Category: Cancer Rehabilitation; Geriatric Rehabilitation
Objective : To compare self-reported health outcomes with a semi-structured assessment of satisfaction with daily life activities in older adult cancer survivors
This cross-sectional descriptive study comprised one session with questionnaires and interview. Descriptive statistics characterized self-reported health outcomes and satisfaction with life activities.
Setting : Participants within 50 miles of an academic health center were recruited through a registry, support groups, and community flyer.
Participants (or Animals, Specimens, Cadavers) :
Participants (n=20) were 65-91 years old (female 75%, Caucasian, 95%), 2-40 years post-cancer diagnosis (breast cancer, 33%; prostate cancer 14%), community-dwelling and spoke English.
Main Outcome Measure(s) :
Patient-Reported Outcomes Measurement Information System (PROMIS®) short forms evaluated current physical function, ability to participate, satisfaction with participation, fatigue, anxiety, depression, and pain. The Functional Assessment of Cancer Therapy-Cognitive Function measured self-reported cognitive impairment. The Activity Card Sort is a semi-structured interview that assessed satisfaction with life activities.
Participants reported minimal to no limitations in ability to participate (M=55.9, SD=7.5), satisfaction with participation (M=53.7, SD=10.3), fatigue (M=53.2, SD=5.0), anxiety (M=50.2, SD=8.7), depression (M=50.4, SD=8.9), pain (M=49.5, SD=8.0), and cognition (z=-.06, SD=1.07). However, participants reported significant dissatisfaction with daily life activities (instrumental ADL, M=18%, SD=24; social activities, M=20%, SD=25; high demand leisure, M=35%, SD=28, low leisure, M=14, SD=19).
Dissatisfaction with daily life activities persists several years post-cancer diagnosis, despite self-reported health within normal limits. Short forms may lack sensitivity to detect residual deficits conveyed through in-depth assessment. Alternate screening approaches may be needed for timely referral to cancer rehabilitation services.
Rachelle Brick– Occupational Therapist, University of Pittsburgh, Pittsburgh, Pennsylvania
Catherine Bender– Professor and Endowed Oncology Chair, University of Pittsburgh, Pittsburgh, Pennsylvania
Elizabeth Skidmore– Professor and Chair of Occupational Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania