Skip to main content
Top
Gepubliceerd in:

01-05-2015

Predicting participation in meaningful activity for older adults with cancer

Auteurs: Mackenzi Pergolotti, Malcolm P. Cutchin, Hyman B. Muss

Gepubliceerd in: Quality of Life Research | Uitgave 5/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

Participation in activity that is personally meaningful leads to improved emotional and physical well-being and quality of life. However, little is known about what predicts participation in meaningful activity by older adults with cancer.

Methods

Seventy-one adults aged 65 years and older with a diagnosis of cancer were enrolled. All adults were evaluated with the following: a brief geriatric assessment, the meaningful activity participation assessment (MAPA), and the Possibilities for Activity Scale (PActS). The MAPA measures participation in meaningful activity, and the PActS measures what older adults believe they should and could be doing. A regression approach was used to assess the predictors of meaningful activity participation.

Results

The PActS (B = .56, p < .001) was the strongest predictor of meaningful activity participation.

Conclusions

What older adults with cancer feel they should and could do significantly predicted meaningful participation in activities above and beyond clinical and demographic factors. In future research, perceptions of possibilities for activity may be useful in the design of interventions targeted to improve meaningful participation in older adults with cancer.
Literatuur
1.
go back to reference Hurria, A. (2009). Geriatric assessment in oncology practice. Journal of the American Geriatrics Society, 57(s2), s246–s249.CrossRefPubMed Hurria, A. (2009). Geriatric assessment in oncology practice. Journal of the American Geriatrics Society, 57(s2), s246–s249.CrossRefPubMed
2.
go back to reference Wedding, U., Röhrig, B., Klippstein, A., Pientka, L., & Höffken, K. (2007). Age, severe comorbidity and functional impairment independently contribute to poor survival in cancer patients. Journal of Cancer Research and Clinical Oncology, 133(12), 945–950.CrossRefPubMed Wedding, U., Röhrig, B., Klippstein, A., Pientka, L., & Höffken, K. (2007). Age, severe comorbidity and functional impairment independently contribute to poor survival in cancer patients. Journal of Cancer Research and Clinical Oncology, 133(12), 945–950.CrossRefPubMed
3.
go back to reference Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., et al. (1982). Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5(6), 649–656.CrossRefPubMed Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., et al. (1982). Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5(6), 649–656.CrossRefPubMed
4.
go back to reference Karnofsky, D., & Burchenal, J. (1991). The clinical evaluation of chemotherapeutic agents in cancer. In C. M. Macleod (Ed.), Evaluation of chemotherapeutic agents (pp. 191–205). New York, NY: Columbia University Press. Karnofsky, D., & Burchenal, J. (1991). The clinical evaluation of chemotherapeutic agents in cancer. In C. M. Macleod (Ed.), Evaluation of chemotherapeutic agents (pp. 191–205). New York, NY: Columbia University Press.
5.
go back to reference Crooks, V., Waller, S., Smith, T., & Hahn, T. J. (1991). The use of the Karnofsky Performance Scale in determining outcomes and risk in geriatric outpatients. Journal of Gerontology, 46(4), M139–M144.CrossRefPubMed Crooks, V., Waller, S., Smith, T., & Hahn, T. J. (1991). The use of the Karnofsky Performance Scale in determining outcomes and risk in geriatric outpatients. Journal of Gerontology, 46(4), M139–M144.CrossRefPubMed
6.
go back to reference Bellury, L. M., Ellington, L., Beck, S. L., Stein, K., Pett, M., & Clark, J. (2011). Elderly cancer survivorship: An integrative review and conceptual framework. European Journal of Oncology Nursing, 15(3), 233–242.CrossRefPubMed Bellury, L. M., Ellington, L., Beck, S. L., Stein, K., Pett, M., & Clark, J. (2011). Elderly cancer survivorship: An integrative review and conceptual framework. European Journal of Oncology Nursing, 15(3), 233–242.CrossRefPubMed
7.
go back to reference Dijkers, M. P. (2010). Issues in the conceptualization and measurement of participation: An overview. Archives of Physical Medicine and Rehabilitation, 91(9), S5–S16.CrossRefPubMed Dijkers, M. P. (2010). Issues in the conceptualization and measurement of participation: An overview. Archives of Physical Medicine and Rehabilitation, 91(9), S5–S16.CrossRefPubMed
8.
