Download or read book Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed with Colorectal Cancer written by King-Fung Sam and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed With Colorectal Cancer: a Longitudinal Study" by King-fung, Sam, 岑檠峰, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introduction Patient-centered care is a recognized approach to enhance quality of oncological care. While most studies on supportive care needs among cancer patients focused on the time patients receiving or completing adjuvant treatment, little is known about the extent of unmet supportive care needs among cancer patients at the time awaiting surgery which is often a primary treatment for some cancer types such as breast, lung and colorectal cancer. There is growing attention in supportive care need of colorectal cancer patient in recent decades with the advocacy of holistic care. The influence of supportive care unmet need on physical symptom and psychological distress is being concerned as a risk factor of the distress. Meanwhile, colorectal cancer in Hong Kong are being concerned by its growing incidence. Studies often targeted on prevalence of the needs but seldom on the association between supportive care needs and physical symptom and psychological distress. Moreover, surgery is often the primary treatment for curative colorectal cancer. There is little known about the influence of supportive care need during the surgical phase. The aim of this study was to investigate the extent of pre-surgical unmet supportive care needs among Hong Kong Chinese patients with colorectal cancer. It is hypothesized in this study that pre-surgical unmet needs influence on physical symptom and psychological distress at 4-week post-surgery. Methods Quantitative study was applied to analyze data of longitudinal study in supportive care needs, physical symptom distress, and psychological distress of Chinese patient with colorectal cancer. The data was collected at Queen Mary Hospital by School of Public Health, The University of Hong Kong. 503 patients were approached and 303 patients were eligible in this study. A total of 246 colorectal cancer patients provided written consent and enrolled to the longitudinal study. Primary outcomes were supportive care needs at pre-surgery, physical symptom distress and psychological distress in terms of anxiety and depression at 4-week post-surgery. A multiple linear regression was used to analyze the influence of supportive care needs on physical symptom and psychological distress at 4-week post-surgery, adjusted with participant''s baseline distress level, demographic and clinical characteristics. Results The present study showed a moderate pre-surgical unmet supportive care needs in health service and information (HSI) need with SCNS-SF34-C mean score of 36.29 (95% CI: 33.31, 39.27), ranging from 0 to 100. The extent of supportive care needs was small on Patient care and support (PCS) (mean score 18.35, 95% CI: 16.22, 20.48), Psychological (PSY) (mean score 11.15, 95% CI: 9.34, 12.96) and Physical and daily living (PDL) (mean score 10.10, 95% CI: 8.56, 11.69) domains. Low sexuality needs (Sex) (mean score 2.10, 95% CI: 0.98, 3.22) was observed in the present study. Furthermore, there was low level of post-surgical distress observed in this study. Physical symptom distress was reported with MSAS-SF mean score 0.42 (possible range of score 0 to 4) (95% CI: 0.36, 0.48). HADS Anxiety was reported with mean score of 1.64 (possible range of score 0 to 14) (95% CI: 1.26, 2.02) and HADS depression with mean score of 2.93 (possible range of score 0 to 14) (95% CI: 2.42, 3.43). In this study, the associations

