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Cancer Survivor Empowerment Through the Use of Patient-Reported Outcomes: A Quantitative Study
Mary Pat Johnston1, Patricia Friend2
1Mary Pat Johnston.
Objectives:
To assess whether the use of patient-reported outcomes (PROs) is associated with patient empowerment (PE) in cancer survivors in early survivorship.
Sample & Setting:
A convenience sample of 83 adult cancer survivors participated in a quantitative repeated-measures study at a community-based cancer center, and 33 participants who received chemotherapy as the last treatment modality of their primary cancer treatment completed a questionnaire immediately following treatment and at three months.
Methods & Variables:
Participants were recruited from the medical oncology clinic by oncology nurse research assistants and completed an electronic or paper survey composed of three instruments.
Results:
A significant relationship was found between PE and self-efficacy, and a significant negative correlation was observed between self-efficacy and symptoms. PRO self-efficacy predicted PE following chemotherapy treatment. PE decreased at three months post-treatment.
Implications For Nursing:
Clinician-driven assessment is less sustainable in survivorship care. The use of PROs for symptoms and self-efficacy is related to PE. A qualitative study for conceptual clarification of PE in cancer survivors is needed. Oncology nurses are key to envisioning how to implement survivor-reported symptom assessment that builds empowerment.
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