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Probability of the association between AMPS ADL motor and EORTC QoL, categorized into low, middle and high ADL abilities.
Source publication
Background:
Occupational therapy and occupational science are founded on the theoretical core assumption that occupation and quality of life (QoL) are closely related. However, such theoretical core assumptions must be supported through empirically based research.
Objective:
To investigate the association between QoL and occupation, here self-re...
Citations
... Cancer and its treatments can have profound effects on individuals' habits, routines, roles and rituals, motor, process and social interaction skills, values, beliefs and spirituality body and functions body structures notably limit involvement in meaningful occupations of recipients throughout the cancer continuum [15]. Thus, when individuals are diagnosed with cancer, they often experience a range of physical, cognitive, emotional, and social challenges that can impact their ability to participate in daily occupations [61]. ...
... Therefore, OTPs focus on enabling them to participate in meaningful activities [15]. This profession provides a range of practical and psychosocial interventions to improve the quality of life and well-being of these individuals [61]. People with cancer may experience a variety of symptoms such as pain, fatigue, generalized weakness, weight loss, cognitive dysfunction, sensory deficits, paraplegia, pathological fractures of secondary bones, shortness of breath, lymphedema, hot flashes, as well as psychosocial issues including symptoms of depression, anxiety and social isolation that affect self-esteem, self-care and self-confidence [15,38,62]. ...
... Surviving cancer is a remarkable achievement, but it often comes with its own set of challenges. From the moment of diagnosis through treatment and into survivorship, individuals may encounter a range of physical, emotional, and practical issues that impact their quality of life [61]. Here, we explore some of the commonly reported issues faced by cancer survivors and offer insights on managing and overcoming these challenges. ...
Cancer is a complex illness that affects millions of individuals worldwide, posing multifaceted challenges to their physical, mental, and social well-being, often hindering engagement in meaningful activities. In recent years, occupational therapy has emerged as a vital component in the comprehensive care of cancer patients, facilitating their recovery and enhancing their quality of life. This commentary explores the intersection of cancer care and occupational therapy, elucidating the role of occupational therapists in addressing the diverse needs of cancer patients across the continuum of care. Drawing on literature published between 2000 and 2025, this commentary synthesizes evidence from peer-reviewed articles, clinical guidelines, and practice-based insights. It emphasizes the importance of advancing occupational therapy interventions in promoting functional independence, managing symptoms, and fostering psychosocial well-being in individuals affected by cancer. Furthermore, it discusses various approaches and techniques employed by occupational therapists in oncology settings, emphasizing the significance of interdisciplinary collaboration to optimizing patient outcomes. By integrating evidence-based insights, this commentary demonstrates the pivotal role of occupational therapy in bridging the gap between cancer treatment and rehabilitation, ultimately contributing to improved recovery and enhanced quality of life for cancer survivors.
... Notably, the significance of QOL has been reported in the treatment of various types of cancers (8)(9)(10)(11)(12)(13)(14). ...
Background/Aim: While transcatheter arterial chemoembolization (TACE) is a treatment option for patients with Barcelona Clinic Liver Cancer stage B hepatocellular carcinoma, it is associated with physical and psychological pain, with concerns regarding its effect on quality of life (QOL). In December 2020, we introduced radiology nurse-led preoperative visits to patients undergoing TACE. This study aimed to examine QOL improvement following a preoperative visit. Patients and Methods: Among patients scheduled to undergo TACE for hepatocellular carcinoma, 48 received a preoperative visit and 22 did not (control group). We compared QOL variables between the groups using the Short-Form 36 (SF-36) at hospital admission and discharge. Results: No significant between-group differences in clinical backgrounds were observed. In the control group, SF-36 scores at admission/discharge were as follows: physical function (PF), 42.87±14.46/34.71±19.70 and mental health (MH), 51.32±8.67/45.26±11.35, respectively. In the subgroup analysis, the PF/MH item results were PF 40.89±14.55/31.46±19.25 and MH 51.10±9.07/44.79±12.04 for older adult patients in the control group. In the preoperative visit group, PF (admission, 42.31±14.23; discharge, 41.54±14.12; p=0.989) and MH (admission, 48.45±10.97; discharge, 49.59±10.05; p=0.399) were maintained. Conclusion: PF/MH items at admission and discharge were maintained or improved in the preoperative visit group, whereas those in the control group showed a significant decrease. Preoperative visits contributed to maintaining patient QOL.