go back to reference Grunfeld, E. (2006). Looking beyond survival: How are we looking at survivorship? Journal of Clinical Oncology, 24(32), 5166–5169.CrossRefPubMed Grunfeld, E. (2006). Looking beyond survival: How are we looking at survivorship? Journal of Clinical Oncology, 24(32), 5166–5169.CrossRefPubMed
9.
go back to reference Hewitt, M., & Simone, J. V. (1999). Ensuring quality cancer care. Washington: National Academies Press. Hewitt, M., & Simone, J. V. (1999). Ensuring quality cancer care. Washington: National Academies Press.
10.
go back to reference Desrosiers, J. (2005). Participation and occupation. Canadian Journal of Occupational Therapy/Revue Canadienne D’Ergothérapie, 72(4), 195–203. Desrosiers, J. (2005). Participation and occupation. Canadian Journal of Occupational Therapy/Revue Canadienne D’Ergothérapie, 72(4), 195–203.
11.
go back to reference Law, M. (2002). Participation in the occupations of everyday life. The American Journal of Occupational Therapy, 56(6), 640–649.CrossRefPubMed Law, M. (2002). Participation in the occupations of everyday life. The American Journal of Occupational Therapy, 56(6), 640–649.CrossRefPubMed
12.
go back to reference Vessby, K., & Kjellberg, A. (2010). Participation in occupational therapy research: A literature review. The British Journal of Occupational Therapy, 73(7), 319–326.CrossRef Vessby, K., & Kjellberg, A. (2010). Participation in occupational therapy research: A literature review. The British Journal of Occupational Therapy, 73(7), 319–326.CrossRef
13.
go back to reference Wilcock, A., Van Der Arend, H., Darling, K., Scholz, J., Sidall, R., Snigg, C., et al. (1998). An exploratory study of people’s perceptions and experiences of wellbeing. The British Journal of Occupational Therapy, 61(2), 75–82.CrossRef Wilcock, A., Van Der Arend, H., Darling, K., Scholz, J., Sidall, R., Snigg, C., et al. (1998). An exploratory study of people’s perceptions and experiences of wellbeing. The British Journal of Occupational Therapy, 61(2), 75–82.CrossRef
14.
go back to reference Palmadottir, G. (2010). The role of occupational participation and environment among Icelandic women with breast cancer: A qualitative study. Scandinavian Journal of Occupational Therapy, 17(4), 299–307.CrossRefPubMed Palmadottir, G. (2010). The role of occupational participation and environment among Icelandic women with breast cancer: A qualitative study. Scandinavian Journal of Occupational Therapy, 17(4), 299–307.CrossRefPubMed
15.
go back to reference Unruh, A. M., & Elvin, N. (2004). In the eye of the dragon: Women’s experience of breast cancer and the occupation of dragon boat racing. Canadian Journal of Occupational Therapy Revue Canadienne D’ergotherapie, 71(3), 138–149.CrossRefPubMed Unruh, A. M., & Elvin, N. (2004). In the eye of the dragon: Women’s experience of breast cancer and the occupation of dragon boat racing. Canadian Journal of Occupational Therapy Revue Canadienne D’ergotherapie, 71(3), 138–149.CrossRefPubMed
16.
go back to reference Rudman, D. L. (2010). Occupational terminology: Occupational possibilities. Journal of Occupational Science, 17(1), 55–59.CrossRef Rudman, D. L. (2010). Occupational terminology: Occupational possibilities. Journal of Occupational Science, 17(1), 55–59.CrossRef
17.
go back to reference Rudman, D. L. (2005). Understanding political influences on occupational possibilities: An analysis of newspaper constructions of retirement. Journal of Occupational Science, 12(3), 149–160.CrossRef Rudman, D. L. (2005). Understanding political influences on occupational possibilities: An analysis of newspaper constructions of retirement. Journal of Occupational Science, 12(3), 149–160.CrossRef
18.
go back to reference Rudman, D. L. (2006). Shaping the active, autonomous and responsible modern retiree: An analysis of discursive technologies and their links with neo-liberal political rationality. Ageing and Society, 26(2), 181.CrossRef Rudman, D. L. (2006). Shaping the active, autonomous and responsible modern retiree: An analysis of discursive technologies and their links with neo-liberal political rationality. Ageing and Society, 26(2), 181.CrossRef
19.
go back to reference Organization, W. H. (2002). Towards a common language for functioning, disability and health: ICF (pp. 8–9). Geneva: WHO. Organization, W. H. (2002). Towards a common language for functioning, disability and health: ICF (pp. 8–9). Geneva: WHO.
20.
