Exploring the relationship between the health-related quality of life and coping strategies Utilizing the FACT-B and the Brief COPE Scale among female breast cancer patients in the Western Cape, South Africa

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dc.contributor.advisorRoomaney, Rizwanaen_ZA
dc.contributor.authorVogel, Steyn Lodewyken_ZA
dc.date.accessioned2022-02-11T06:01:30Zen_ZA
dc.date.accessioned2022-04-29T09:17:00Zen_ZA
dc.date.available2022-02-11T06:01:30Zen_ZA
dc.date.available2022-04-29T09:17:00Zen_ZA
dc.date.issued2022-04en_ZA
dc.descriptionThesis (MA)--Stellenbosch University, 2022.en_ZA
dc.description.abstractENGLISH SUMMARY: The main research objective of this study was to explore the relationship between coping strategies and the health-related quality of life (HRQOL) in a South African breast cancer sample. This study comprised of a secondary data analysis of 201 women (27-83 years) receiving breast cancer treatment at the breast clinic at Tygerberg Hospital, Western Cape. Participants were asked to complete a battery of instruments, including a demographic questionnaire, the Brief-COPE (a measure of coping) and the FACT-B (a measure of HRQOL). An exploratory factor analysis (EFA) was undertaken on both measures to explore the factor structure of the measures in the current sample of breast cancer patients. Cronbach’s alpha (α) was calculated for the subscales of the Brief-COPE and the FACT-B to determine the reliability of the new factor structure produced. A multiple regression analysis was performed to explore the relationship between coping strategies and the domains of HRQOL. The result of the EFA on the Brief-COPE indicated a three-factor structure with the dimensions labelled as Avoidant-coping (four items), Problem-focused coping (three items), and Emotion-focused coping (two items). The EFA on the FACT-B produced a four-factor structure with the dimensions labelled as Functional well-being (five items), Emotional wellbeing (five items), Physical well-being (four items), and Social well-being (four items). The subscales of the Brief-COPE were found to have adequate reliability as the Cronbach’s α values of Avoidant-coping, Problem-focused coping and Emotion-focused coping were .73, .78, and .73, respectively. The total FACT-B score had poor reliability (α=.48), but the Functional well-being, Emotional well-being, Physical well-being, and Social well-being subscales produced good reliability scores of .84, .80, .79, and .77, respectively. The results of the study indicated a significant relationship between coping strategies and HRQOL in the breast cancer sample. Specifically, a significant negative relationship was found between the use of avoidant coping strategies and functional- and social well-being. In contrast, a significant positive association was found between the use of avoidant coping strategies and emotional- and physical well-being. A significant positive association was also found between the use of emotion-focused coping strategies and social well-being. The findings of the study provided factor validated and reliable versions of the Brief-COPE and the FACT-B for use among South African breast cancer patients. The study provided the first insights into the relationship between coping strategies and HRQOL in South African breast cancer patients. The findings also indicate the type of coping strategies that had a positive and negative influence on the HRQOL of South African breast cancer patients.en_ZA
dc.description.abstractAFRIKAANS OPSOMMING: Die hoof navorsingsdoelwit van die studie was om die verhouding tussen hanteringstrategieë en gesondheidsverwante lewensgehalte (GVLG) in ‘n steekproef van Suid-Afrikaanse borskanker pasiënte te ondersoek. Die studie onderneem ‘n sekondêre data analise op 201 vroue (27-83 jaar) wat borskanker behandeling ontvang het by die borskliniek van Tygerberg Hospitaal, Wes-Kaap. Deelnemers was versoek om ‘n versameling van vraelyste te voltooi, insluitend ‘n demografiese vraelys, die “Brief-COPE” (‘n hanteringstrategieë meetinstrument) en die “FACT-B” (‘n GVLG meetinstrument). ‘n Ondersoekende faktoranalise (OFA) is onderneem op albei meetinstrumente om die faktorstruktuur te verken in die steekproef van borskanker pasiënte. Cronbach se alfa (α) is bereken vir die dimensies van die “Brief-COPE en die “FACT-B” om die toetsbetroubaarheid van die nuwe faktorstruktuur van die twee meetinstrumente te bepaal. ‘n Veelvuldige regressie analise is gedoen om die verhouding tussen hanteringstrategieë en die dimensies van GVLG te verken. Die OFA van die “Brief-COPE” het ‘n drie-dimensie faktorstruktuur opgelewer, met die dimensies benoem as: Vermydings-hantering (vier items), Probleem-gefokusde hantering (drie items), en Emosie-gefokusde hantering (twee items). Die OFA van die “FACT-B” het ‘n vier-dimensie faktorstruktuur opgelewer met die dimensies benoem as: Funksionele gehaltheid (vyf items), Emosionele gehaltheid (vyf items), Fisiese gehaltheid (vier items), en Sosiale gehaltheid (vier items). Die dimensies van die “Brief-COPE” het voldoende interne konsekwentheid getoon met die Cronbach’s alfa waardes van Vermydings-hantering, Probleem-gefokusde hantering en Emosie-gefokusde hantering bereken as .73, .78, en .73, onderskeidelik. Die totale “FACT-B” het swak interne konsekwentheid (α=.48), maar die dimensies van Funksionele gehaltheid, Emosionele gehaltheid, Fisiese gehaltheid, en Sosiale gehaltheid dimensies het goeie interne konsekwentheid met α waardes van .84, .80, .79, en .77, onderskeidelik. Die resultate van die studie dui op ‘n betekenisvol verhouding tussen hanteringstrategieë en GVLG in die steekproef van borskanker pasiënte. ‘n Betekenisvolle negatiewe verhouding is gevind tussen die gebruik van vermydings-hanteringstrategieë en funksionele en sosial gehaltheid. In kontras met die resultaat, is daar ‘n betekenisvolle positiewe verhouding gevind tussen die gebruik van vermydings-hanteringstrategieë en emosionele- en fisiese gehaltheid. ‘n Betekenisvolle positiewe verwantskap is ook gevind tussen die gebruik van emosie-gefokusde hanteringstrategieë en sosiale gehaltheid. Die resultate van die studie verskaf faktor-geldige en toetsbetroubare weergawes van die “Brief- COPE en die “FACT-B” vir gebruik onder Suid-Afrikaanse borskanker pasiënte. Die studie verskaf die eerste insigte tot die verhouding tussen hanteringstrategieë en GVLG in Suid- Afrikaanse borskanker pasiënte. Die bevindinge van die studie dui ook aan watter tipe hanteringstrategieë ‘n positiewe en negatiewe invloed het op die GVLG van Suid-Afrikaanse borskanker pasiënte.af_ZA
dc.description.versionMastersen_ZA
dc.format.extentxv, 211 pages : illustrationsen_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/124508en_ZA
dc.language.isoen_ZAen_ZA
dc.provenancebs202208en_ZA
dc.publisherStellenbosch : Stellenbosch Universityen_ZA
dc.rights.holderStellenbosch Universityen_ZA
dc.subjectBreast -- Cancer -- Treatmenten_ZA
dc.subjectQuality of lifeen_ZA
dc.subjectBreast -- Cancer -- Patientsen_ZA
dc.subjectFactor analysisen_ZA
dc.subjectUCTDen_ZA
dc.subjectLife skillsen_ZA
dc.titleExploring the relationship between the health-related quality of life and coping strategies Utilizing the FACT-B and the Brief COPE Scale among female breast cancer patients in the Western Cape, South Africaen_ZA
dc.typeThesisen_ZA
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