Monthly Archives: July 2015

Fatigue screening in breast cancer patients: identifying likely cases of cancer-related fatigue.






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Fatigue screening in breast cancer patients: identifying likely cases of cancer-related fatigue.

Psychooncology. 2015 Jul 22;

Authors: Goedendorp MM, Jacobsen PB, Andrykowski MA

Abstract
OBJECTIVE: For clinical and research purposes, efficient identification of cases of cancer-related fatigue (CRF) is important, as CRF can be persistent and interfere with usual functioning. While various fatigue-screening instruments are available, no brief screening indices have been developed using formally diagnosed CRF cases as the criterion.
METHODS: Breast cancer patients (n = 385) completed a fatigue diagnostic interview and self-report fatigue measures (Profile of Mood States-fatigue subscale, Fatigue Symptom Inventory, and SF-36 vitality subscale), after initial adjuvant therapy (post-treatment (post-Tx) 1 assessment), after completion of radiotherapy for women receiving chemotherapy + radiotherapy (post-Tx 2 assessment), and 6 months after completion of all adjuvant therapy (6-month post-Tx assessment). CRF cases were identified using specific diagnostic criteria. ROC analyses identified screening indices, which could accurately identify CRF cases after initial adjuvant therapy. Screening indices were cross-validated using post-Tx 2 and 6-month follow-up assessment data.
RESULTS: A total of 104 women (27%) met CRF criteria after initial adjuvant therapy. Six two-item screening indices were identified. For all indices, area under the curve exceeded 0.80, sensitivity exceeded 0.80, and specificity exceeded 0.57. Cross-validation suggested that, except for the index based on SF-36, all the indices continued to accurately identify CRF cases at the post-Tx 2 and 6-month post-Tx assessments. Overall, a two-item composite index based on Fatigue Symptom Inventory ‘most severity’ and ‘work interference’ items performed best.
CONCLUSIONS: Breast cancer patients and survivors meeting CRF diagnostic criteria can be accurately identified using brief screening indices derived from common self-report fatigue measures. Copyright © 2015 John Wiley & Sons, Ltd.

PMID: 26202003 [PubMed – as supplied by publisher]

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Fatigue screening in breast cancer patients: identifying likely cases of cancer-related fatigue






CONCLUSIONS: Breast cancer patients and survivors meeting CRF diagnostic criteria can be accurately identified using brief screening indices derived from common self-report fatigue measures. Continue reading

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A Reconsideration of the Self-Compassion Scale’s Total Score: Self-Compassion versus Self-Criticism






The Self-Compassion Scale (SCS) is currently the only self-report instrument to measure self-compassion. The SCS is widely used despite the limited evidence for the scale’s psychometric properties, with validation studies commonly performed in college students. The current study examined the factor structure, reliability, and construct validity of the SCS in a large representative sample from the community. The study was conducted in 1,736 persons, of whom 1,643 were included in the analyses…. Continue reading

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Studying learning in the healthcare setting: the potential of quantitative diary methods.






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Studying learning in the healthcare setting: the potential of quantitative diary methods.
Perspect Med Educ. 2015 Jul 17;
Authors: Ciere Y, Jaarsma D, Visser A, Sanderman R, Snippe E, Fleer J
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Studying learning in the healthcare setting: the potential of quantitative diary methods






Quantitative diary methods are longitudinal approaches that involve the repeated measurement of aspects of peoples’ experience of daily life. In this article, we outline the main characteristics and applications of quantitative diary methods and discuss how their use may further research in the field of medical education. Quantitative diary methods offer several methodological advantages, such as measuring aspects of learning with great detail, accuracy and authenticity. Moreover, they enable… Continue reading

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Identifying the determinants of use of the G&G interventions for older adults in health and social care: protocol of a multilevel approach






BACKGROUND: Despite aging-related losses, many older adults are able to maintain high levels of subjective well-being. However, not all older adults are able to self-manage and adapt. The GRIP&GLEAM [Dutch: GRIP&GLANS] (G&G) interventions have shown to significantly improve self-management ability, well-being and loneliness in older adults. Actual use of the evidence-based G&G interventions, however, remains limited as long as the interplay between implementation factors at different… Continue reading

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