Can health beliefs help in explaining attendance to follow-up care? The Swiss childhood cancer survivor study.

Details

Serval ID
serval:BIB_36D905ADA2C4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Can health beliefs help in explaining attendance to follow-up care? The Swiss childhood cancer survivor study.
Journal
Psycho-Oncology
Author(s)
Michel G., Kuehni C.E., Rebholz C.E., Zimmermann K., Eiser C., Rueegg C.S., von der Weid N.X.
Working group(s)
Swiss Paediatric Oncology Group (SPOG)
ISSN
1099-1611 (Electronic)
ISSN-L
1057-9249
Publication state
Published
Issued date
2011
Volume
20
Number
10
Pages
1034-1043
Language
english
Abstract
Objective: Improved treatment has increased the survival of childhood cancer patients in recent decades, but follow-up care is recommended to detect and treat late effects. We investigated relationships between health beliefs and follow-up attendance in adult childhood cancer survivors.Methods: Childhood cancer survivors aged younger than 16 years when diagnosed between 1976 and 2003, who had survived for more than 5 years and were currently aged 20+ years, received a postal questionnaire. We asked survivors whether they attended follow-up in the past year. Concepts from the Health Belief Model (perceived susceptibility and severity of future late effects, potential benefits and barriers to follow-up, general health value and cues to action) were assessed. Medical information was extracted from the Swiss Childhood Cancer Registry.Results: Of 1075 survivors (response rate 72.3%), 250 (23.3%) still attended regular follow-up care. In unadjusted analyses, all health belief concepts were significantly associated with follow-up (p < 0.05). Adjusting for other health beliefs, demographic, and medical variables, only barriers (OR = 0.59; 95% CI: 0.43-0.82) remained significant. Younger survivors, those with lower educational background, diagnosed at an older age, treated with chemotherapy, radiotherapy, or bone marrow transplantation and with a relapse were more likely to attend follow-up care.Conclusions: Our study showed that more survivors at high risk of cancer-and treatment-related late effects attend follow-up care in Switzerland. Patient-perceived barriers hinder attendance even after accounting for medical variables. Information about the potential effectiveness and value of follow-up needs to be available to increase the attendance among childhood cancer survivors. Copyright (C) 2010 John Wiley & Sons, Ltd.
Pubmed
Web of science
Create date
10/11/2011 9:57
Last modification date
20/08/2019 13:25
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