Download or read book Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed with Colorectal Cancer written by 岑檠峰 and published by . This book was released on 2015 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book What Are the Unmet Supportive Care Needs Among Hong Kong Chinese Women with Advanced Breast Cancer written by Ho-Yee Angel Au and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "What Are the Unmet Supportive Care Needs Among Hong Kong Chinese Women With Advanced Breast Cancer?: Do They Change Over Time?" by Ho-yee, Angel, Au, 區可兒, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background: Advanced breast cancer (ABC) is affecting substantial number of Chinese women in Hong Kong. Understanding their unmet supportive care needs (SCNs) is important for health care system to precisely allocate resources to areas demanded for help the most and for patients to achieve better quality of life. Objectives: (1) To validate Chinese version of Supportive Care Needs Survey Questionnaire (SCNS-SF34), (2) to address the prevalence of unmet SCNs at baseline (newly diagnosis of ABC) and explore relevant factors associating with baseline unmet SCNs, (3) to identify the trajectories of unmet SCNs from baseline, 6-week, 12-week, 18-week to one-year post-diagnosis of ABC among Hong Kong Chinese women and identify the predictors related to individual resources. Methods: The study consisted of two phases. In Phase I, breast cancer (BC) patients were recruited from six public hospitals and the SCNS-SF34 (which covers five domains of needs) was administered concurrently with measures of psychological distress CHQ-12 (Chinese Health Questionnaire-12), HADS (Hospital Anxiety and Depression Scale), symptom distress (MSAS-SF), and patient satisfaction (ChPSQ-9) to explore factor structure by using Exploratory Factor Analysis (EFA) and to examine internal consistency, and convergent, divergent and discriminant validities of the identified factor structure. In phase II, women newly diagnosed with ABC were recruited and followed up to assess their unmet SCN trajectories one year after diagnosis. Prevalence of initial baseline SCNs and associated demographic, medical and psychological factors were identified. Linear Mixed Modeling (LMM) was performed to assess trajectories for each SCNs domain. Hypothesized variables reflecting personal and social resources (optimism, trait hope, social support, psychological distress and patient satisfaction) were examined for association with the changes of unmet SCNs after adjusting for demographic and medical characteristics. Results: Instead of five-factor structure identified in the original SCNS-SF34, a four-factor structure with 33 items was identified, comprising: 1) Health system, information and patient support needs (HSIPS), 2) Psychological needs (PSYC), 3) Physical and daily living needs (PDL) and 4) Sexuality needs (SEX). The SCNS-SF33-C demonstrated moderate-to-good internal consistency (Cronbach's alphas=0.75-0.92) across all domains. Acceptable convergent and divergent validity were demonstrated. Discriminant validity was demonstrated in the SCNS-SF33-C's ability to differentiate between clinically distinct patient groups (ABC vs. localized BC and active treatment vs. no active treatment). Of the top 15 unmet SCNs, all belonged to the HSIPS domain. There were significant linear declines in unmet HSIPS and PSYC needs over the year after diagnosis, but not in PDL and SEX. After adjusting for demographic and medical factors, LMM identified symptom distress, patient satisfaction and patient satisfaction x time are predictors of HSIP. Total symptom distress, optimism, anxiety and anxiety x time predicted PSYC. Total symptom distress was predictor of PDL. Anxiety was predictor of SEX. Conclusions: The SCNS-SF33-C has a suitable factor structure and psychometric properties for the use in assessing unmet psychosocial SCN among Chinese women with BC. Generally, unmet H

Download or read book What are the Unmet Supportive Care Needs Among Hong Kong Chinese Women with Advanced Breast Cancer written by Ho-yee Au (Angel) and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Psychosocial Resources and Adaptation Among Chinese People with Colorectal Cancer written by Wai-Kai Hou and published by Open Dissertation Press. This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Psychosocial Resources and Adaptation Among Chinese People With Colorectal Cancer" by Wai-kai, Hou, 侯維佳, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract of the thesis entitled Psychosocial resources and adaptation among Chinese people with colorectal cancer Submitted by HOU Wai Kai for the degree of Doctor of Philosophy at The University of Hong Kong in January 2008 Regardless of rising demand for psychosocial care for Chinese colorectal cancer (CRC) patients in Hong Kong, no research has looked at CRC patients' psychosocial adaptation. Mounting research in the West has documented the negative impact of symptom distress and cancer-related intrusive thoughts on psychological distress and QoL in CRC patients, but no studies to date have investigated the nature of relationships among psychosocial resources, illness-specific demands, and psychological functioning among people with CRC. The present research aimed to (1) describe the adaptation process and psychosocial resources among Chinese people with CRC, (2) assess whether personal and social resources and cancer demands influence their psychological distress and well-being, and (3) explore how cancer-related intrusive thoughts impact the association between different resources and psychological distress and well-being among them. This research consisted of three phases: qualitative study, pilot study, and quantitative study. The phase one qualitative study (N = 16) explored Hong Kong Chinese patients' experiences of, and adaptation to, CRC diagnosis and treatment and the roles of different resources in this process. The pilot study developed a new instrument for measuring social relational quality in Chinese CRC patients based on the present qualitative findings as well as the current literature, and validated the instrument in a community and clinical sample of Hong Kong Chinese people with history of CRC (N = 166). Phase three prospective quantitative study examined the direct impact of personal and social resources and cancer-specific demands on psychological functioning in Chinese patients newly diagnosed with CRC (Time 1 N = 212; Time 2 N = 141) and explored the mediational role of cancer-related intrusive thoughts in the associations between resources and psychological functioning in these patients. Results of the phase one qualitative study not only described mechanisms through which psychosocial resources and coping procedures impact psychological distress in Chinese CRC patients, but also how psychosocial resources change with variations in medical experience. The pilot study developed a reliable and valid instrument for assessing social relational quality in Chinese people with CRC. The findings in the quantitative study were the first reported evidence for the psychological adjustment and associated psychosocial resources in Chinese patients newly diagnosed with CRC and the mechanisms through which selective resources impact psychological distress and well-being in part by modulating cognitive adaptation in these patients. In summary, the present research has provided important information on the adaptation process and psychosocial resources in Chinese people diagnosed with CRC and extended the current understanding on the adaptive utility of differential constructs of psychosocial resources, contributing to future development in psychosocial assessment and intervention program in Chinese CRC patients. (431 words) DOI: 10.5353/th_b3963434 Subjects: Adjustment (Psychology) Colon (Anatomy) - Cancer - Patients - Mental health - China -

