Universität zu Köln

Sieverding, Monika, Ungar, Nadine, Fleischmann, Alexandra ORCID: 0000-0001-8290-4561, Lee, Miruh, Zhang, Haitong, Mohnke, Margaux, Specht, Nicole K. and Weidner, Gerdi (2020). Prevalence and frequency of self-management strategies among female cancer survivors: the neglected roles of social relations and conscious living. Support. Care Cancer, 28 (2). S. 607 - 617. NEW YORK: SPRINGER. ISSN 1433-7339

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Abstract

Objective To assess prevalence and frequency of use of self-management strategies among female cancer survivors and to empirically identify categories of self-management. Methods Female cancer survivors (N=673, mean age 51 years; >90% with breast cancer; M=5 years since diagnosis) completed an Internet survey indicating the frequency (never to very often) with which they had employed each strategy since diagnosis. The survey included commonly assessed self-management strategies, such as complementary and alternative medicine (CAM), religious practices, and exercise. Additionally we assessed the use of further strategies identified from recommendations of cancer survivors shared in Internet forums. Results A principal component analysis yielded five categories: More Conscious Living, Turning to Family/Friends, CAM, Religious/Spiritual Practices, and Exercise. Prevalence rates of commonly measured strategies like CAM, Religious Practices, and Exercise were similar to previous studies. Considering frequency of use, however, revealed that only few participants reported frequent use of these strategies (<10%). In contrast, about half of the women (>50%) reported Turning to Family/Friends and engaging in More Conscious Living strategies (very) often. Conclusions Relying on prevalence assessments of commonly investigated behaviors such as CAM or exercise may overestimate their use among cancer survivors. Cancer survivors engage in a wide range of self-management strategies. Encouraging living more consciously and cultivating social relations might be of greater relevance compared with CAM use or exercise.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sieverding, Monika UNSPECIFIED UNSPECIFIED UNSPECIFIED Ungar, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED Fleischmann, Alexandra UNSPECIFIED orcid.org/0000-0001-8290-4561 UNSPECIFIED Lee, Miruh UNSPECIFIED UNSPECIFIED UNSPECIFIED Zhang, Haitong UNSPECIFIED UNSPECIFIED UNSPECIFIED Mohnke, Margaux UNSPECIFIED UNSPECIFIED UNSPECIFIED Specht, Nicole K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Weidner, Gerdi UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-346053
DOI:	10.1007/s00520-019-04790-5
Journal or Publication Title:	Support. Care Cancer
Volume:	28
Number:	2
Page Range:	S. 607 - 617
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-7339
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ALTERNATIVE MEDICINE USE; EXPLORATORY FACTOR-ANALYSIS; QUALITY-OF-LIFE; BREAST-CANCER; LONG-TERM; COMPLEMENTARY; HEALTH; BEHAVIOR; WOMEN; RECURRENCE Multiple languages Oncology; Health Care Sciences & Services; Rehabilitation Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34605