Coping styles, health status and advance care planning in patients with hematologic malignancies

Fausto R. Loberiza; Barbara A. Swore-Fletcher; Susan D. Block; Anthony L. Back; Roberta E. Goldman; James A. Tulsky; Stephanie J. Lee

doi:10.3109/10428194.2011.601474

Coping styles, health status and advance care planning in patients with hematologic malignancies

Fausto R. Loberiza, Barbara A. Swore-Fletcher, Susan D. Block, Anthony L. Back, Roberta E. Goldman, James A. Tulsky, Stephanie J. Lee

Omaha Nursing Division

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

This study evaluated whether measures of psychological well-being, including coping style, are associated with advance care planning (ACP). Data were from the Hematology Communications Study (HEMA-COMM), a prospective observational study of physicianpatient communication in patients with hematologic malignancies. ACP was defined as having a living will, having a health care proxy, discussing life support with family or friends and discussing life support with a doctor or nurse. A total of 293 patients participated: only 45 (15%) had all the elements of ACP; 215 (73%) had at least one element of ACP, while 33 (11%) did not engage in ACP. In multivariate analysis, specific coping styles but not other measures of psychosocial well-being were associated with having written ACP. Verbal ACP was associated with patient-reported health and physician estimate of life expectancy. Our study suggests that tailoring ACP discussions to a patient's coping style may increase engagement in ACP.

Original language	English (US)
Pages (from-to)	2342-2348
Number of pages	7
Journal	Leukemia and Lymphoma
Volume	52
Issue number	12
DOIs	https://doi.org/10.3109/10428194.2011.601474
State	Published - Dec 2011

Keywords

Advance care planning
Coping
Health status
Hematological cancer

ASJC Scopus subject areas

Hematology
Oncology
Cancer Research

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10.3109/10428194.2011.601474

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title = "Coping styles, health status and advance care planning in patients with hematologic malignancies",

abstract = "This study evaluated whether measures of psychological well-being, including coping style, are associated with advance care planning (ACP). Data were from the Hematology Communications Study (HEMA-COMM), a prospective observational study of physicianpatient communication in patients with hematologic malignancies. ACP was defined as having a living will, having a health care proxy, discussing life support with family or friends and discussing life support with a doctor or nurse. A total of 293 patients participated: only 45 (15%) had all the elements of ACP; 215 (73%) had at least one element of ACP, while 33 (11%) did not engage in ACP. In multivariate analysis, specific coping styles but not other measures of psychosocial well-being were associated with having written ACP. Verbal ACP was associated with patient-reported health and physician estimate of life expectancy. Our study suggests that tailoring ACP discussions to a patient's coping style may increase engagement in ACP.",

keywords = "Advance care planning, Coping, Health status, Hematological cancer",

author = "Loberiza, {Fausto R.} and Swore-Fletcher, {Barbara A.} and Block, {Susan D.} and Back, {Anthony L.} and Goldman, {Roberta E.} and Tulsky, {James A.} and Lee, {Stephanie J.}",

note = "Funding Information: This study received funding from the National Cancer Institute (NCI CA098486).",

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AU - Block, Susan D.

AU - Back, Anthony L.

AU - Goldman, Roberta E.

AU - Tulsky, James A.

AU - Lee, Stephanie J.

N1 - Funding Information: This study received funding from the National Cancer Institute (NCI CA098486).

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N2 - This study evaluated whether measures of psychological well-being, including coping style, are associated with advance care planning (ACP). Data were from the Hematology Communications Study (HEMA-COMM), a prospective observational study of physicianpatient communication in patients with hematologic malignancies. ACP was defined as having a living will, having a health care proxy, discussing life support with family or friends and discussing life support with a doctor or nurse. A total of 293 patients participated: only 45 (15%) had all the elements of ACP; 215 (73%) had at least one element of ACP, while 33 (11%) did not engage in ACP. In multivariate analysis, specific coping styles but not other measures of psychosocial well-being were associated with having written ACP. Verbal ACP was associated with patient-reported health and physician estimate of life expectancy. Our study suggests that tailoring ACP discussions to a patient's coping style may increase engagement in ACP.

AB - This study evaluated whether measures of psychological well-being, including coping style, are associated with advance care planning (ACP). Data were from the Hematology Communications Study (HEMA-COMM), a prospective observational study of physicianpatient communication in patients with hematologic malignancies. ACP was defined as having a living will, having a health care proxy, discussing life support with family or friends and discussing life support with a doctor or nurse. A total of 293 patients participated: only 45 (15%) had all the elements of ACP; 215 (73%) had at least one element of ACP, while 33 (11%) did not engage in ACP. In multivariate analysis, specific coping styles but not other measures of psychosocial well-being were associated with having written ACP. Verbal ACP was associated with patient-reported health and physician estimate of life expectancy. Our study suggests that tailoring ACP discussions to a patient's coping style may increase engagement in ACP.

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KW - Health status

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Coping styles, health status and advance care planning in patients with hematologic malignancies

Abstract

Keywords

ASJC Scopus subject areas

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