Download or read book What are the Unmet Supportive Care Needs Among Hong Kong Chinese Women with Advanced Breast Cancer written by Ho-yee Au (Angel) and published by . This book was released on 2012 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Trajectories of Psychological Distress and Chinese Patients Newly Diagnosed with Colorectal Cancer written by Professor of Chinese Literature Wai-Yee Li and published by Open Dissertation Press. This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Trajectories of Psychological Distress and Chinese Patients Newly Diagnosed With Colorectal Cancer: a Longitudinal Study" by Wai-yee, Li, 李蔚宜, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Substantial studies have investigated homogeneity of psychological distress level among cancer patients by using cross-sectional and longitudinal study design. Nonetheless, as proposed by Bonnano (2004), heterogeneity characteristics of psychological distress following stressful event could not be neglected and he further suggested that the majority of individuals were resilient in response to stressful events. To test this postulation, recent studies employed growth mixture modelling method to examine the heterogeneity characteristics of psychological distress trajectory among cancer patients. Furthermore, identifying relevant factors differentiate the psychological distress trajectories is an integral part for developing effective interventions for cancer patients in dealing with illness demands. However, only a few studies have examined these issues among Chinese colorectal cancer patients, a second most common cancer in Hong Kong. Therefore, it is of important need to address this knowledge gap. This study had two major aims: 1) to explore the patterns of psychological distress among Chinese patients with colorectal cancer from shortly after diagnosis but before surgery (i.e. 1-day prior operation) to 1-year post-surgery and to testify Bonnano's theory on resilience; 2) to identify the effects of cancer-related intrusive thoughts, physical symptom intrusiveness and dispositional optimism on differentiating psychological distress trajectories. A total of 246 Chinese patients with colorectal cancer were recruited for the current study. Altogether, 5 consecutive face-to-face interviews were conducted on one day prior to surgery (baseline), 1-, 4-, 8- and 12-month post-surgery (T2-T5). Patients' psychological distress (i.e. anxiety and depression), physical symptom intrusiveness, cancer-related intrusive thoughts, dispositional optimism, demographic and medical information were assessed by a standardised questionnaire with valid and reliable psychometric instruments. Growth mixture modelling was used to estimate and specify the psychological distress trajectories. Multinomial logistic regression was adopted to assess the proposed factors in relation to differentiate the trajectory patterns. Growth mixture modelling suggested three distinct trajectories were identified for both anxiety and depression model. The majority of patients with colorectal cancer were identified as resilient (i.e. maintaining low and stable distress level across time) for both models (anxiety: 82.3%, depression: 82.7%). Additionally, for anxiety trajectory model, the remaining 12.3% and 5.4% of patients were classified as moderately-low anxiety group (i.e. maintaining moderate to low distress level) and increasing anxiety group (i.e. increased from moderate level of distress at initial to subsequently high distress level) respectively. For depression trajectory model, the remaining 12.6% and 4.7% of the patients were grouped as delayed depression (i.e. delayed level of distress over time) and recovery depression (i.e. recovered from high distress level to low across time). Multinomial logistic regression showed that cancer-related negative intrusive thoughts, physical symptom intrusiveness and dispositional optimism were significant factors to differentiate anxiety and depression trajectories respectively. This study highlighted the heterogeneous feature of psy

Download or read book Expanding Horizons in Health Communication written by Bernadette Watson and published by Springer Nature. This book was released on 2020-06-01 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the ways in which Eastern and Western medical knowledge inform each other in the treatment of people in Asia across a wide range of health issues. To do so, it brings together health communication scholars from diverse disciplines both in Hong Kong and worldwide and combines their observations and expertise with those of clinicians working in healthcare in Asia to provide a topical portrait of the expanding horizons of healthcare in Asia. Social scientists and clinicians discuss their research and clinical practice respectively using a range of analytic approaches that include traditional qualitative and quantitative methodologies, as well as cutting-edge computer diagnostics that digitally visualize health interactions across time. The book presents an innovative and interdisciplinary investigation of Eastern and Western perspectives on healthcare in Asia. It covers topics concerned with a range of mental and physical problems that are currently confronting Asia. Importantly, the views and experiences of front line clinicians delivering patient care in Asia are also included. Accordingly, the book offers varied and innovative perspectives on health communication issues in China, Singapore, Bangladesh and Australia.