go back to reference Schreiber, D., Bell, R. S., Wunder, J. S., O’Sullivan, B., Turcotte, R., Masri, B. A., et al. (2006). Evaluating function and health related quality of life in patients treated for extremity soft tissue sarcoma. Quality of Life Research, 15(9), 1439–1446.CrossRefPubMed Schreiber, D., Bell, R. S., Wunder, J. S., O’Sullivan, B., Turcotte, R., Masri, B. A., et al. (2006). Evaluating function and health related quality of life in patients treated for extremity soft tissue sarcoma. Quality of Life Research, 15(9), 1439–1446.CrossRefPubMed
21.
go back to reference Ness, K. K., Wall, M. M., Oakes, J. M., Robison, L. L., & Gurney, J. G. (2006). Physical performance limitations and participation restrictions among cancer survivors: A population-based study. Annals of Epidemiology, 16(3), 197–205.CrossRefPubMed Ness, K. K., Wall, M. M., Oakes, J. M., Robison, L. L., & Gurney, J. G. (2006). Physical performance limitations and participation restrictions among cancer survivors: A population-based study. Annals of Epidemiology, 16(3), 197–205.CrossRefPubMed
22.
go back to reference Eakman, A. M., Carlson, M. E., & Clark, F. A. (2010). The meaningful activity participation assessment: A measure of engagement in personally valued activities. The International Journal of Aging and Human Development, 70(4), 299–317.CrossRef Eakman, A. M., Carlson, M. E., & Clark, F. A. (2010). The meaningful activity participation assessment: A measure of engagement in personally valued activities. The International Journal of Aging and Human Development, 70(4), 299–317.CrossRef
23.
go back to reference Eakman, A. M. (2007). A reliability and validity study of the meaningful activity participation assessment. Ann Arbor, MI: ProQuest. Eakman, A. M. (2007). A reliability and validity study of the meaningful activity participation assessment. Ann Arbor, MI: ProQuest.
24.
go back to reference Hurria, A., Cirrincione, C. T., Muss, H. B., Kornblith, A. B., Barry, W., Artz, A. S., et al. (2011). Implementing a Geriatric Assessment in Cooperative Group Clinical Cancer Trials: CALGB 360401. Journal of Clinical Oncology, 29(10), 1290–1296.CrossRefPubMedCentralPubMed Hurria, A., Cirrincione, C. T., Muss, H. B., Kornblith, A. B., Barry, W., Artz, A. S., et al. (2011). Implementing a Geriatric Assessment in Cooperative Group Clinical Cancer Trials: CALGB 360401. Journal of Clinical Oncology, 29(10), 1290–1296.CrossRefPubMedCentralPubMed
25.
go back to reference Mor, V., Laliberte, L., Morris, J. N., & Wiemann, M. (1984). The Karnofsky performance status scale: An examination of its reliability and validity in a research setting. Cancer, 53(9), 2002–2007.CrossRefPubMed Mor, V., Laliberte, L., Morris, J. N., & Wiemann, M. (1984). The Karnofsky performance status scale: An examination of its reliability and validity in a research setting. Cancer, 53(9), 2002–2007.CrossRefPubMed
26.
go back to reference Schag, C. C., Heinrich, R. L., & Ganz, P. A. (1984). cKarnofsky performance status revisited: Reliability, validity, and guidelines. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 2(3), 187–193. Schag, C. C., Heinrich, R. L., & Ganz, P. A. (1984). cKarnofsky performance status revisited: Reliability, validity, and guidelines. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 2(3), 187–193.
27.
go back to reference Yates, J. W., Chalmer, B., & McKegney, F. P. (1980). Evaluation of patients with advanced cancer using the Karnofsky performance status. Cancer, 45(8), 2220–2224.CrossRefPubMed Yates, J. W., Chalmer, B., & McKegney, F. P. (1980). Evaluation of patients with advanced cancer using the Karnofsky performance status. Cancer, 45(8), 2220–2224.CrossRefPubMed
28.
go back to reference Bennie, S., Bruner, K., Dizon, A., Fritz, H., Goodman, B., & Peterson, S. (2003). Measurements of balance: Comparison of the Timed “Up and Go” test and Functional Reach test with the Berg Balance Scale. Journal of Physical Therapy Science, 15(2), 93–97.CrossRef Bennie, S., Bruner, K., Dizon, A., Fritz, H., Goodman, B., & Peterson, S. (2003). Measurements of balance: Comparison of the Timed “Up and Go” test and Functional Reach test with the Berg Balance Scale. Journal of Physical Therapy Science, 15(2), 93–97.CrossRef
29.
go back to reference Podsiadlo, D., & Richardson, S. (1991). The timed up and go—A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142–148.PubMed Podsiadlo, D., & Richardson, S. (1991). The timed up and go—A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142–148.PubMed
30.
go back to reference Hurria, A., Gupta, S., Zauderer, M., Zuckerman, E. L., Cohen, H. J., Muss, H., et al. (2005). Developing a cancer-specific geriatric assessment. Cancer, 104(9), 1998–2005.CrossRefPubMed Hurria, A., Gupta, S., Zauderer, M., Zuckerman, E. L., Cohen, H. J., Muss, H., et al. (2005). Developing a cancer-specific geriatric assessment. Cancer, 104(9), 1998–2005.CrossRefPubMed
