A Model of Health Behavior to Guide Studies of Childhood Cancer Survivors
Purpose/Objectives: To describe the Interaction Model of Client Health Behavior (IMCHB) and its application to health promotion in childhood cancer survivors.
Data Sources: Periodical literature about cancer survivors, health behavior models, and the IMCHB.
Data Synthesis: Childhood cancer survivors are at risk for various late complications of treatment. The primary goal of intervention is the modification of health-related behavior. Conceptual models that extend beyond health beliefs are needed to guide explanatory and intervention studies in this group.
Conclusions: The IMCHB identifies background, cognitive, affective, motivational, and contextual variables that explain health-related behaviors. The model defines the interactive and collective contributions of a survivor, family, and provider to adherence to protocols, reduction of risk behavior, and promotion of health-protective behavior.
Implications for Nursing: This model may identify new determinants of health-related behavior that can be targeted by specific inter- or intrapersonal interventions to protect the health of childhood cancer survivors and reduce their risk of late sequelae.
Abel, E., Marion, L., & Seraphine, A. (1998). The evaluation of motivation for sexual health among women. <i>Western Journal of Nursing Research, 202</i>, 166-179.
Aruda, M. (2002). <i>Predictors of unprotected sex for teens at pregnancy testing.</i> Unpublished doctoral dissertation. University of Massachusetts, Lowell.
Atkinson, S., Halton, J., Bradley, C., Wu, B., & Barr, R. (1998). Bone and mineral abnormalities in childhood acute lymphoblastic leukemia: Influence of disease, drugs and nutrition. <i>International Journal of Cancer Supplement, 11</i>, 35-39.
Bear, M., & Bowers, C. (1998). Using a nursing framework to measure client satisfaction at a nurse-managed clinic. <i>Public Health Nursing, 15</i>(1), 50-59.
Bhatia, S., Robison, L., Oberlin, O., Greenberg, M., Bunin, G., Fossati-Bellani, F., et al. (1996). Breast cancer and other second neoplasms after childhood Hodgkin's disease. <i>New England Journal of Medicine, 334</i>, 745-751.
Black, P., Straaten, A., & Gutjahr, P. (1998). Secondary thyroid carcinoma after treatment for childhood cancer. <i>Medical and Pediatric Oncology, 31</i>, 91-95.
Brown, S. (1992). Tailoring nursing care to the individual client: Empirical challenge of a theoretical concept. <i>Research in Nursing and Health, 15</i>, 39-46.
Carter, K., & Kulbok, P. (1995). Evaluation of the Interaction Model of Client Health Behavior through the first decade of research. <i>Advances in Nursing Science, 18</i>(1), 62-73.
Carter, K., & Kulbok, P. (2002). Motivation for health behaviours: A systematic review of the nursing literature. <i>Journal of Advanced Nursing, 40</i>, 316-330.
Cockerham, W. (1997). Lifestyles, social class, demographic characteristics, and health behavior. In D. Gochman (Ed.), <i>Handbook of health behavior research</i> (pp. 253-264). New York: Plenum Press.
Corkery, J.C., Li, F.P., McDonald, J.A., Hanley, J.A., Holmes, G.E., & Holmes, F.F. (1979). Kids who really shouldn't smoke. <i>New England Journal of Medicine, 300</i>, 1279.
Cox, C. (1982). An interaction model of client health behavior: Theoretical prescription for nursing. <i>Advances in Nursing Science, 5</i>(1), 41-56.
Cox, C. (1984). The individual as client. In J. Sullivan (Ed.), <i>Directions for community health nursing</i> (pp. 129-172). Boston: Blackwell Scientific.
Cox, C. (1985). The health self-determinism index. <i>Nursing Research, 34</i>, 177-183.
Cox, C. (2000). Response to patient-centered care: Understanding its interpretation and implementation in health care. <i>Scholarly Inquiry for Nursing Practice: An International Journal, 14</i>, 183-187.
Cox, C. (2003). <i>Explaining health and risk behavior in childhood cancer survivors.</i> Grant funded by the ONS Foundation.
Cox, C., Cowell, J., Marion, L., & Miller, E. (1990). The health self-determinism index for children. <i>Research in Nursing and Health, 13</i>, 237-246.
Cox, C., Kaeser, L., Montgomery, A., & Marion, L. (1991). Quality of life nursing care: An experimental trial in long-term care. <i>Journal of Gerontological Nursing, 17</i>(4), 6-11.
