sample of adult cancer patients and survivors in the United States as predictors of decisional balance (pros/cons) and self-efficacy (i.e., two core TTM constructs) of engaging in psychosocial services. Participants were recruited through an online survey. In addition to examining demographic factors (age, sex, race, and marital status) as independent variables using t tests and correlations, treatment-related variables, such as having multiple cancers, type of cancer, type of treatment, and treatment setting were included.

Results

Four hundred and sixty-six participants completed the survey. The sample was primarily Caucasian (79%) and female (54.7%); average age was 47.9 (SD = 14.8). While no significant relationships emerged for self-efficacy, younger age and non-Caucasian race were significantly related to greater cons of seeking psychosocial care. Finally, those with multiple cancers versus reporting only one malignancy endorsed more cons of seeking psychosocial care.

Conclusions

These data highlight the importance of measuring the cons of seeking psychosocial care during cancer treatment, with younger age, non-Caucasian, and those reporting experience with multiple cancers endorsing greater cons. This may impact eventual uptake of available services. Future research should identify individuals at risk for declining services based on perceived cons of seeking psychosocial care during cancer.

中文翻译：

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确定与癌症期间对心理社会服务的兴趣相关的患者层面因素：一份简短报告

摘要

目标

癌症治疗期间心理社会服务的使用率仍然相对较低。为了有效地使用这些服务，需要基于循证理论的新方法来了解癌症患者寻求心理社会服务的准备情况。在跨理论模型 (TTM) 的指导下，我们通过评估决策冲突（利/弊）和自我效能来调查个人使用心理社会服务的准备情况，这些被确立为预测特定行为的最重要结构。

方法

在这些次要分析中，我们检查了美国成年癌症患者和幸存者的全国样本中的人口统计学和治疗相关因素，作为决策平衡（利/弊）和自我效能（即两个核心 TTM 结构）的预测因子。从事心理社会服务。参与者是通过在线调查招募的。除了使用t检验和相关性检查人口统计学因素（年龄、性别、种族和婚姻状况）作为自变量外，还包括与治疗相关的变量，例如患有多种癌症、癌症类型、治疗类型和治疗环境.

结果

466 名参与者完成了调查。样本主要是高加索人（79%）和女性（54.7%）；平均年龄为 47.9 (SD = 14.8)。虽然自我效能感没有显着关系，但年龄较小和非高加索种族与寻求社会心理护理的更大弊端显着相关。最后，患有多种癌症的人与仅报告一种恶性肿瘤的人相比，更赞同寻求社会心理护理的弊端。

结论

这些数据强调了衡量在癌症治疗期间寻求心理社会护理的弊端的重要性，年龄较小、非高加索人以及那些报告患有多种癌症的人都认可更大的弊端。这可能会影响可用服务的最终使用。未来的研究应根据在癌症期间寻求社会心理护理的感知不利因素来确定面临服务下降风险的个体。