The symptom cluster experience profile framework.

Lorna Finnegan, Joan L. Shaver, Shannon N. Zenk, Diana J. Wilkie, Carol Estwing Ferrans

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

To present the novel Symptom Cluster Experience Profile (SCEP) framework for guiding symptom research in adult survivors of childhood cancers and other subgroups at risk for high symptom burden. Empirically derived model of symptom cluster experience profiles, existing theoretical frameworks, and data-based literature on symptoms and quality of life in adult survivors of childhood cancers. In a previous study, the authors generated a preliminary model to characterize subgroups of adult survivors of childhood cancers with high-risk symptom cluster profiles. The authors developed the SCEP framework, which depicts symptom cluster experiences as subgroup-specific profiles that are driven by multiple sets of risk and protective factors. The risk and protective factors may directly and indirectly contribute to or alleviate symptoms through their effects on systemic stress. Systemic stress instigates and sustains the symptom experience that, in turn, is expressed through negative diffusion into other components of quality of life, such as functional status, general health perceptions, and overall quality of life. The SCEP framework is an initial approach to unbundle the complex heterogeneity that underlies the clustering of symptoms. By measuring a wide range of risk and protective factors in future studies of adult survivors of childhood cancers and other subgroups at risk for high symptom burden, further development and validation of the SCEP framework will occur. The SCEP framework can be used to specify mechanisms underlying symptom cluster profiles and derive interventions targeted to high-risk symptom profiles. Findings from future studies can be translated to risk-based surveillance and symptom management clinical practice guidelines.

Original languageEnglish (US)
JournalOncology Nursing Forum
Volume37
Issue number6
StatePublished - Jan 1 2010
Externally publishedYes

Fingerprint

Survivors
Quality of Life
Neoplasms
Practice Guidelines
Health Status
Cluster Analysis
Research
Protective Factors

ASJC Scopus subject areas

  • Oncology(nursing)

Cite this

Finnegan, L., Shaver, J. L., Zenk, S. N., Wilkie, D. J., & Ferrans, C. E. (2010). The symptom cluster experience profile framework. Oncology Nursing Forum, 37(6).

The symptom cluster experience profile framework. / Finnegan, Lorna; Shaver, Joan L.; Zenk, Shannon N.; Wilkie, Diana J.; Ferrans, Carol Estwing.

In: Oncology Nursing Forum, Vol. 37, No. 6, 01.01.2010.

Research output: Contribution to journalArticle

Finnegan, L, Shaver, JL, Zenk, SN, Wilkie, DJ & Ferrans, CE 2010, 'The symptom cluster experience profile framework.', Oncology Nursing Forum, vol. 37, no. 6.
Finnegan L, Shaver JL, Zenk SN, Wilkie DJ, Ferrans CE. The symptom cluster experience profile framework. Oncology Nursing Forum. 2010 Jan 1;37(6).
Finnegan, Lorna ; Shaver, Joan L. ; Zenk, Shannon N. ; Wilkie, Diana J. ; Ferrans, Carol Estwing. / The symptom cluster experience profile framework. In: Oncology Nursing Forum. 2010 ; Vol. 37, No. 6.
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