Cox, C., & Montgomery, A. (1991). Fitness and absenteeism in hospital workers: Clarifying the connection. <i>Journal of Occupational Health Nurses, 39</i>, 189-198.
Cox, C., & Roghmann, K. (1984). Empirical test of the interaction model of client health behavior. <i>Research in Nursing and Health, 7</i>, 275-285.
Crom, D., Hinds, P., Gattuso, J., Tyc, V., & Hudson, M. (2002). <i>Female survivors of Hodgkin disease: Perceived vulnerability to breast cancer and compliance with health promotion recommendations.</i> Unpublished manuscript.
Deci, E., & Ryan, R. (1985). <i>Intrinsic motivation and self-determination in human behavior.</i> New York: Plenum Press.
Deci, E., & Ryan, R. (2002). <i>Handbook of self-determination research.</i> Rochester, NY: University of Rochester Press.
DiNapoli, P. (2000). <i>A contextual analysis of adolescent violence using the Interaction Model of Client Health Behavior.</i> Unpublished doctoral dissertation. University of Massachusetts, Lowell.
Dougherty, M., Dwyer, J., Pendergast, J., Tomlinson, B., Boyington, A., Vogel, W., et al. (1998). Community-based nursing: Urinary continence care for older rural women. <i>Nursing Outlook, 46</i>, 233-244.
Eyler, A., Wilcox, S., Matson-Koffman, D., Evenson, K.R., Sanderson, B., Thompson, J., et al. (2002). Correlates of physical activity among women from diverse racial/ethnic groups. <i>Journal of Women's Health and Gender-Based Medicine, 11</i>, 239-253.
Farrand, L., & Cox, C. (1993). Determinants of positive health behavior in middle childhood. <i>Nursing Research, 42</i>, 208-213.
Gochman, D. (Ed.). (1997). <i>Handbook of health behavior research.</i> New York: Plenum Press.
Green, D., Hyland, A., Chung, C., Zevon, M., & Hall, B. (1999). Cancer and cardiac mortality among 15-year survivors of cancer diagnosed during childhood or adolescence. <i>Journal of Clinical Oncology, 17</i>, 3207-3215.
Haupt, R., Byrne, J., Connelly, R., Mostow, E., Austin, D., Holmes, G., et al. (1992). Smoking habits in survivors of childhood and adolescent cancer. <i>Medical and Pediatric Oncology, 20</i>, 301-306.
Hollen, P., & Hobbie, W. (1996). Decision making and risk behaviors of cancer-surviving adolescents and their peers. <i>Journal of Pediatric Oncology Nursing, 13</i>, 121-133.
Hoorweg-Nijman, J., Kardos, G., Roos, J., van Dijk, H., Netelenbos, C., Popp-Snijders, C., et al. (1999). Bone mineral density and markers of bone turnover in young adult survivors of childhood lymphoblastic leukaemia. <i>Clinical Endocrinology, 50</i>, 237-244.
Hudson, M., Jones, D., Boyett, J., Sharp, G., & Pui, C. (1997). Late mortality of long-term survivors of childhood cancer. <i>Journal of Clinical Oncology, 15</i>, 2205-2213.
Hudson, M., Poquette, C., Lee, J., Greenwald, C., Shah, A., Luo, X., et al. (1998). Increased mortality after successful treatment for Hodgkin's disease. <i>Journal of Clinical Oncology, 16</i>, 3592-3600.
Hudson, M., Tyc, V., Srivastava, D., Gattuso, J., Quargnenti, A., Crom, D., et al. (2002). Multi-component behavioral intervention to promote health protective behaviors in childhood cancer survivors: The protect study. <i>Medical and Pediatric Oncology, 39</i>, 2-11.
Kovac, J., Patel, S., Peterson, R., & Kimmel, P. (2002). Patient satisfaction with care and behavioral compliance in end-stage renal disease patients treated with hemodialysis. <i>American Journal of Kidney Diseases, 39</i>, 1236-1244.
Kulbok, P., & Cox, C. (2002). Dimensions of adolescent health behavior. <i>Journal of Adolescent Health, 31</i>, 394-400.
Marion, L. (2002). <i>Sexually transmitted disease prevention intervention in African-American women.</i> Grant funded by the National Institutes of Health and the National Institute of Nursing Research.