... Therefore, several studies have examined the daily lives of people with advanced cancer, focusing on their everyday activities [7,9,10]. Performing everyday activities is a crucial indicator of how people experience their illness and achieve quality of life [6,[11][12][13]. ...
Background
Despite growing research on the daily life of people with advanced cancer, more specific knowledge is needed about the specific strategies these people use to manage everyday activities.
Purpose
This study explores how people with advanced cancer manage their everyday activities and describe their specific strategies.
Methods
The qualitative study was designed with an explorative approach. Data from 28 people with advanced cancer was drawn from a trial including qualitative interviews to elicit participants’ perceptions about managing their everyday activities. Interviews were conducted in participants’ homes and analysed using an inductive thematic analysis.
Results
Within an overarching theme of keeping ‘Daily life as usual’, the findings unfold participants’ specific strategies identified within two sub-themes ‘, Upholding routines’ and ‘Activity adaptations’. Upholding routines related to 1) Personal care and household and 2) Leisure-, social- and work-life. Activity adaptation about 1) Working with and around physical limitations; 2) Sharing, delegating, and letting go; and 3) Enlisting ‘outside’ support.
Conclusion
This study specified participants’ specific and distinct self-developed strategies within routines and activity adaptations. The strategies reflect participants’ needs for maintaining functioning while relieving pain and mourning, which holds essential potential for informing person-centred intervention development integrating rehabilitation in palliative care.
... In addition, the association between health behaviors and QOL in older adult individuals is affected by several factors. Previous studies have shown that the performance of activities of daily living (ADLs) and psychological distress, such as depression, anxiety and stress, affect QOL in older adult individuals (8,10). ...
Objective
The aim of this study is to examine the role of activities of daily living performance (ADLs) and psychological distress in mediating the process by which health behaviors affect QOL.
Methods
A non-probabilistic study was conducted among 1,065 older adult people older than 60 years. Participants were assessed using the Barthel Index, Functional Activities Questionnaire (FAQ), Kessler Psychological Distress Scale (K10), Australian Active Survey, and EQ-VAS score. The SPSS22.0 software was used to analyze the differences in QOL scores among older adults with different demographic characteristics. Pearson correlation analysis was used to analyze the correlation between health behaviors, psychological distress, ADLs, and QOL. Amos23.0 software was used to construct structural equation model (SEM) to analyze the path of health behavior affecting QOL and the mediating role of BADLs, IADLs and psychological distress.
Results
(1) The direct effect of health behaviors on QOL was not significant in the model; (2) ADLs had multiple mediating effects on the relationship between health behaviors and QOL, and the incidence of ADL limitation was negatively correlated with the reported QOL in the older adult; (3) Psychological distress had a significant mediating effect on the relationship between health behaviors and QOL.
Conclusion
The results of this study elucidated the mechanisms of the correlation between health behaviors and QOL, and added to the existing literature. In addition, these mediating factors and indirect pathways have been identified as targets for intervention to improve the QOL of older adult individuals, which is important for achieving healthy aging.
... HRQOL is associated with the subjective assessment of an individual's well-being in terms of both physical and mental health and their correlation with health conditions and social support [57]. The UEFI includes the self-perceived assessments of basic and instrumental ADLs required to maintain independence and participation with a sense of fulfilment [58], which can effectively reflect and capture patients' perceptions of their HRQOL [59]. Thus, the UEFI score can independently predict the SIS score. ...
Purpose:
To examine whether the Upper Extremity Functional Index (UEFI) score independently contributes to the Stroke Impact Scale (SIS) score and quantified its relative contribution to SIS scores in chronic stroke survivors.
Materials and methods:
A cross-sectional study in a university-based rehabilitation centre with people with chronic stroke (N = 95) aged ≥ 50 years. The outcome measures included paretic hand grip strength, Fugl-Meyer Upper Extremity Assessment (FMA-UE), Wolf Motor Function Test (WMFT), UEFI, and SIS.
