Understanding Young Adult Survivors of Childhood Cancers’ Participation in Late Effects Screening: A Mixed Methods Approach

<p>Significant advancements in the treatment of childhood cancers have helped to increase the 5-year survival rate from 56% in the early 1970s to approximately 80-85% in the early 2000s (Greenlee, Murray, Bolden, & Wingo, 2000; Hampton, 2005). Treatment modalities such as chemotherapy and radiation have led to many serious long-term side effects, known as late effects. Between 60% and 90% of survivors develop some form of long-term chronic condition due to their treatment and up to 40% of those conditions will be life-threatening (Howlader, N. et al., 2013). While the majority of young adult survivors of childhood cancer are at risk for developing a late effect, most of them are not participating in recommended screening protocols to identify late effects (Schultz et al., 2010). Current research has identified individual patient characteristics associated with survivors' screening practices, but limited research has assessed the health beliefs of pediatric cancer survivors. The purpose of this study was to examine the factors that influence young adult survivors of childhood cancer participation in screening for late-effects.</p> <p>A mixed method’s design was used for this study. The quantitative portion in phase one used a modified version of Champion’s Health Belief Model (Champion’s Health Belief Model Scale). Participants could self-select to participate in the quantitative portion, followed by structured interviews analyzed using a grounded theory approach. Ninety-two participants were enrolled in phase one of the study, and 28 participants completed phase two, structured phone interviews. Four models were assessed using Firth Logistic Regression. Findings showed three non-modifiable variables, age at time of survey (p</p>

Name thesis:degree_name

Doctor of Philosophy (PhD)

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Health Services Research

Year dc:date.available

2019

Author dc:creator

• Mantlo, Kristen Trost

Contributors dc:contributor

• Richardean Benjamin
• Tina Gustin
• Hadiza Galadima
• Matthew Hoch

• Childhood cancer
• Health belief model
• Late effects
• Mixed methods
• Survivors
• Community Health and Preventive Medicine
• Health Services Research
• Oncology
• Public Health Education and Promotion

Identifier

9781392721643

OAI identifier oai:identifier

oai:digitalcommons.odu.edu:healthservices_etds-1085