Marion, L., & Cox, C. (1996). Condom use and fertility among divorced and separated women. <i>Nursing Research, 45</i>, 110-115.
Oeffinger, K., Buchanan, G., Eshelman, D., Denke, M., Andrews, T., Germak, J., et al. (2001). Cardiovascular risk factors in young adult survivors of childhood acute lymphoblastic leukemia. <i>American Journal of Pediatric Hematology/Oncology, 23</i>, 424-430.
Read, C. (2002). Reproductive decisions of parents of children with metabolic disorders. <i>Clinical Genetics, 61</i>, 268-276.
Ries, L., Smith, M., Gurney, J., Linet, M., Tamra, T., Young, J., et al. (Eds.). (1999). <i>Cancer incidence and survival among children and adolescents: United States SEER Program 1975-1995</i> [NIH Publication No. 99-4649]. Bethesda, MD: National Cancer Institute.
Roberts, K. (2002). Physician-patient relationships, patient satisfaction, and antiretroviral medication adherence among HIV-infected adults attending a public health clinic. <i>AIDS Patient Care and STDs, 16</i>(1), 43-50.
Sklar, C., Mertens, A., Walter, A., Mitchell, D., Nesbit, M., O'Leary, M., et al. (2000). Changes in body mass index and prevalence of overweight in survivors of childhood acute lymphoblastic leukemia: Role of cranial irradiation. <i>Medical and Pediatric Oncology, 35</i>, 91-95.
Solheim, K. (1989). The smoking cessation process. <i>Journal of Holistic Nursing, 7</i>(1), 26-33.
Swerdlow, A., Barber, J., Horwich, A., Cunningham, D., Milan, S., & Omar, R. (1997). Second malignancy in patients with Hodgkin's disease treated at the Royal Marsden Hospital. <i>British Journal of Cancer, 75</i>, 116-123.
Talvensaari, K., Lanning, M., Tapanainen, P., & Knip, M. (1996). Long-term survivors of childhood cancer have an increased risk of manifesting the metabolic syndrome. <i>Journal of Clinical Endocrinology and Metabolism, 81</i>, 3051-3055.
Tao, M., Guo, M., Weiss, R., Byrne, J., Mills, J., Robison, L., et al. (1998). Smoking in adult survivors of childhood acute lymphoblastic leukemia. <i>Journal of the National Cancer Institute, 90</i>, 219-225.
Troumbley, P., & Lenz, E. (1992). Application of Cox's interaction model of client health behavior in a weight control program for military personnel: A preintervention baseline. <i>Advances in Nursing Science, 14</i>(4), 65-78.
Troyer, H., & Holmes, G. (1988). Cigarette smoking among childhood cancer survivors. <i>American Journal of Diseases in Children, 142</i>, 123-124.
Tyc, V., Hudson, M., & Hinds, P. (1999). Health promotion interventions for adolescent cancer survivors. <i>Cognitive and Behavioral Practice, 6</i>, 128-136.
U.S. Department of Health and Human Services. (2000). <i>Healthy people 2010.</i> Washington, DC: Government Printing Office.
Vassilopoulou-Sellin, R., Brosnan, P., Delpassand, A., Zietz, H., Klein, M., & Jaffe, N. (1999). Osteopenia in young adult survivors of childhood cancer. <i>Medical and Pediatric Oncology, 32</i>, 272-278.
Wilbur, J., Chandler, P., & Miller, A. (2001). Measuring adherence to a women's walking program. <i>Western Journal of Nursing Research, 23</i>, 8-24.
Wilbur, J., Miller, A.M., Chandler, P., & McDevitt, J. (2003). Determinants of physical activity and adherence to a 24-week home-based walking program in African American and Caucasian women. <i>Research in Nursing and Health, 26</i>, 213-224.
Williams, G., Cox, E., Hedberg, V., & Deci, E. (2000). Extrinsic life goals and health-risk behaviors in adolescents. <i>Journal of Applied Social Psychology, 30</i>, 1756-1771.
Williams, G., Freedman, Z., & Deci, E. (1998). Supporting autonomy to motivate patients with diabetes for glucose control. <i>Diabetes Care, 21</i>, 1644-1651.
Wolden, S., Lamborn, K., Cleary, S., Tate, D., & Donaldson, S. (1998). Second cancers following pediatric Hodgkin's disease. <i>Journal of Clinical Oncology, 16</i>, 536-544.