Results:
Correlation analysis revealed that paretic hand grip strength, FMA-UE, UEFI, and WMFT scores exhibited a significant moderate positive correlation with SIS scores (r = 0.544-0.687, p < 0.001). The results of a regression model indicated that after adjustment for demographic factors and stroke-related impairments, the UEFI scores remained independently associated with SIS scores, accounting for 18.8% of the variance. The entire model explained 60.3% of the variance in SIS scores.
Conclusions:
Self-perceived UE motor function is a crucial component to be included in rehabilitation programmes aimed at enhancing quality of life and participation among chronic stroke survivors.
... Evidence supports the importance of engagement in occupation for people with palliative care needs 7,25 and how such engagement contributes to improving their quality of life. 26,27 Evidence also shows that people with palliative care needs experience decreasing ability to engage in occupations over time, often for sustained periods. 28 It was therefore not surprising to uncover the importance of supporting people with palliative care needs to adapt to their progressive loss of ability. ...
Background
While evidence shows that occupational therapists can play a key role in the care of people with palliative care needs, more knowledge about effective occupational therapy interventions for this group is needed.
Aim
To identify, organise and prioritise intervention components considered to be effective within occupational therapy for people with palliative care needs from the perspective of occupational therapy clinicians, managers and researchers.
Design
Group Concept Mapping utilising a mixed methods participatory approach. Using a focus prompt, participants brainstormed, sorted, labelled and rated generated statements about effective occupational therapy intervention components. Multidimensional scaling analysis and cluster analysis were conducted.
Setting/Participants
Snowball recruitment was used to recruit participants. Participants included occupational therapists worldwide who were able to read and write in English and were working as clinicians, managers and/or researchers with occupational therapy interventions for people with palliative care needs.
Results
Seventy-two occupational therapists from 15 countries participated in the study representing Asia (n = 3, 20%), Europe (n = 8, 53%), Oceania (n = 2, 13%) and North America (n = 2, 13%). A total of 117 statements were identified and organised into five clusters: (1) being client-centred, (2) promoting occupational engagement to optimise quality of life, (3) involving the social and relational environment, (4) enabling occupations and (5) facilitating occupational adaptation.
Conclusions
Five clusters of core occupational therapy intervention components were considered to be effective when supporting people with palliative care needs. Research should use this knowledge to inform future occupational therapy interventions for this group of people.
... Researchers found that quality of life was inversely related to occupational performance deficits, which can occur due to side effects of cancer treatment, such as fatigue, pain, sensory loss, and cognitive impairments [1]. Occupational therapy practitioners (OTPs) address the side effects of cancer through interventions aimed at restoring function and modifying activities and environments, thus allowing individuals to maximize their occupational performance of daily activities and maintain quality of life [2]. ...
Purpose
The purpose of this study was to develop and validate items for the Screen of Cancer. Survivorship – Occupational Therapy Services (SOCS-OTS), a patient-driven screening tool to be used by frontline workers and filled out by cancer survivors that can indicate a need for appropriate occupational therapy (OT) referral.
Methods
Five rounds of a classical Delphi study were conducted to determine item inclusion. Expert panelists in rounds 1 and 2 consisted of adults LWBC who verified proposed items relevant to issues in activities of daily living (ADLs). Expert panelists in rounds 3–5 consisted of expert OTs who determined item relevance through consensus and item modification.
Results
Forty-five adults living with and beyond cancer (LWBC) and 14 expert oncology occupational therapists and researchers participated in five rounds of surveys. A total of 20 items reached consensus at 80% with a “check all that apply” format. Items included address ADLs meaningful to adults LWBC.
Conclusions
The SOCS-OTS is an innovative content-valid screening tool designed to identify problems with ADLs relevant to OT referral.
Implications for cancer survivors
The SOCS-OTS can empower cancer survivors and cancer care teams by indicating when daily activities are impacted enough to refer to OT services. This could ensure that cancer survivors receive the rehabilitation services they need.
... Additionally, this study found that living without chronic illness was associated with better QoL in all domains [40,41]. Aging is one of the major risk factors for many NCDs and chronic inflammatory diseases [37,42]. ...
