Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors

Patricia I. Moreno, Amelie G. Ramirez, Sandra L. San Miguel-Majors, Rina S. Fox, Leopoldo Castillo, Kipling J. Gallion, Edgar Munoz, Ryne Estabrook, Arely Perez, Thomas Lad, Courtney Hollowell, Frank J. Penedo*

*Corresponding author for this work

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

BACKGROUND: The objective of the current study was to examine how modifiable factors such as satisfaction with cancer care and self-efficacy impact health-related quality of life (HRQOL) among Latino cancer survivors. METHODS: Latinos previously diagnosed with breast, prostate, or colorectal cancer (N = 288) completed questionnaires (Patient Satisfaction with Cancer Care Scale, Stanford Chronic Disease Self-Management Measures, Functional Assessment of Cancer Therapy-General, and Short Acculturation Scale for Hispanics) within 2 years after receiving primary cancer treatment. RESULTS: Path model analyses demonstrated that satisfaction with cancer care was associated with greater HRQOL and that this relationship was explained by several facets of self-efficacy (ie, confidence in managing psychological distress [z = 3.81; P<.001], social support from close others [z = 2.46; P =.014], social/recreational activities [z = 3.30; P =.001], and patient-provider communication [z = −3.72; P<.001]). Importantly, foreign-born, less acculturated, and monolingual Spanish-speaking survivors reported lower self-efficacy in patient-provider communication; however, adjusting for acculturation, language, nativity, and other covariates did not alter these results. CONCLUSIONS: Factors that contribute to disparities in HRQOL among Latino cancer survivors compared with non-Latino whites, such as low income, less education, and a lack of health insurance, can be difficult to address. The findings of the current study emphasize the importance of self-efficacy within the context of patient-centered cancer care practices (eg, patient inclusion in care decisions, sufficient time with provider, ready access to medical advice) and suggest that improving satisfaction with care may increase patients' confidence in managing important aspects of their cancer experience and, in turn, improve HRQOL among Latino cancer survivors. Cancer 2018.

Original languageEnglish (US)
Pages (from-to)1770-1779
Number of pages10
JournalCancer
Volume124
Issue number8
DOIs
StatePublished - Apr 15 2018

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Self Efficacy
Hispanic Americans
Survivors
Quality of Life
Neoplasms
Acculturation
Communication
Patient-Centered Care
Health Insurance
Self Care
Disease Management
Patient Satisfaction
Social Support
Colorectal Neoplasms
Prostatic Neoplasms
Chronic Disease
Language
Breast Neoplasms
Psychology
Education

Keywords

  • Latino/Hispanic
  • health-related quality of life
  • patient-centered practices
  • patient-provider communication
  • satisfaction with care
  • self-efficacy

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Moreno, P. I., Ramirez, A. G., San Miguel-Majors, S. L., Fox, R. S., Castillo, L., Gallion, K. J., ... Penedo, F. J. (2018). Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. Cancer, 124(8), 1770-1779. https://doi.org/10.1002/cncr.31263
Moreno, Patricia I. ; Ramirez, Amelie G. ; San Miguel-Majors, Sandra L. ; Fox, Rina S. ; Castillo, Leopoldo ; Gallion, Kipling J. ; Munoz, Edgar ; Estabrook, Ryne ; Perez, Arely ; Lad, Thomas ; Hollowell, Courtney ; Penedo, Frank J. / Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. In: Cancer. 2018 ; Vol. 124, No. 8. pp. 1770-1779.
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abstract = "BACKGROUND: The objective of the current study was to examine how modifiable factors such as satisfaction with cancer care and self-efficacy impact health-related quality of life (HRQOL) among Latino cancer survivors. METHODS: Latinos previously diagnosed with breast, prostate, or colorectal cancer (N = 288) completed questionnaires (Patient Satisfaction with Cancer Care Scale, Stanford Chronic Disease Self-Management Measures, Functional Assessment of Cancer Therapy-General, and Short Acculturation Scale for Hispanics) within 2 years after receiving primary cancer treatment. RESULTS: Path model analyses demonstrated that satisfaction with cancer care was associated with greater HRQOL and that this relationship was explained by several facets of self-efficacy (ie, confidence in managing psychological distress [z = 3.81; P<.001], social support from close others [z = 2.46; P =.014], social/recreational activities [z = 3.30; P =.001], and patient-provider communication [z = −3.72; P<.001]). Importantly, foreign-born, less acculturated, and monolingual Spanish-speaking survivors reported lower self-efficacy in patient-provider communication; however, adjusting for acculturation, language, nativity, and other covariates did not alter these results. CONCLUSIONS: Factors that contribute to disparities in HRQOL among Latino cancer survivors compared with non-Latino whites, such as low income, less education, and a lack of health insurance, can be difficult to address. The findings of the current study emphasize the importance of self-efficacy within the context of patient-centered cancer care practices (eg, patient inclusion in care decisions, sufficient time with provider, ready access to medical advice) and suggest that improving satisfaction with care may increase patients' confidence in managing important aspects of their cancer experience and, in turn, improve HRQOL among Latino cancer survivors. Cancer 2018.",
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author = "Moreno, {Patricia I.} and Ramirez, {Amelie G.} and {San Miguel-Majors}, {Sandra L.} and Fox, {Rina S.} and Leopoldo Castillo and Gallion, {Kipling J.} and Edgar Munoz and Ryne Estabrook and Arely Perez and Thomas Lad and Courtney Hollowell and Penedo, {Frank J.}",
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Moreno, PI, Ramirez, AG, San Miguel-Majors, SL, Fox, RS, Castillo, L, Gallion, KJ, Munoz, E, Estabrook, R, Perez, A, Lad, T, Hollowell, C & Penedo, FJ 2018, 'Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors', Cancer, vol. 124, no. 8, pp. 1770-1779. https://doi.org/10.1002/cncr.31263

Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. / Moreno, Patricia I.; Ramirez, Amelie G.; San Miguel-Majors, Sandra L.; Fox, Rina S.; Castillo, Leopoldo; Gallion, Kipling J.; Munoz, Edgar; Estabrook, Ryne; Perez, Arely; Lad, Thomas; Hollowell, Courtney; Penedo, Frank J.

In: Cancer, Vol. 124, No. 8, 15.04.2018, p. 1770-1779.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors

AU - Moreno, Patricia I.

AU - Ramirez, Amelie G.

AU - San Miguel-Majors, Sandra L.

AU - Fox, Rina S.

AU - Castillo, Leopoldo

AU - Gallion, Kipling J.

AU - Munoz, Edgar

AU - Estabrook, Ryne

AU - Perez, Arely

AU - Lad, Thomas

AU - Hollowell, Courtney

AU - Penedo, Frank J.

PY - 2018/4/15

Y1 - 2018/4/15

N2 - BACKGROUND: The objective of the current study was to examine how modifiable factors such as satisfaction with cancer care and self-efficacy impact health-related quality of life (HRQOL) among Latino cancer survivors. METHODS: Latinos previously diagnosed with breast, prostate, or colorectal cancer (N = 288) completed questionnaires (Patient Satisfaction with Cancer Care Scale, Stanford Chronic Disease Self-Management Measures, Functional Assessment of Cancer Therapy-General, and Short Acculturation Scale for Hispanics) within 2 years after receiving primary cancer treatment. RESULTS: Path model analyses demonstrated that satisfaction with cancer care was associated with greater HRQOL and that this relationship was explained by several facets of self-efficacy (ie, confidence in managing psychological distress [z = 3.81; P<.001], social support from close others [z = 2.46; P =.014], social/recreational activities [z = 3.30; P =.001], and patient-provider communication [z = −3.72; P<.001]). Importantly, foreign-born, less acculturated, and monolingual Spanish-speaking survivors reported lower self-efficacy in patient-provider communication; however, adjusting for acculturation, language, nativity, and other covariates did not alter these results. CONCLUSIONS: Factors that contribute to disparities in HRQOL among Latino cancer survivors compared with non-Latino whites, such as low income, less education, and a lack of health insurance, can be difficult to address. The findings of the current study emphasize the importance of self-efficacy within the context of patient-centered cancer care practices (eg, patient inclusion in care decisions, sufficient time with provider, ready access to medical advice) and suggest that improving satisfaction with care may increase patients' confidence in managing important aspects of their cancer experience and, in turn, improve HRQOL among Latino cancer survivors. Cancer 2018.

AB - BACKGROUND: The objective of the current study was to examine how modifiable factors such as satisfaction with cancer care and self-efficacy impact health-related quality of life (HRQOL) among Latino cancer survivors. METHODS: Latinos previously diagnosed with breast, prostate, or colorectal cancer (N = 288) completed questionnaires (Patient Satisfaction with Cancer Care Scale, Stanford Chronic Disease Self-Management Measures, Functional Assessment of Cancer Therapy-General, and Short Acculturation Scale for Hispanics) within 2 years after receiving primary cancer treatment. RESULTS: Path model analyses demonstrated that satisfaction with cancer care was associated with greater HRQOL and that this relationship was explained by several facets of self-efficacy (ie, confidence in managing psychological distress [z = 3.81; P<.001], social support from close others [z = 2.46; P =.014], social/recreational activities [z = 3.30; P =.001], and patient-provider communication [z = −3.72; P<.001]). Importantly, foreign-born, less acculturated, and monolingual Spanish-speaking survivors reported lower self-efficacy in patient-provider communication; however, adjusting for acculturation, language, nativity, and other covariates did not alter these results. CONCLUSIONS: Factors that contribute to disparities in HRQOL among Latino cancer survivors compared with non-Latino whites, such as low income, less education, and a lack of health insurance, can be difficult to address. The findings of the current study emphasize the importance of self-efficacy within the context of patient-centered cancer care practices (eg, patient inclusion in care decisions, sufficient time with provider, ready access to medical advice) and suggest that improving satisfaction with care may increase patients' confidence in managing important aspects of their cancer experience and, in turn, improve HRQOL among Latino cancer survivors. Cancer 2018.

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KW - health-related quality of life

KW - patient-centered practices

KW - patient-provider communication

KW - satisfaction with care

KW - self-efficacy

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