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- Title
Can the theory of planned behavior help explain attendance to follow-up care of childhood cancer survivors?
- Authors
Baenziger, Julia; Roser, Katharina; Mader, Luzius; Christen, Salome; Kuehni, Claudia E.; Gumy‐Pause, Fabienne; Tinner, Eva Maria; Michel, Gisela; Gumy-Pause, Fabienne
- Abstract
<bold>Objective: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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%CI:1.04-2.41) and intention to attend follow-up (OR = 6.43, 95%CI:4.21-9.81) were positively associated with attendance.<bold>Conclusions: </bold>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.
- Subjects
CHILDHOOD cancer; PLANNED behavior theory; CANCER patients; STRUCTURAL equation modeling; LOGISTIC regression analysis; TUMOR treatment; TUMORS &; psychology; COMPARATIVE studies; HEALTH attitudes; PATIENT aftercare; INTENTION; RESEARCH methodology; MEDICAL cooperation; PSYCHOLOGY of parents; PATIENT compliance; PSYCHOLOGICAL tests; RESEARCH; SOCIAL networks; SOCIAL participation; EVALUATION research
- Publication
Psycho-Oncology, 2018, Vol 27, Issue 6, p1501
- ISSN
1057-9249
- Publication type
journal article
- DOI
10.1002/pon.4680