31.
go back to reference Loprinzi, C. L., Laurie, J. A., Wieand, H. S., Krook, J. E., Novotny, P. J., Kugler, J. W., et al. (1994). Prospective evaluation of prognostic variables from patient-completed questionnaires. Journal of Clinical Oncology, 12(3), 601–607.PubMed Loprinzi, C. L., Laurie, J. A., Wieand, H. S., Krook, J. E., Novotny, P. J., Kugler, J. W., et al. (1994). Prospective evaluation of prognostic variables from patient-completed questionnaires. Journal of Clinical Oncology, 12(3), 601–607.PubMed
32.
go back to reference Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science and Medicine, 32(6), 705–714.CrossRefPubMed Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science and Medicine, 32(6), 705–714.CrossRefPubMed
33.
go back to reference Pergolotti. M., & Cutchin. M. (in press). Possibilities for Activity Scale: Development, validity and reliability. Canadian Journal of Occupational Therapy. Pergolotti. M., & Cutchin. M. (in press). Possibilities for Activity Scale: Development, validity and reliability. Canadian Journal of Occupational Therapy.
34.
go back to reference Nathans, L. L., Oswald, F. L., & Nimon, K. (2012). Interpreting multiple linear regression: A guidebook of variable importance. Practical Assessment, Research & Evaluation, 17(9), 2. Nathans, L. L., Oswald, F. L., & Nimon, K. (2012). Interpreting multiple linear regression: A guidebook of variable importance. Practical Assessment, Research & Evaluation, 17(9), 2.
35.
go back to reference Quick, J. M. (2010). Statistical analysis with R. Birhmingham, UK: Packt Publishing Ltd. Quick, J. M. (2010). Statistical analysis with R. Birhmingham, UK: Packt Publishing Ltd.
36.
go back to reference Gelman, A. (2007). Data analysis using regression and multilevel/hierarchical models. Cambridge: Cambridge University Press. Gelman, A. (2007). Data analysis using regression and multilevel/hierarchical models. Cambridge: Cambridge University Press.
37.
go back to reference Everard, K. M., Lach, H. W., Fisher, E. B., & Baum, M. C. (2000). Relationship of activity and social support to the functional health of older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55(4), S208–S212.CrossRef Everard, K. M., Lach, H. W., Fisher, E. B., & Baum, M. C. (2000). Relationship of activity and social support to the functional health of older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55(4), S208–S212.CrossRef
38.
go back to reference Barber, M. D. (2006). Occupational science and the first-person perspective. Journal of Occupational Science, 13(1), 94–96.CrossRef Barber, M. D. (2006). Occupational science and the first-person perspective. Journal of Occupational Science, 13(1), 94–96.CrossRef
39.
go back to reference Cutchin, M. P., & Dickie, V. A. (2011). Transactionalism: Occupational science and the pragmatic afinude. In G. E. Whiteford & C. Hocking (Eds.), Occupational science: Society, inclusion, participation (pp. 23–38). Cutchin, M. P., & Dickie, V. A. (2011). Transactionalism: Occupational science and the pragmatic afinude. In G. E. Whiteford & C. Hocking (Eds.), Occupational science: Society, inclusion, participation (pp. 23–38).
40.
go back to reference Dickie, V., Cutchin, M. P., & Humphry, R. (2006). Occupation as transactional experience: A critique of individualism in occupational science. Journal of Occupational Science, 13(1), 83–93.CrossRef Dickie, V., Cutchin, M. P., & Humphry, R. (2006). Occupation as transactional experience: A critique of individualism in occupational science. Journal of Occupational Science, 13(1), 83–93.CrossRef
41.
go back to reference Pierce, D., Atler, K., Baltisberger, J., Fehringer, E., Hunter, E., Malkawi, S., et al. (2010). Occupational science: A data-based American perspective. Journal of Occupational Science, 17(4), 204–215.CrossRef Pierce, D., Atler, K., Baltisberger, J., Fehringer, E., Hunter, E., Malkawi, S., et al. (2010). Occupational science: A data-based American perspective. Journal of Occupational Science, 17(4), 204–215.CrossRef
42.
go back to reference Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51(6), 843–857.CrossRefPubMed Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51(6), 843–857.CrossRefPubMed
Metagegevens
Titel
Predicting participation in meaningful activity for older adults with cancer
Auteurs
Mackenzi Pergolotti
Malcolm P. Cutchin
Hyman B. Muss
Publicatiedatum
01-05-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 5/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0849-7

Andere artikelen Uitgave 5/2015

Quality of Life Research 5/2015 Naar de uitgave