... Aging is one of the major risk factors for many NCDs and chronic inflammatory diseases [37,42]. The majority of older adults suffering from chronic illnesses experienced reduced body function and capacity, giving rise to poorer physical and psychological health [37,38,40,41]. A study conducted in Denmark found that high observed activities of daily living (ADL) motor ability was associated with high QoL among advanced cancer patients [41]. ...
... The majority of older adults suffering from chronic illnesses experienced reduced body function and capacity, giving rise to poorer physical and psychological health [37,38,40,41]. A study conducted in Denmark found that high observed activities of daily living (ADL) motor ability was associated with high QoL among advanced cancer patients [41]. In general, most NCDs are accompanied by a decline in functional status, leading to the loss of the ability to perform ADL [41]. ...
Background:
While social media continues to dominate, social media platforms have become powerful health communication tools for older users. However, fulfilling their social media needs can be both detrimental and beneficial to their quality of life (QoL). This study assessed social media needs as they relate to QoL among older adults in Malaysia.
Methods:
We conducted a cross-sectional study and adopted convenience sampling to recruit participants. The participants were required to self-report their sociodemographic profile, social media use and needs, and QoL. Social media use and needs were assessed using the Social Networking Sites Uses and Needs (SNSUN) scale, and QoL was assessed using the WHOQOL-BREF questionnaire. Multiple linear regression was performed to identify the predictors of QoL.
Results:
The findings revealed that the fulfilment of social integrative needs was the strongest predictor of higher QoL in all domains. However, those using social media for their affective needs demonstrated lower psychological health quality.
Conclusions:
Fulfilling social integrative needs is the key to improving the QoL among older adults. The continuous development of age-friendly applications is essential to keep up with constantly changing social media trends and bridge the gap of social media inequalities. More importantly, it would enable older adults to utilize social media to its fullest potential and enjoy a higher QoL through accessible health communication tools.
... Additionally, this study found that living without chronic illness was associated with better QoL in all domains [40,41]. Aging is one of the major risk factors for many NCDs and chronic inflammatory diseases [37,42]. ...
... Aging is one of the major risk factors for many NCDs and chronic inflammatory diseases [37,42]. The majority of older adults suffering from chronic illnesses experienced reduced body function and capacity, giving rise to poorer physical and psychological health [37,38,40,41]. A study conducted in Denmark found that high observed activities of daily living (ADL) motor ability was associated with high QoL among advanced cancer patients [41]. ...
... The majority of older adults suffering from chronic illnesses experienced reduced body function and capacity, giving rise to poorer physical and psychological health [37,38,40,41]. A study conducted in Denmark found that high observed activities of daily living (ADL) motor ability was associated with high QoL among advanced cancer patients [41]. In general, most NCDs are accompanied by a decline in functional status, leading to the loss of the ability to perform ADL [41]. ...
Citation: Chen, H.W.J.; Marzo, R.R.; Sapa, N.H.; Ahmad, A.; Anuar, H.; Baobaid, M.F.; Jamaludin, N.A.; Hamzah, H.; Sarrafan, S.; Ads, H.O.; et al. Trends in Health Communication: Social Media Needs and Quality of Life among Older Adults in Malaysia.
... Additionally, this study found that living without chronic illness was associated with better QoL in all domains [40,41]. Aging is one of the major risk factors for many NCDs and chronic inflammatory diseases [37,42]. ...
... Aging is one of the major risk factors for many NCDs and chronic inflammatory diseases [37,42]. The majority of older adults suffering from chronic illnesses experienced reduced body function and capacity, giving rise to poorer physical and psychological health [37,38,40,41]. A study conducted in Denmark found that high observed activities of daily living (ADL) motor ability was associated with high QoL among advanced cancer patients [41]. ...
... The majority of older adults suffering from chronic illnesses experienced reduced body function and capacity, giving rise to poorer physical and psychological health [37,38,40,41]. A study conducted in Denmark found that high observed activities of daily living (ADL) motor ability was associated with high QoL among advanced cancer patients [41]. In general, most NCDs are accompanied by a decline in functional status, leading to the loss of the ability to perform ADL [41]. ...
