TY - JOUR
T1 - Different effects between the current capability of and changes in self-management strategies on improving health behavior and psychological health after 6 months
T2 - evidence from a prospective cohort study of patients with cancer
AU - Jung, Ju Youn
AU - Yun, Young Ho
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
PY - 2023/4
Y1 - 2023/4
N2 - Purpose: We aimed to examine different effects of the current capability of and changes in self-management strategies on improving health behavior and psychological health (satisfaction of life, depression, and anxiety) after 6 months in cancer patients. Methods: A prospective cohort study was conducted, including 540 cancer patients. We measured cancer patients’ self-management strategies’ capability with Smart Management Strategies for Health (SMASH) Assessment Tool (SAT) baseline scores and changes with SMASH change scores based on a clinically meaningful 10% change of the scores. We conducted adjusted multivariate multiple logistic regression analyses using the stepwise selection method between SMASH baseline and health behavior, satisfaction with life (SWL), depression, and anxiety and between SMASH changes and health behavior, SWL, depression, and anxiety. Results: 256 cancer patients completed both the first and second surveys. While various SMASH capabilities positively affected each health behavior, SWL, depression, and anxiety, the positive-reframing strategy at baseline only affected all health behavior, SWL, and depression. However, based on SMASH changes, using the positive-reframing strategy a lot for 6 months adversely affected some physical health behaviors’ practice (balanced diet and stop smoking and drinking). Changes in the life value pursuing strategy only positively affected HB (proactive living) and anxiety. Conclusion: SMASH baseline and change scores were generally associated with practicing cancer patients’ health behaviors, lower depression, and anxiety. However, it is necessary to consider that excessively using the positive-reframing strategy would interfere with practicing a balanced diet and stopping smoking and drinking behaviors.
AB - Purpose: We aimed to examine different effects of the current capability of and changes in self-management strategies on improving health behavior and psychological health (satisfaction of life, depression, and anxiety) after 6 months in cancer patients. Methods: A prospective cohort study was conducted, including 540 cancer patients. We measured cancer patients’ self-management strategies’ capability with Smart Management Strategies for Health (SMASH) Assessment Tool (SAT) baseline scores and changes with SMASH change scores based on a clinically meaningful 10% change of the scores. We conducted adjusted multivariate multiple logistic regression analyses using the stepwise selection method between SMASH baseline and health behavior, satisfaction with life (SWL), depression, and anxiety and between SMASH changes and health behavior, SWL, depression, and anxiety. Results: 256 cancer patients completed both the first and second surveys. While various SMASH capabilities positively affected each health behavior, SWL, depression, and anxiety, the positive-reframing strategy at baseline only affected all health behavior, SWL, and depression. However, based on SMASH changes, using the positive-reframing strategy a lot for 6 months adversely affected some physical health behaviors’ practice (balanced diet and stop smoking and drinking). Changes in the life value pursuing strategy only positively affected HB (proactive living) and anxiety. Conclusion: SMASH baseline and change scores were generally associated with practicing cancer patients’ health behaviors, lower depression, and anxiety. However, it is necessary to consider that excessively using the positive-reframing strategy would interfere with practicing a balanced diet and stopping smoking and drinking behaviors.
KW - Anxiety
KW - Cancer patients
KW - Depression
KW - Health behavior
KW - SAT
KW - SMASH
KW - Satisfaction of life
KW - Self-management strategy
UR - http://www.scopus.com/inward/record.url?scp=85143847531&partnerID=8YFLogxK
U2 - 10.1007/s11136-022-03320-x
DO - 10.1007/s11136-022-03320-x
M3 - Article
C2 - 36515757
AN - SCOPUS:85143847531
SN - 0962-9343
VL - 32
SP - 1107
EP - 1117
JO - Quality of Life Research
JF - Quality of Life Research
IS - 4
ER -