Universität zu Köln

Cecon, Natalia, Pfaff, Holger ORCID: 0000-0001-9154-6575, Lee, Susan and Dresen, Antje . A salutogenic model predicting the need for psycho-oncological care and its utilisation-The role of generalised resistance resources and sense of coherence. Eur. J. Cancer Care. HOBOKEN: WILEY. ISSN 1365-2354

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Abstract

Objective Although many cancer patients experience psychological distress, not all affected patients utilise psycho-oncological care. We aim to examine the role of generalised resistance resources (GRRs) and sense of coherence (SOC) in predicting cancer patient needs for psycho-oncological care and its utilisation. A salutogenic prediction model was conceptualised and statistically tested. Methods Survey data (response rate 88.94%) from 2270 breast cancer patients one year after treatment in one of 88 certified hospitals in North Rhine-Westphalia, Germany, were analysed. Structural Equation Modelling analysis was performed. Results 21.6% of patients (n = 485;N = 2249) felt they currently needed psycho-oncological care, of which 61.6% currently utilised it (n = 299,N = 485). 42.2% (n = 953,N = 2259) had the need for psycho-oncological care in the previous 12 months, of which 58.0% (n = 553,N = 953) utilised it. Several GRRs directly predict the need for psycho-oncological care and SOC, as well as indirectly predict the utilisation of psycho-oncological care. Past utilisation significantly affects current need and utilisation. The model shows good model fit. Conclusions Generalised resistance resources and SOC affect the utilisation of psycho-oncological care. Therefore, measuring key GRRs and SOC during cancer treatment should be integrated into patient care as a salutogenic approach, to identify resources and vulnerabilities on an individual level.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Cecon, Natalia UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Lee, Susan UNSPECIFIED UNSPECIFIED UNSPECIFIED Dresen, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-315772
DOI:	10.1111/ecc.13335
Journal or Publication Title:	Eur. J. Cancer Care
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1365-2354
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; BREAST-CANCER; ANTONOVSKYS SENSE; BEHAVIORAL-MODEL; DISTRESS; SERVICES; OUTCOMES; SUPPORT; SAMPLE; SCALE Multiple languages Oncology; Health Care Sciences & Services; Nursing; Rehabilitation Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31577