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Title: The Impact of Illness Perceptions and Coping Strategies on Use of Supportive Care for Cancer.
Austin Authors: Stephenson, Peta;Yuen, Eva Y N ;Skaczkowski, Gemma ;Spelten, Evelien R;Orbell, Sheina;Wilson, Carlene J 
Affiliation: Department of Psychology, University of Essex, Colchester CO4 3SQ, UK
Department of Rural Health, La Trobe Rural Health School, La Trobe University, Bundoora, VIC 3083, Australia
Department of Psychology and Counselling, School of Psychology and Public Health, La Trobe University, Bundoora, VIC 3083, Australia
Olivia Newton-John Cancer Wellness and Research Centre
School of Nursing and Midwifery, Faculty of Health, Deakin University, Melbourne, VIC 3125, Australia
Centre for Quality and Patient Safety Research-Monash Health Partnership, Institute for Health Transformation, Deakin University, Melbourne, VIC 3125, Australia
Allied Health and Human Performance, University of South Australia, Adelaide, SA 5001, Australia
Psycho-Oncology Research Unit
Issue Date: 20-May-2021
Date: 2021-05-20
Publication information: Cancers 2021; 13(10): 2501
Abstract: Despite evidence that survivorship support programmes enhance physical and psychosocial wellbeing, cancer patients and survivors often do not use these supportive care services. This study investigated the utility of the Common Sense Model of Self-Regulation for predicting supportive care use following cancer, and the mediating role of coping strategies. Cancer patients and survivors (n = 336 from Australia, n = 61 from the UK; 191 males, 206 females) aged 20-83 years (Mean (M) = 62.73, Standard Deviation (SD) = 13.28) completed an online questionnaire. Predictor variables were cognitive and emotional representations of cancer, as measured by the Illness Perception Questionnaire-Revised (IPQ-R), and problem- and emotion-focused coping strategies, as measured by the Brief-Coping Orientation to Problems Experienced inventory (Brief-COPE). The outcome variable was survivorship support programme use within the preceding month. Perceived personal control over cancer predicted supportive care use, but cancer-related emotional distress did not. Coping was an inconsistent mediator of the relationships. Problem-focused coping mediated the relationship between personal control and supportive care use; emotion-focused coping did not mediate between emotional responses to cancer and the uptake of survivorship support programmes. The Common Sense Model provides a useful framework for understanding survivorship support programme use. However, more clarity around the relationship between illness beliefs and coping is required.
DOI: 10.3390/cancers13102501
ORCID: 0000-0002-7956-5797
Journal: Cancers
PubMed URL: 34065475
ISSN: 2072-6694
Type: Journal Article
Subjects: Leventhal
common sense model of self-regulation
illness perceptions
oncology care
supportive care
survivorship support programmes
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