TY - JOUR
T1 - Trajectories of participation in daily life among individuals newly diagnosed with cancer
T2 - A 5-month longitudinal study
AU - L’Hotta, Allison J.
AU - Yan, Yan
AU - Davis, Andrew A.
AU - Waqar, Saiama N.
AU - Chheda, Milan G.
AU - Tan, Benjamin R.
AU - Lyons, Kathleen D.
AU - Park, Yikyung
AU - King, Allison A.
N1 - Funding Information:
This research has been supported in part with the Dr. Gary Kielhofner Doctoral Research Scholarship in Occupational Therapy funded by the American Occupational Therapy Foundation and in part by the Washington University in St. Louis Program in Occupational Therapy Dissertation Research Fund. Dr. Allison King’s mentoring time was funded through 1K24 HL148305-01 (PI: King).
Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2023/4
Y1 - 2023/4
N2 - Purpose: To determine how participation in daily life is impacted during the first six months following a new cancer diagnosis and to identify risk factors for participation restrictions. Patient-reported outcomes (PROs) were used to suggest referrals to rehabilitation services. Methods: Participants (n = 123) were adults (> 18 years) with the newly diagnosed primary brain, breast, colorectal, or lung cancer. PROs were collected at baseline (within 30 days of diagnosis/treatment initiation), two and five months post baseline. Daily life participation was assessed through the community participation indicators (CPI) (score range: 0–1) and patient-reported outcome measurement information system (PROMIS) ability to participate, (score range: 20–80; mean: 50, SD: 10). PROMIS-43 profile was also completed. Linear mixed-effect models with random intercept evaluated change in participation over time. Results: The baseline total sample mean CPI score was 0.56; patients reported mildly impaired participation based on PROMIS scores (baseline: 46.19, 2-month follow-up: 44.81, 5 months: 44.84). However, no statistically significant changes in participation were observed over the study period. Risk factors for lower participation included receiving chemotherapy, lower physical function, higher anxiety and fatigue, and reduction in employment, p < 0.05. PROs indicated that roughly half of the participants may benefit from physical or occupational therapy or mental health support, but only 20–36% were referred by their medical team. Conclusion: People newly diagnosed with cancer experience impaired participation, but they are infrequently referred to supportive services such as rehabilitation. The use of PROs to assess participation, physical function, and mental health can promote access to supportive care services by identifying patients who may benefit from rehabilitation beyond those identified through routine clinical care.
AB - Purpose: To determine how participation in daily life is impacted during the first six months following a new cancer diagnosis and to identify risk factors for participation restrictions. Patient-reported outcomes (PROs) were used to suggest referrals to rehabilitation services. Methods: Participants (n = 123) were adults (> 18 years) with the newly diagnosed primary brain, breast, colorectal, or lung cancer. PROs were collected at baseline (within 30 days of diagnosis/treatment initiation), two and five months post baseline. Daily life participation was assessed through the community participation indicators (CPI) (score range: 0–1) and patient-reported outcome measurement information system (PROMIS) ability to participate, (score range: 20–80; mean: 50, SD: 10). PROMIS-43 profile was also completed. Linear mixed-effect models with random intercept evaluated change in participation over time. Results: The baseline total sample mean CPI score was 0.56; patients reported mildly impaired participation based on PROMIS scores (baseline: 46.19, 2-month follow-up: 44.81, 5 months: 44.84). However, no statistically significant changes in participation were observed over the study period. Risk factors for lower participation included receiving chemotherapy, lower physical function, higher anxiety and fatigue, and reduction in employment, p < 0.05. PROs indicated that roughly half of the participants may benefit from physical or occupational therapy or mental health support, but only 20–36% were referred by their medical team. Conclusion: People newly diagnosed with cancer experience impaired participation, but they are infrequently referred to supportive services such as rehabilitation. The use of PROs to assess participation, physical function, and mental health can promote access to supportive care services by identifying patients who may benefit from rehabilitation beyond those identified through routine clinical care.
KW - Cancer
KW - Patient-reported outcome measures
KW - Quality of life
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85150311565&partnerID=8YFLogxK
U2 - 10.1007/s00520-023-07672-z
DO - 10.1007/s00520-023-07672-z
M3 - Article
C2 - 36917417
AN - SCOPUS:85150311565
SN - 0941-4355
VL - 31
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 4
M1 - 213
ER -