Factors associated with Peaceful Acceptance of the Illness among Older Patients with Advanced Cancer: Presenter(s): Sule Yilmaz, URMC, United States. (April 2023)

• Record Type: Journal Article
• Authors: Loh, Kah Poh; Epstein, Ronald; Kehoe, Lee; Wells, Megan; Tylock, Rachael; Burnette, Brian L; Mohile, Supriya
• Is Part Of: Patient education and counseling. Volume 109(2023)Supplement
• Page Start: 98
• Publication Date: 2023-04
• Subjects: Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2022.10.229
• Languages: English
• ISSNs: 0738-3991

Abstract

Abstract : Background: Peaceful acceptance has been associated with improved outcomes for cancer patients, including better adjustment to illness and quality of life. Having quality conversations about care with oncologists may facilitate acceptance of illness. We evaluated how older patients' perceived efficacy and satisfaction with care in patient-physician interaction is associated with acceptance of illness. Methods: We conducted a secondary analysis of a cluster randomized trial of a geriatric assessment intervention among 541 participants from 31 community oncology practice across the United States. We recruited patients aged>70 years with an advanced solid malignant tumor or lymphoma. Participants completed demographic and clinical information at enrollment, Perceived Efficacy in Patient-Physician Interactions (PEPPI; range [5-25)], and Peaceful Acceptance of the Illness (PEACE; assesses patient's sense of acceptance, calmness, and peace concerning their illness [5-20]) at baseline. They completed satisfaction with care (measured by the Health Care Climate Questionnaire, HCCQ; [0-20]) at follow-up via telephone team call (within 1 to 7 days after the baseline visit). We performed a linear regression analysis using total sum scores (higher = better) evaluating the associations of PEPPI and HCCQ with PEACE, controlling for intervention and demographic variables. Funded by PCORI 4639; UG1CA189961; T32CA102618; K24AG056589 Findings: Patients had a mean age of 76.6 (SD 5.2) years. The majority were White (89.1%), male (51.0%), with mean scores of 17.51 (2.51), 21.33 (3.48), and 17.48 (2.72) for PEACE, PEPPI, and HCCQ respectively. Linear regression demonstrated positive associations among patients' perceived efficacy (unstandardized B=.23 (SE.03), p<.001) and their satisfaction with patient-physician interaction (unstandardized B=.10 (SE.04), p<.05) with peaceful acceptance. Discussion: Quality communication with oncologists demonstrated positive association with peaceful acceptance, suggesting that quality conversations about cancer care is associated with patients' reporting peaceful acceptance of their illness. This is clinically important for end-of-life decision-making and care.