The hypothesized stress-response model was partially supported. Several sociodemographic and personal factors predicted self-management behaviors and distress. Less use of self-management behaviors predicted higher distress which, in turn, predicted higher financial hardship higher distress and financial hardship predicted poorer functional health. 06, root-mean-square error of approximation (RMSEA) =. 96, standardized root mean residual (SRMR) =. Structural equation modeling (SEM) was performed to fit, test, and modify the hypothesized psychobehavioral model.įollowing measurement model refinement, an SEM linking self-management behaviors, distress, financial hardship, and functional health demonstrated a good fit: χ 2 (200, N = 206) = 332.06, P <. Disease and treatment data were obtained via registry and medical records.
Employing a cross-sectional design, established questionnaires were used to operationalize patient characteristics and theoretical constructs including perceived stress, psychological and behavioral responses, financial hardship, social role function, and physical health. Using an adapted psychobehavioral stress-response model, the study purpose was to identify pathways and individual risk factors associated with poor health outcomes in adults with MPC.Īdult MPC survivors (N = 211) with first cancers (stages I-III) diagnosed within 1 to 10 years were recruited via tumor registry. Survivors of multiple primary cancers (MPC) are at increased risk for poor health outcomes compared with survivors of single cancers.