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Nekhlyudov L, Campbell GB, Schmitz KH, Brooks GA, Kumar AJ, Ganz PA, Von Ah D. Cancer-related impairments and functional limitations among long-term cancer survivors: Gaps and opportunities for clinical practice. Cancer 2021; 128:222-229. [PMID: 34529268 PMCID: PMC9292035 DOI: 10.1002/cncr.33913] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Revised: 08/27/2021] [Accepted: 08/27/2021] [Indexed: 12/20/2022]
Abstract
This commentary provides a concise overview of the epidemiology of cancer survivorship and work, common functional limitations experienced by cancer survivors, and evidence‐based recommendations for interventions available to improve function. It also describes the US Social Security Administration's disability claims process, its eligibility requirements, and barriers for long‐term survivors in securing approval for disability claims, and offers insights for practicing clinicians in holistically addressing functional limitations in practice.
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Affiliation(s)
- Larissa Nekhlyudov
- Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Grace B Campbell
- Duquesne University School of Nursing, Pittsburgh, Pennsylvania.,Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Kathryn H Schmitz
- Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania
| | - Gabriel A Brooks
- Norris Cotton Cancer Center, Geisel School of Medicine, Lebanon, New Hampshire
| | - Anita J Kumar
- Department of Medicine, Tufts Medical Center, Boston, Massachusetts
| | - Patricia A Ganz
- School of Medicine, University of California Los Angeles, Los Angeles, California.,Department of Health Policy and Management, School of Public Health, University of California Los Angeles, Los Angeles, California.,Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, California
| | - Diane Von Ah
- College of Nursing, Ohio State University, Columbus, Ohio
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Tu WM, Pfaller J, Iwanaga K, Chan F, Strauser D, Wang MH, Ditchman N. A Psychometric Validation of the Employers' Stigmatizing Attitudes Toward Cancer Survivors Scale. JOURNAL OF OCCUPATIONAL REHABILITATION 2018; 28:541-547. [PMID: 29209930 DOI: 10.1007/s10926-017-9746-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Purpose The aim of this study was to evaluate the measurement structure of the Employers' Stigmatizing Attitudes Toward Cancer Survivors Scale (ESATPD-Cancer Scale). Methods A quantitative descriptive design using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). One hundred and seventy-seven Taiwanese human resources (HR) professionals participated in this study. Results EFA revealed a one-factor measurement structure accounting for 50% of the total variance. We conducted a CFA to confirm the one-factor structure; after two pairs of error terms were correlated, the re-specified model was found to fit the data adequately: χ2/df = 1.69, GFI = 0.97, CFI = 0.98, and RMSEA = 0.06. Internal consistency reliability coefficient (Cronbach's alpha) for the ESATPD-Cancer Scale was computed to be 0.80. In addition, stigmatizing attitudes were found to be negatively associated with HR professionals' willingness to hire cancer survivors. Conclusions The results of this study support a one-factor measurement structure for the ESATPD-Cancer Scale in a sample of HR professionals in Taiwan. Findings also support a relationship between ESATPD-Cancer Scale scores and HR professionals' willingness to hire cancer survivors, demonstrating support for the construct validity of the scale.
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Affiliation(s)
- Wei-Mo Tu
- Department of Rehabilitation and Health Services, University of North Texas, 1155 Union Circle #311456, Denton, TX, 76203, USA.
| | - Joseph Pfaller
- Rehabilitation Psychology & Special Education, University of Wisconsin-Madison, 1000 Bascom Mall, Madison, WI, 53706, USA
| | - Kanako Iwanaga
- Rehabilitation Psychology & Special Education, University of Wisconsin-Madison, 1000 Bascom Mall, Madison, WI, 53706, USA
| | - Fong Chan
- Rehabilitation Psychology & Special Education, University of Wisconsin-Madison, 1000 Bascom Mall, Madison, WI, 53706, USA
| | - David Strauser
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Huff Hall, MC-588, 1206 S Fourth St, Champaign, IL, 61820, USA
| | - Ming-Hung Wang
- Graduate Institute of Rehabilitation Counseling, National Changhua University of Education, No.1, Jinde Rd., Changhua City, Changhua County, 500, Taiwan
| | - Nicole Ditchman
- Department of Psychology, Counseling and Rehabilitation Science Division, Illinois Institute of Technology, 3105 South Dearborn, Chicago, IL, 60616, USA
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Chan F, Wang CC, Fitzgerald S, Muller V, Ditchman N, Menz F. Personal, environmental, and service-delivery determinants of employment quality for state vocational rehabilitation consumers: A multilevel analysis. JOURNAL OF VOCATIONAL REHABILITATION 2016. [DOI: 10.3233/jvr-160806] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Fong Chan
- University of Wisconsin-Madison, Madison, WI, USA
| | - Chia-Chiang Wang
- University at Buffalo, State University of New York, Buffalo, NY, USA
| | | | - Veronica Muller
- Hunter College, City University of New York, Buffalo, NY, USA
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