Health Maintenance Activities and Lay Decision-Making Support
Title:
Health Maintenance Activities and Lay Decision-Making Support
Author:
Rose, Julia Hannum Bowman, Karen F. Deimling, Gary T. Stoller, Eleanor P.
Appeared in:
Journal of psychosocial oncology
Paging:
Volume 22 (2005) nr. 3 pages 21-44
Year:
2005-07-05
Contents:
Health maintenance activities and involvement of lay sources of decision-making support can affect cancer patients' well-being and decisions about care during active treatment and long-term survivorship. Because most cancer patients are older than 60 years, examining these variables in older cancer survivors is important. In this study, 316 older long-term cancer survivors were asked about health maintenance activities and involvement of lay sources of decision-making support during the diagnosis and treatment of cancer (then) and long-term survivorship (now). Because of the wide age range in older cancer survivors, two age groups were compared: 190 young-old survivors aged 60 to 74 years (M= 67 years, SD= 3.8 years) and 126 old-old survivors aged 75 years or older (M= 80 years, SD= 4.8 years). A larger percentage of young-old than old-old survivors reported using health maintenance activities and lay sources of decision-making support, both then and now. Age-group differences were most apparent in the use of diet/vitamins, meditation, and information about cancer and in involvement of other cancer patients in decision making about care. Also, compared to the old-old age group, young-old survivors used more types of health maintenance activities and lay sources of decision-making support then and now. Health maintenance activities were correlated with lay sources of decision-making support only in the young-old age group. Social workers should be attentive to potential aging and cohort-related differences in assessing older adults' preferences and barriers to use of health maintenance activities and lay sources of decision-making support during active treatment and long-term survivorship.