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Yeur-Hur Lai
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P1.07 - Nursing and Allied Professionals (ID 171)
- Event: WCLC 2019
- Type: Poster Viewing in the Exhibit Hall
- Track: Nursing and Allied Professionals
- Presentations: 1
- Moderators:
- Coordinates: 9/08/2019, 09:45 - 18:00, Exhibit Hall
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P1.07-08 - Screening for Fear of Cancer Recurrence in Operable Lung Cancer Patients-Scale Validation and Current Status (ID 2257)
09:45 - 18:00 | Presenting Author(s): Yeur-Hur Lai
- Abstract
Background
Fear of cancer recurrence (FCR) is one of the most distressing concerns for cancer patients. A brief scale to screen FCR is important for use in busy clinical oncology settings. The purposes of the study are to (1) translate the 7-item fear of cancer recurrence scale (FCR7) into Chinese and validate the psychometrics of the 7-item Chinese version (FCR7-C), and (2) explore the level of FCR in a cohort of early-stage lung cancer patients after tumor resection surgery in Taiwan.
Method
Eligible subjects were recruited from chest surgery outpatient department in a medical center in Taiwan. The FCR7 was first translated and back translated between English and Chinese. The translated FCR7-C was evaluated for content validity and internal consistency reliability (Cronbach's alpha). Construct validity was determined by evaluating correlations between FCR7-C theoretical assumptions and confirmatory factor analysis (CFA).
Result
In our cohort of 160 patients, the FCR7-C was shown to have satisfactory content validity and internal consistency reliability (Cronbach’s α = 0.9). The uni-dimensional structure was confirmed by CFA that showed a good fit for the model. The FCR7-C score correlates positively with the degree of physical symptoms, anxiety, and depression, but correlates negatively with patient age, performance status, and quality of life. We found that 81.9% of patients reported at least some FCR, with a mean FCR severity of 15.2 (SD= 7.8).
Conclusion
FCR7-C is a brief assessment with good psychometrics. For operable lung cancer patients, FCR is still a concern for most of the early stage lung cancer patients though it is not very severe. We strongly suggest its use for screening cancer patients for FCR to allow for appropriate interventions in lung cancer patients.
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P2.10 - Prevention and Tobacco Control (ID 176)
- Event: WCLC 2019
- Type: Poster Viewing in the Exhibit Hall
- Track: Prevention and Tobacco Control
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2019, 10:15 - 18:15, Exhibit Hall
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P2.10-13 - Effects of the Advanced Tobacco Control Training (ATCT) on Healthcare Professionals’ Smoking Cessation Knowledge and Counseling (ID 2924)
10:15 - 18:15 | Presenting Author(s): Yeur-Hur Lai
- Abstract
Background
Smoking is the major threat to health and it may cause cancer and many chronic illnesses. Due to nature of nicotine dependence, it is not easy to quit smoking. Trained health care personnel play important roles in helping people in smoking cessation (SC). This study is part of a national project. The purpose of the study is to (1) explore the influencing factors related to providing SC counseling interventions among healthcare professionals; and (2) examine the effects of an “advanced tobacco control (ATC) in healthcare professionals of its effects on their SC knowledge, attitudes and providing SC counseling.
Method
It is a health outcome research with pretest-post-test design. Eligible subjects were health care professionals with basic knowledge of tobacco control. In Taiwan, a national advanced tobacco control training (ATCT) was applied for them and examine of its further effects. A total of 383 subjects participated the study (combining from four groups of trainings). The self-report questionnaire was used before the ATCT as baseline data (T0). The 3 and 6 months post-training examination were again delivered (T1 & T2). A generalized estimating equation (GEE) was used for data analyses.
Result
Several important findings were found. (1) Subjects with more knowledge, more positive attitude, less barriers, and higher self-efficacy reported to provide more smoking cessation counseling to smokers. (2) Subjects had significantly higher scores in knowledge, more positive attitudes and increasing providing smoking cessation counseling in 3 and 6 month post-training compared to before training the basic point.
Conclusion
The advanced tobacco control training (ATCT) has short-term (3 month) and lasting effects (6 months) on providing smoking cessation counseling to smokers. It suggests that the ATCT is effective and worthwhile to implement nationally and internationally to enhance the effect the tobacco control.
