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Nixon J, Chan R, McKinnell E, Ward E, Pinkham E, Wishart L, Miller E, Brown B. Rethinking the Meaning of "Wellness" for a Person with Cancer: A Qualitative Study to Explore What Elements Constitute "Wellness". Asia Pac J Oncol Nurs 2021; 8:360-368. [PMID: 34159228 PMCID: PMC8186391 DOI: 10.4103/apjon.apjon-212] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 02/09/2021] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVE This study explored what people with cancer and their family members define as wellness, and what they perceive to be the needs to support wellness during the cancer experience. METHODS This study utilized qualitative focus groups underpinned by an interpretative descriptive design. Participants included people with a cancer diagnosis having completed/currently undergoing cancer treatment, and/or family/friends. Participants were invited to share their experience and perceptions of cancer wellness, which was then mapped in relation to Hettler's six dimensions of wellness. RESULTS Twenty-six participants (16 people with cancer, ten family/friends) were involved in the process. All six dimensions of wellness were reported by the groups with 19 descriptive content categories that related to these domains. The data revealed that people with cancer and family/friends have individual and diverse meanings of wellness. Participants offered suggestions for strategies to promote wellness relating to the environment and supportive care interventions. CONCLUSIONS People with cancer and their families experience wellness individually. Cancer wellness models should consider the personal nature of wellness in relation to the six domains of wellness when developing wellness programs, including health professional access, an environment that supports wellness, the provision and access to reliable information, and support the key needs of being physically active and financial security.
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Affiliation(s)
- Jodie Nixon
- Department of Occupational Therapy, Princess Alexandra Hospital, Brisbane, Australia
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
| | - Raymond Chan
- Division of Cancer Services, Princess Alexandra Hospital, Brisbane, Australia
- School of Nursing, Queensland University of Technology, Brisbane, Australia
| | - Emma McKinnell
- Division of Cancer Services, Princess Alexandra Hospital, Brisbane, Australia
| | - Elizabeth Ward
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
- Centre for Functioning and Health Research, Metro South Health, Australia
| | - Elizabeth Pinkham
- Department of Physiotherapy, Princess Alexandra Hospital, Brisbane, Australia
| | - Laurelie Wishart
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
- Centre for Functioning and Health Research, Metro South Health, Australia
| | - Elizabeth Miller
- Division of Cancer Services, Princess Alexandra Hospital, Brisbane, Australia
| | - Bena Brown
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
- Centre for Functioning and Health Research, Metro South Health, Australia
- Department of Speech Pathology, Princess Alexandra Hospital, Brisbane, Australia
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Dulfikar A, Koh ES, Lwin Z, Hovey E, Dhillon H, Arundell J, Pinkham E, Pinkham MB, Holland J, Trajano G, Naumann F. Physical functional capacity of patients with glioma prior to adjuvant radiation: preliminary descriptive study. Neurooncol Pract 2021; 8:290-298. [PMID: 34055376 DOI: 10.1093/nop/npab015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Background Few studies have assessed physical functioning in glioma patients with grade II, III, and IV glioma prior to undergoing adjuvant radiation with or without chemotherapy. The aim of this study was to describe the baseline physical functioning capacity of patients with glioma prior to adjuvant therapy compared to validated cutoffs required to maintain independence. Methods This study is a cross-sectional study that recruited patients with grade II, III, and IV glioma (n = 33) undergoing adjuvant radiation with or without chemotherapy. The six-minute walk, thirty-second sit-to-stand, and timed "Up & Go" assessments were used to describe baseline physical functioning. Perceived quality of life from the European Organisation for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ-C30) version 3.0 was used to quantify the quality of life. Results Mean distance walked in the six-minute walk test was 416.2 m (SD 137.6 m) with a mean of 12.2 stands (SD 3.4 stands) achieved during the thirty-second sit-to-stand. Median time to complete the timed "Up & Go" assessment was 7 s (interquartile range: 3 s). One-sample t tests suggest walking distance and chair stands were significantly lower than cutoff criterions to maintain independent living, t(32) = -5.96, P < .001, bias-corrected accelerated 95% CI [370.7-460.4], and t(32) = -4.60, P < .01, bias-corrected accelerated 95% CI [11.0-13.4], respectively. Wilcoxon signed-rank test identified significantly shorter median time taken to complete the timed "Up & Go" test compared to the cutoff criterion (z = -4.43, n = 33, P < .01). Conclusion This study suggests glioma patient's aerobic endurance and lower limb strength are below criterion cutoffs recommended to maintain independent living. Timed "Up & Go" scores did not exceed the criterion cutoff, indicating respectable levels of mobility.
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Affiliation(s)
- Ali Dulfikar
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Australia
| | - Eng-Siew Koh
- Radiation oncology, Liverpool Hospital, Liverpool, Australia.,University of New South Wales, Randwick, Australia
| | - Zarnie Lwin
- Department of Medical Oncology, Royal Brisbane and Womens Hospital, Herston, Australia.,School of Medicine, University of Queensland, St Lucia, Australia
| | - Elizabeth Hovey
- Department of Medical Oncology, Nelune Comprehensive Cancer Centre, Prince of wales Hospital, Randwick, Australia.,University of New South Wales, Randwick, Australia
| | - Haryana Dhillon
- Centre for Medical Psychology & Evidence-Based Decision-Making, School of Psychology Faculty of Science, The University of Sydney, Camperdown, Australia
| | - Jesica Arundell
- Radiation oncology, Liverpool Hospital, Liverpool, Australia
| | - Elizabeth Pinkham
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Australia.,Physiotherapy, Clinical Support Services, Princess Alexandra Hospital, Woollongabba, Australia
| | - Mark B Pinkham
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Australia.,Radiation Oncology, Cancer Services, Princess Alexandra Hospital, Woolloongabba, Australia
| | - Justin Holland
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Australia
| | - Gabriel Trajano
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Australia
| | - Fiona Naumann
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Australia
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