Download or read book Measurement in Health Psychology written by Paola Gremigni and published by Frontiers Media SA. This book was released on 2022-06-15 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Cancer Survival in Africa Asia the Caribbean and Central America written by R. Sankaranarayanan and published by IARC Scientific Publications. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Population-based cancer survival rates offer an important benchmark for measuring a health care system's overall effectiveness in the fight against cancer. While this type of information on high-resource countries is readily available, Cancer Survival in Africa, Asia, the Caribbean and Central America presents in-depth cancer survival data from 27 population-based cancer registries in 14 low- and middle-resource countries. The striking inequalities in cancer survival between countries and within countries described in this volume are largely related to the differences in general awareness, availability of early detection practices, trained human resources, diagnosis and treatment and the development and accessibility to cancer services, as well as, to a lesser extent, to issues of data quality and reliability. The differences in cancer survival reported in populations observed between and within countries studied in this volume provide valuable insights for future planning and investment by governments in primary prevention activities, early detection initiatives and tertiary care to achieve meaningful cancer control. The calendar period of registration of incident cases for the present study ranges between 1990 and 2001. Data on 564 606 cases of 1-56 cancer sites from different registries are reported. Data from eleven registries were utilized for eliciting survival trend and seventeen registries for reporting survival by clinical extent of disease. Besides chapters on every registry and general chapters on methodology, database and overview, the availability of online comparative statistics on cancer survival data by participating registries or cancer site in the form of tables or graphs is an added feature.

Download or read book Clinical Psycho Oncology written by Luigi Grassi and published by John Wiley & Sons. This book was released on 2012-05-18 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This international primer on psycho-oncology spans settings of care as well as regional boundaries. Designed to be easy to read, with informaton clearly displayed in concise tables and boxes accompanied by clinical vignettes, the book provides clear, practical guidance on all aspects of the psychological care of patients with cancer. Both trainees and practitioners will find it useful in the clinic as well as a resource for continued professional development.

Download or read book Structural Equation Modeling written by Jichuan Wang and published by John Wiley & Sons. This book was released on 2019-09-17 with total page 612 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents a useful guide for applications of SEM whilst systematically demonstrating various SEM models using Mplus Focusing on the conceptual and practical aspects of Structural Equation Modeling (SEM), this book demonstrates basic concepts and examples of various SEM models, along with updates on many advanced methods, including confirmatory factor analysis (CFA) with categorical items, bifactor model, Bayesian CFA model, item response theory (IRT) model, graded response model (GRM), multiple imputation (MI) of missing values, plausible values of latent variables, moderated mediation model, Bayesian SEM, latent growth modeling (LGM) with individually varying times of observations, dynamic structural equation modeling (DSEM), residual dynamic structural equation modeling (RDSEM), testing measurement invariance of instrument with categorical variables, longitudinal latent class analysis (LLCA), latent transition analysis (LTA), growth mixture modeling (GMM) with covariates and distal outcome, manual implementation of the BCH method and the three-step method for mixture modeling, Monte Carlo simulation power analysis for various SEM models, and estimate sample size for latent class analysis (LCA) model. The statistical modeling program Mplus Version 8.2 is featured with all models updated. It provides researchers with a flexible tool that allows them to analyze data with an easy-to-use interface and graphical displays of data and analysis results. Intended as both a teaching resource and a reference guide, and written in non-mathematical terms, Structural Equation Modeling: Applications Using Mplus, 2nd edition provides step-by-step instructions of model specification, estimation, evaluation, and modification. Chapters cover: Confirmatory Factor Analysis (CFA); Structural Equation Models (SEM); SEM for Longitudinal Data; Multi-Group Models; Mixture Models; and Power Analysis and Sample Size Estimate for SEM. Presents a useful reference guide for applications of SEM while systematically demonstrating various advanced SEM models Discusses and demonstrates various SEM models using both cross-sectional and longitudinal data with both continuous and categorical outcomes Provides step-by-step instructions of model specification and estimation, as well as detailed interpretation of Mplus results using real data sets Introduces different methods for sample size estimate and statistical power analysis for SEM Structural Equation Modeling is an excellent book for researchers and graduate students of SEM who want to understand the theory and learn how to build their own SEM models using Mplus.

