Self-efficacy for coping: utility of the Cancer behavior inventory (Italian) for use in palliative care

Samantha Serpentini, Paola Del Bianco, Andrea Chirico, Thomas V Merluzzi, Rosalba Martino, Fabio Lucidi, Gian Luca De Salvo, Leonardo Trentin, Eleonora Capovilla, Samantha Serpentini, Paola Del Bianco, Andrea Chirico, Thomas V Merluzzi, Rosalba Martino, Fabio Lucidi, Gian Luca De Salvo, Leonardo Trentin, Eleonora Capovilla

Abstract

Background: Newer models of palliative and supportive cancer care view the person as an active agent in managing physical and psychosocial challenges. Therefore, personal efficacy is an integral part of this model. Due to the lack of instruments in Italian to assess coping self-efficacy, the present study included the translation and validation of the Italian version of the Cancer Behavior Inventory-Brief (CBI-B/I) and an initial analysis of the utility of self-efficacy for coping in an Italian sample of palliative care patients.

Methods: 216 advanced cancer patients who attended palliative care clinics were enrolled. The CBI-B/I was administered along with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), the Mini Mental Adjustment to Cancer Scale (Mini-MAC), the Cancer Concerns Checklist (CCL), and the Hospital Anxiety and Depression Scale (HADS). The Eastern Cooperative Oncology Group Performance Status (ECOG-PS) ratings of functional capacity were completed by physicians.

Results: Factor analysis confirmed that the structure of the CBI-B/I was consistent with the English version. Internal consistency reliability and significant correlations with the EORTC QLQ-C30, Mini-MAC, and HADS supported the concurrent validity of the CBI-B/I. Differences in CBI-B/I scores for high versus low levels of the CCL and ECOG-PS supported the clinical utility of the CBI-B/I.

Conclusions: The CBI-B/I has strong psychometric properties and represents an important addition to newer model of palliative and supportive care. In order to improve clinical practice, the CBI-B/I could be useful in identifying specific self-efficacy goals for coping in structured psychosocial interventions.

Keywords: Advanced cancer; Cancer behavior inventory; Coping; Oncology; Palliative care; Self-efficacy.

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the IOV – IRCCS Research Ethics Committee (protocol no. 12584/2012), all procedures were in accordance with the 1964 Helsinki declaration and its later amendments, and all patients signed informed consent.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Path diagram of the four-factor structural equation model for the Italian version of the Cancer Behavior Inventory-Brief (CBI-B/I)

