Patient‐reported assessment of self‐management strategies of health in cancer patients: development and validation of the Smart Management Strategy for Health Assessment Tool (SAT)

Yun, Young Ho; Jung, Ju Youn; Sim, Jin Ah; Choi, Hyewon; Lee, Jong Mok; Noh, Dong Young; Han, Wonshik; Park, Kyu Joo; Jeong, Seung Yong; Park, Ji Won; Wu, Hong Gyun; Chie, Eui Kyu; Kim, Hak Jae; Lee, June Hee; Zo, Zae Ill; Kim, Sung Hoon; Lee, Jeong Eon; Nam, Seok Jin; Lee, Eun Sook; Oh, Jae Hwan; Kim, Young Woo; Kim, Young Tae; Shim, Young Mog

doi:10.1002/pon.3839

Cited by 26 publications

(41 citation statements)

References 33 publications

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“…In spite of this, little is currently known about how HNC survivors self‐manage. To our knowledge, only one existing framework has been used to identify the SM strategy types that cancer survivors adopt, but the strategy types described therein are quite broad and relate to cancer more generally. As such, this research study aimed to identify self‐management strategy types, and specific self‐management strategies, that are used by purposefully sampled HNC survivors following completion of their primary treatment.…”

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confidence: 99%

Self‐management strategies used by head and neck cancer survivors following completion of primary treatment: A directed content analysis

et al. 2017

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Section: Introductionmentioning

confidence: 99%

Self‐management strategies used by head and neck cancer survivors following completion of primary treatment: A directed content analysis

et al. 2017

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“…Thus, patients with better self-management strategies seem to be associated with overcoming their life crises and improving their health, QOL, and subjective well-being. (Yun et al 2015) Little is understood about of the role of coping strategies in overcoming life crisis for the general population. The personal sets of the SAT were positively associated with better physical and mental QOL as measured using the SF-12.…”

Section: Discussionmentioning

confidence: 99%

“…(Diener et al 1985) To measure the impact of different aspects of health status on SAT-Life, we also assessed the respondents' ve health statuses from a holistic point of view (physical, mental, social, spiritual, and general health status). (Yun et al 2016) SAT-Life is based on the previously validated SAT-SF questionnaire for use among cancer patients to evaluate their self-management health strategies (Yun et al 2015;Yun et al 2017), and then modi ed to assess the general population's coping strategies to help them overcome life crises and improve their QOL and well-being. The SAT-Life assessment consisted of three strategy sets: 1) core strategies (SAT-C), 2) preparation strategies (SAT-P), and 3) implementation strategies (SAT-I).…”

Section: Measurementsmentioning

confidence: 99%

“…To overcome the life crisis and prevent a new crisis, people need to evaluate and address their coping strategies. (Park et al 2007;Yun et al 2015;Nipp et al 2016) However, there have been few tools assessing coping strategies, such as Seven Habit Pro les, (Covey 2004) Brief COPE (Carver 1997) and…”

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confidence: 99%

“…In previous studies, we developed the Smart Management Strategy for Health Assessment Tool (SAT) (Yun et al 2015), which evaluates the patient's time-speci c strategies based on the conceptual frameworks of management strategy for health support of individuals overcoming the crisis and promoting their positive growth. Moreover, to reduce the assessment burden and elicit comprehensive information about the patient's strategies, we developed a 30-item short version of the SAT.…”

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The Validity of the Smart Management Strategy for Health Assessment Tool-Life (SAT-Life) in General Population

Yun

Sim

2020

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This study aimed to determine the reliability and validity of the life version of the Smart Management Strategy for Health Assessment Tool (SAT-Life) for the general South Korean population. We recruited 1,200 respondents using an equal-probability sampling method from March to May 2018. A life version of the Smart Management Strategy for Health Assessment Tool (SAT-Life) Cronbach’ α was used to determine the reliability of the 30-item SAT-Life. Comparisons with the Self-Reported Health Status (SRHS), Short Form-12 (SF-12), McGill Quality of Life Questionnaire (MQOL), Patient Health Questionnaire-9 (PHQ-9), and Satisfaction with Life Scale (SWLS) were conducted for establishing the discriminant and concurrent validity. Three sets of SAT-Life demonstrated a high reliability with good internal consistency (Cronbach’ α 0.86 for SAT-Core, 0.88 for SAT-Preparation, and 0.86 for SAT-Implementation). The total scores of the three SAT differentiated well between the before-maintenance group versus the maintenance group for achieving goals in the participants, and between the group with high depression score versus that with lower depression score in the general population. These SAT-Life scores were positively associated with health status and physical and mental quality of life (QOL). The scores of the SAT-Life were correlated with social support and spiritual well-being measured using the MQOL, and life satisfaction measured using SWLS. The 30-item SAT-Life had a satisfactory internal consistency and validity for the general South Korean population. Further validation should be carried out in a cohort study across different cultures, including an assessment of sensitivity.

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Efficacy of health coaching and a web‐based program on physical activity, weight, and distress management among cancer survivors: A multi‐centered randomised controlled trial

et al. 2020

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ObjectivesTo investigate the efficacy of health coaching and a web‐based program on survivor physical activity (PA), weight, and distress management among stomach, colon, lung and breast cancer patients.MethodsThis randomised, controlled, 1‐year trial conducted in five hospitals recruited cancer survivors within 2 months of completing primary cancer treatment who had not met ≥1 of these behavioural goals: (i) conducting moderate PA for at least 150 minutes/week or strenuous exercise for over 75 minutes per week or, in the case of lung cancer patients, low or moderate intensity exercise for over 12.5 MET per week, (ii) maintaining normal weight, and (iii) attaining a score >72 in the Post Traumatic Growth Inventory (PTGI). Participants were randomly assigned to one of three groups: the control group, a web‐only group, or a health coaching + web group. The primary endpoint was based on a composite of PA, weight, and PTGI score at 12 months.ResultsPatients in the health coaching + web group (difference = 6.6%, P = .010) and the web‐only group (difference = 5.9%, P = .031) had greater overall improvements across the three‐outcome composite than the control group. The health coaching + web group had greater overall improvement in PTGI (difference = 12.6%; P < .001) than the control group, but not in PA and weight.ConclusionThe web‐based program, with or without health coaching, may improve health behaviours including PA, weight, and distress management among cancer survivors within 2 months of completing primary cancer treatment. The web‐based program with health coaching was mainly effective for reducing psychological distress.

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Patient‐reported assessment of self‐management strategies of health in cancer patients: development and validation of the Smart Management Strategy for Health Assessment Tool (SAT)

Abstract: The SAT is a three-set, 16-factor, 91-item tool that assesses the SM strategies of health that patients use to overcome a crisis. Patients can use the SAT to assess their SM strategies of health and obtain feedback from clinicians in the practice setting.

Cited by 26 publications

References 33 publications

Self‐management strategies used by head and neck cancer survivors following completion of primary treatment: A directed content analysis

Self‐management strategies used by head and neck cancer survivors following completion of primary treatment: A directed content analysis

The Validity of the Smart Management Strategy for Health Assessment Tool-Life (SAT-Life) in General Population

Efficacy of health coaching and a web‐based program on physical activity, weight, and distress management among cancer survivors: A multi‐centered randomised controlled trial

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