Age Differences in Cancer Treatment Decision Making and Social Support

被引:13
作者
Krok-Schoen, Jessica L. [1 ]
Palmer-Wackerly, Angela L. [2 ]
Dailey, Phokeng M. [1 ]
Wojno, Julianne C. [1 ]
Krieger, Janice L. [3 ]
机构
[1] Ohio State Univ, Columbus, OH 43210 USA
[2] Univ Nebraska, Lincoln, NE USA
[3] Univ Florida, Gainesville, FL USA
关键词
decision making; older adults; age differences; social support; BREAST-CANCER; SOCIOEMOTIONAL SELECTIVITY; OLDER WOMEN; HEALTH-CARE; PREFERENCES; INFORMATION; YOUNGER; STAGE; PERCEPTIONS; DIAGNOSIS;
D O I
10.1177/0898264316628488
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objective: The aim of this study was to examine the decision-making (DM) styles of younger (18-39 years), middle-aged (40-59 years), and older (>= 60 years) cancer survivors, the type and role of social support, and patient satisfaction with cancer treatment DM. Method: Adult cancer survivors (N = 604) were surveyed using Qualtrics online software. Results: Older adults reported significantly lower influence of support on DM than younger adults. The most common DM style for the age groups was collaborative DM with their doctors. Younger age was a significant predictor of independent (p < .05), collaborative with family (p < .001), delegated to doctor (p < .01), delegated to family (p < .001), and demanding (p < .001) DM styles. Discussion: Despite having lower received social support in cancer treatment DM, older adults were more satisfied with their DM than younger and middle-aged adults. Health care workers should be aware of different DM styles and influence of social networks to help facilitate optimal patient DM and satisfaction.
引用
收藏
页码:187 / 205
页数:19
相关论文
共 47 条
[1]  
[Anonymous], DISTRIBUTED COGNITIO
[2]  
[Anonymous], 2015, CANC FACTS FIG
[3]  
[Anonymous], THE MEANINGS OF AGE
[4]   Perceived helpfulness and impact of social support provided by family, friends, and health care providers to women newly disgnosed with breast cancer [J].
Arora, Neeraj K. ;
Rutten, Lila J. Finney ;
Gustafson, David H. ;
Moser, Richard ;
Hawkins, Robert P. .
PSYCHO-ONCOLOGY, 2007, 16 (05) :474-486
[5]   Psychosocial problems among younger women with breast cancer [J].
Avis, NE ;
Crawford, S ;
Manuel, J .
PSYCHO-ONCOLOGY, 2004, 13 (05) :295-308
[6]   Breast cancer in elderly compared to younger patients in the Netherlands: stage at diagnosis, treatment and survival in 127,805 unselected patients [J].
Bastiaannet, E. ;
Liefers, G. J. ;
de Craen, A. J. M. ;
Kuppen, P. J. K. ;
van de Water, W. ;
Portielje, J. E. A. ;
van der Geest, L. G. M. ;
Janssen-Heijnen, M. L. G. ;
Dekkers, O. M. ;
van de Velde, C. J. H. ;
Westendorp, R. G. J. .
BREAST CANCER RESEARCH AND TREATMENT, 2010, 124 (03) :801-807
[7]   Meeting the Decision-Making Preferences of Patients With Breast Cancer in Oncology Consultations: Impact on Decision-Related Outcomes [J].
Brown, Richard ;
Butow, Phyllis ;
Wilson-Genderson, Maureen ;
Bernhard, Juerg ;
Ribi, Karin ;
Juraskova, Ilona .
JOURNAL OF CLINICAL ONCOLOGY, 2012, 30 (08) :857-862
[8]   Treatment decisions for breast carcinoma - Patient preferences and physician perceptions [J].
Bruera, E ;
Willey, JS ;
Palmer, JL ;
Rosales, M .
CANCER, 2002, 94 (07) :2076-2080
[9]  
Carstensen LL, 1999, AM PSYCHOL, V54, P165
[10]   INFORMATION AND PARTICIPATION PREFERENCES AMONG CANCER-PATIENTS [J].
CASSILETH, BR ;
ZUPKIS, RV ;
SUTTONSMITH, K ;
MARCH, V .
ANNALS OF INTERNAL MEDICINE, 1980, 92 (06) :832-836