References

    1. Baldwin AS, Rothman AJ, Hertel AW, Linde JA, Jeffery RW, Finch EA, et al. Specifying the determinants of the initiation and maintenance of behavior change: an examination of self-efficacy, satisfaction, and smoking cessation. Health Psychol. 2006;25(5):626–634. doi: 10.1037/0278-6133.25.5.626.
    1. Benight CC, Bandura A. Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. Behav Res Ther. 2004;42(10):1129–1148. doi: 10.1016/j.brat.2003.08.008.
    1. Manning MM, Wright TL. Self-efficacy expectancies, outcome expectancies, and the persistence of pain control in childbirth. J Pers Soc Psychol. 1983;45(2):421–431. doi: 10.1037/0022-3514.45.2.421.
    1. Marks R, Allegrante JP, Lorig K. A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (part II) Health Promot Pract. 2005;6(2):148–156. doi: 10.1177/1524839904266792.
    1. Heitzmann CA, Merluzzi TV, Jean-Pierre P, Roscoe JA, Kirsh KL, Passik SD. Assessing self-efficacy for coping with cancer: development and psychometric analysis of the brief version of the Cancer behavior inventory (CBI-B) Psychooncology. 2011;20(3):302–312. doi: 10.1002/pon.1735.
    1. Chirico A, Lucidi F, Merluzzi T, Alivernini F, Laurentiis M, Botti G, et al. A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life. Oncotarget. 2017;8(22):36800–36811. doi: 10.18632/oncotarget.15758.
    1. Hirai K, Arai H, Tokoro A, Naka N. Self-efficacy, psychological adjustment and decisional-balance regarding decision making for outpatient chemotherapy in Japanese advanced lung cancer. Psychol Health. 2009;24(2):149–160. doi: 10.1080/08870440701623124.
    1. Mystakidou K, Tsilika E, Parpa E, Panagiotou I, Galanos A, Gouliamos A. Differences in levels of self-efficacy and anxiety between cancer and chronically-ill patients attending a palliative care unit. J BUON. 2012;17(4):785–790.
    1. Porter LS, Keefe FJ, Garst J, McBride CM, Baucom D. Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: associations with symptoms and distress. Pain. 2008;137(2):306–315. doi: 10.1016/j.pain.2007.09.010.
    1. Baile WF, Palmer JL, Bruera E, Parker PA. Assessment of palliative care cancer patients' most important concerns. Support Care Cancer. 2011;19(4):475–481. doi: 10.1007/s00520-010-0839-4.
    1. Hirai K, Suzuki Y, Tsuneto S, Ikenaga M, Hosaka T, Kashiwagi T. A structural model of the relationships among self-efficacy, psychological adjustment, and physical condition in Japanese advanced cancer patients. Psychooncology. 2002;11(3):221–229. doi: 10.1002/pon.561.
    1. Philip EJ, Merluzzi TV, Zhang Z, Heitzmann CA. Depression and cancer survivorship: importance of coping self-efficacy in post-treatment survivors. Psychooncology. 2013;22(5):987–994. doi: 10.1002/pon.3088.
    1. Merluzzi TV, Nairn RC, Hegde K, Martinez Sanchez MA, Dunn L. Self-efficacy for coping with cancer: revision of the Cancer behavior inventory (version 2.0) Psychooncology. 2001;10(3):206–217. doi: 10.1002/pon.511.
    1. Bruera E, Hui D. Integrating supportive and palliative care in the trajectory of cancer: establishing goals and models of care. J Clin Oncol. 2010;28(25):4013–4017. doi: 10.1200/JCO.2010.29.5618.
    1. Bandura A. Self-efficacy: The exercise of control. New York1997.
    1. Carver CS, Scheier MF. On the self-regulation of behaviour. Cambridge University Press, New York1998.
    1. Hannon B, Swami N, Pope A, Rodin G, Dougherty E, Mak E, et al. The oncology palliative care clinic at the Princess Margaret Cancer Centre: an early intervention model for patients with advanced cancer. Support Care Cancer. 2015;23(4):1073–1080. doi: 10.1007/s00520-014-2460-4.
    1. Okuyama T, Akechi T, Mackenzie L, Furukawa TA. Psychotherapy for depression among advanced, incurable cancer patients: a systematic review and meta-analysis. Cancer Treat Rev. 2017;56:16–27. doi: 10.1016/j.ctrv.2017.03.012.
    1. Feldstain A, Lebel S, Chasen MR. An interdisciplinary palliative rehabilitation intervention bolstering general self-efficacy to attenuate symptoms of depression in patients living with advanced cancer. Support Care Cancer. 2016;24(1):109–117. doi: 10.1007/s00520-015-2751-4.
    1. Wildfeuer J, Schnell MWS. Christian. Talking about dying and death: on new discursive constructions of a formerly postulated taboo. Discourse Soc. 2015;26(3):366–390. doi: 10.1177/0957926514564739.
    1. Chochinov HM. Dignity-conserving care--a new model for palliative care: helping the patient feel valued. JAMA. 2002;287(17):2253–2260. doi: 10.1001/jama.287.17.2253.
    1. Lev EL, Eller LS, Kolassa J, Gejerman G, Colella J, Lane P, et al. Exploratory factor analysis: strategies used by patients to promote health. World J Urol. 2007;25(1):87–93. doi: 10.1007/s00345-006-0126-7.
