The relationship between occupational participation, meaningful activity and quality of life of colorectal cancer survivors / Musaropah Sapihis
BACKGROUND: Globally, colorectal cancer is the third most common type of cancer, constituting about ten percent of all cases and affecting mostly older adults. Previous studies on the Quality of life (QoL) of colorectal cancer survivors have not focused on the area of participation in daily livi...
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| Format: | Thesis |
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2018
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| Online Access: | http://studentsrepo.um.edu.my/12631/ http://studentsrepo.um.edu.my/12631/4/musaropah.pdf |
| Summary: | BACKGROUND: Globally, colorectal cancer is the third most common type of cancer,
constituting about ten percent of all cases and affecting mostly older adults. Previous
studies on the Quality of life (QoL) of colorectal cancer survivors have not focused on the
area of participation in daily living activities. Occupational participation is an essential
concept and a key significant outcome in the field of occupational therapy. This study aim
is to explore the relationships between colorectal cancer (CRC) survivors’ occupational
participation, meaningful activity and their QoL. METHOD: This is 2-phase study using
structural equation modelling, and a theoretical model based on an occupational perspective
to examine potential mechanisms of the mediation effect of meaningful activity on QoL.
Upon ethical approval from University Malaya Medical Centre Ethic Committee, data were
collected from two public hospitals. Face to face interview were conducted using the
Malay version of Occupational Participation Questionnaire (OPQ-M), Engagement in
Meaningful Activities Survey (EMAS-M) and the European Organization for Research and
Treatment of Cancer Quality of Life Questionnaire version 3.0 (EORTC QLQ-C30). Data
analyses for testing the proposed research hypotheses were done using Partial least square
structural equation modelling (PLS-SEM) techniques. RESULTS: 113 participants were
completed the questionnaires from a total of 152 consented participants. The mean age of
the survivors was 64.7 (SD=10.4) years and range from 18 to 75 years. A significant weak
positive association was found between overall score of occupational participation and QoL
(r=0.35; p<0.05). Significant positive association were found between i) total score of
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meaningful activity and QoL (r=0.62; p<0.0 5) and ii) total score of meaningful activity and
occupational participation (r=0.45; p<0.05).The five most significant restrictions to
occupational participation were in activities of working full or part time (70%), performing
voluntary work (51.3%), participating in sport activities (40.7%), travelling for pleasure
(34.5%) and activities helping and support others (22.1%).The predictors of QoL for CRC
survivors were occupational participation and meaningful activity, which comprises a
variance of 43.7 percent. The model of occupational participation, meaningful activity and
QoL (OP-MA-QoL) has sufficient predictive relevance (Q2
) with values between, 0.471 to
0.612 (Q2>0). Mediation analyses confirmed that meaningful activity served as a significant
mediator between occupational participation and QoL (β=0.284(a*b), ρ<0.01, SE=0.05,
z=5.040, ρ<0.01). CONCLUSION: This study found a positive, preliminary hypothesised
OP-MA-QoL model, where meaningful activity mediates the fulfilment of occupational
participation, which in turn positively influence QoL of the CRC survivors. Findings can
inform the planning of occupational therapists in their Occupational-based intervention.
Further research using longitudinal data and all stakeholders such as caregivers report are
needed to re-examine this preliminary model |
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