Download or read book Health at a Glance 2021 OECD Indicators written by OECD and published by OECD Publishing. This book was released on 2021-11-09 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health at a Glance provides a comprehensive set of indicators on population health and health system performance across OECD members and key emerging economies. This edition has a special focus on the health impact of COVID-19 in OECD countries, including deaths and illness caused by the virus, adverse effects on access and quality of care, and the growing burden of mental ill-health.

Download or read book Health at a Glance 2019 OECD Indicators written by OECD and published by OECD Publishing. This book was released on 2019-11-07 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health at a Glance compares key indicators for population health and health system performance across OECD members, candidate and partner countries. It highlights how countries differ in terms of the health status and health-seeking behaviour of their citizens; access to and quality of health care; and the resources available for health. Analysis is based on the latest comparable data across 80 indicators, with data coming from official national statistics, unless otherwise stated.

Download or read book Handbook of Oncology Social Work written by Grace Christ and published by Oxford University Press. This book was released on 2015-01-28 with total page 873 pages. Available in PDF, EPUB and Kindle. Book excerpt: The development of this inaugural Handbook of Oncology Social Work: Psychosocial Care for People With Cancer provides a repository of the scope of oncology social workers' clinical practice, education, research, policy and program leadership in the psychosocial care of people with cancer and their families. It focuses on the unique synergy of social work perspectives, values, knowledge, and skills with the psychosocial needs of cancer patients, their families, and the health care systems in which they are treated. It addresses both the science and art of psychosocial care and identifies the increasing specialization of oncology social work related to its unique knowledge base, skills, role, and the progressive complexity of psychosocial challenges for patients with cancer. This Handbook equips the reader with all that we know today in oncology social work about patient and family centered care, distress screening, genetics, survivorship, care coordination, sociocultural and economic diversity, legal and ethical matters, clinical work with adults living with cancer, cancer across the lifespan, their caregivers and families, pediatrics, loss and grief, professional career development, leadership, and innovation. Our hope is that in reading this Handbook you will identify new areas where each of you can leave your mark as innovators and change agents in our evolving field of practice.

Download or read book Health at a Glance 2015 OECD Indicators written by OECD and published by OECD Publishing. This book was released on 2015-11-04 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the most recent comparable data on the performance of health systems in OECD and certain partner countries. It includes a dashboard of health indicators, a special focus chapter on the pharmaceutical sector, and indicators on health workforce migration and health care quality.

Download or read book Thoracic Malignancies written by Steven E. Schild, MD and published by Demos Medical Publishing. This book was released on 2010-03-08 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoracic Malignancies: Thoracic Malignancies is the first title in Radiation Medicine Rounds. These tumors take more lives than any others and they are among the most preventable of tumors. Thus it is crucial for the practitioner to be up-to-date on the latest insights regarding their management. Thoracic Malignancies addresses the multi-disciplinary nature of the care of these tumors. There is representation from radiation oncology, medical oncology, and surgery ensuring a well-rounded summarization of current practice. Included are chapters on lung cancer, esophageal cancer, and thymomas providing coverage of the vast majority of thoracic tumors. The multi-disciplinary nature of the articles provides readers with an up-to-date summary and a well-rounded review regarding these tumors and their care. Expert authors provide reviews and assessments of the most recent data and its implications for current clinical practice, along with insights into emerging new trends of importance for the near future. About the Series Radiation Medicine Rounds is an invited review publication providing a thorough analysis of new scientific, technologic, and clinical advances in all areas of radiation medicine. There is an emphasis throughout on multidisciplinary approaches to the specialty, as well as on quality and outcomes analysis. Published three times a year Radiation Medicine Rounds provides authoritative, thorough assessments of a wide range of Ïhot topicsÓ and emerging new data for the entire specialty of radiation medicine. Features of Radiation Medicine Rounds include: Editorial board of nationally recognized experts across the spectrum of radiation medicine In-depth, up-to-date expert reviews and analysis of major new developments in all areas of Radiation Medicine Issues edited by an authority in specific subject area Focuses on major topics in Radiation Medicine with in-depth articles covering advances in radiation science radiation medicine technology, radiation medicine practice, and assessment of recent quality and outcomes studies Emphasizes multidisciplinary approaches to research and practice