    1. Telch CF, Telch MJ. Group coping skills instruction and supportive group therapy for cancer patients: a comparison of strategies. J Consult Clin Psychol. 1986;54(6):802–808. doi: 10.1037/0022-006X.54.6.802.
    1. Chirico A, Serpentini S, Merluzzi T, Mallia L, Del Bianco P, Martino R, et al. Self-efficacy for coping moderates the effects of distress on quality of life in palliative Cancer care. Anticancer Res. 2017;37(4):1609–1615. doi: 10.21873/anticanres.11491.
    1. Dewolf L, Koller M, Velikova G, Johnson C, Scott N, Bottomley AEORTC. Quality of life group translation procedure. 3rd ed. Brussels, Belgium: EORTC quality of life. Group. 2009.
    1. Grassi L, Buda P, Cavana L, Annunziata MA, Torta R, Varetto A. Styles of coping with cancer: the Italian version of the Mini-mental adjustment to Cancer (Mini-MAC) scale. Psychooncology. 2005;14(2):115–124. doi: 10.1002/pon.826.
    1. Watson M, Law MG, dos santos M, Greer S, Baruch JMB, Bliss J. The Mini-MAC: further development of the mental adjustment to Cancer scale. J Psychosoc Oncol. 1994;12(3):33–46. doi: 10.1300/J077V12N03_03.
    1. Zucca AC, Boyes AW, Lecathelinais C, Girgis A. Life is precious and I'm making the best of it: coping strategies of long-term cancer survivors. Psychooncology. 2010;19(12):1268–1276. doi: 10.1002/pon.1686.
    1. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x.
    1. Aaronson NK, Bullinger M, Ahmedzai S. A modular approach to quality-of-life assessment in cancer clinical trials. Recent Results Cancer Res. 1988;111:231–249. doi: 10.1007/978-3-642-83419-6_27.
    1. Apolone G, Filiberti A, Cifani S, Ruggiata R, Mosconi P. Evaluation of the EORTC QLQ-C30 questionnaire: a comparison with SF-36 health survey in a cohort of Italian long-survival cancer patients. Ann Oncol. 1998;9(5):549–557. doi: 10.1023/A:1008264412398.
    1. Sørensen JB, Klee M, Palshof T, Hansen HH. Performance status assessment in cancer patients. An inter-observer variability study. Br J Cancer. 1993;67(4):773–775. doi: 10.1038/bjc.1993.140.
    1. MacCallum R, Browne M, Sugawara H. Power analysis and determination of sample size for covariance structure modeling. Psychol Methods. 1996;1(2):130–149. doi: 10.1037/1082-989X.1.2.130.
    1. Browne MW, Cudeck R. Alternative ways of assessing model fit. In: Newbury Park CS, editor. Testing structural equation models. Newbury Park, CA: Sage1993. p. 136–62.
    1. Lazarus RS, Folkman S. Stress, appraisal, and coping: springer publishing co Inc. 1984.
    1. Anagnostopoulos F, Kolokotroni P, Spanea E, Chryssochoou M. The Mini-mental adjustment to Cancer (Mini-MAC) scale: construct validation with a Greek sample of breast cancer patients. Psychooncology. 2006;15(1):79–89. doi: 10.1002/pon.924.
    1. Ho SM, Fung WK, Chan CL, Watson M, Tsui YK. Psychometric properties of the Chinese version of the Mini-mental adjustment to Cancer (MINI-MAC) scale. Psychooncology. 2003;12(6):547–556. doi: 10.1002/pon.672.
    1. Kang JI, Chung HC, Kim SJ, Choi HJ, Ahn JB, Jeung HC, et al. Standardization of the Korean version of Mini-mental adjustment to Cancer (K-Mini-MAC) scale: factor structure, reliability and validity. Psychooncology. 2008;17(6):592–597. doi: 10.1002/pon.1277.
    1. Bredal IS. The Norwegian version of the Mini-mental adjustment to Cancer scale: factor structure and psychometric properties. Psychooncology. 2010;19(2):216–221. doi: 10.1002/pon.1564.
    1. Watson M, Greer S, Young J, Inayat Q, Burgess C, Robertson B. Development of a questionnaire measure of adjustment to cancer: the MAC scale. Psychol Med. 1988;18(1):203–209. doi: 10.1017/S0033291700002026.
    1. Goodwin L, Price A, Lee W, Rayner L, Moorey S, Monroe B, et al. I've had a good life, what's left is a bonus: factor analysis of the mental adjustment to Cancer scale in a palliative care population. Palliat Med. 2014;28(3):243–255. doi: 10.1177/0269216313498435.
    1. Watson M, Homewood J. Mental adjustment to Cancer scale: psychometric properties in a large cancer cohort. Psychooncology. 2008;17(11):1146–1151. doi: 10.1002/pon.1345.
    1. Serpentini S, Capovilla E, Merluzzi TV. Lasciare andare: Potenzialità di applicazione in psiconcologia e nelle cure palliative. ("Letting go": potential application in psycho-oncology and palliative care): Mosciano, S.A., Italy, Artemia Edizioni; 2016.
    1. Sears SR, Stanton AL, Danoff-Burg S. The yellow brick road and the emerald city: benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychol. 2003;22(5):487–497. doi: 10.1037/0278-6133.22.5.487.

Source: PubMed

Sponsor e collaboratori

Condizioni mediche

Interventi farmacologici

3
Sottoscrivi