title: Predicting cancer patients' participation in support groups: a longitudinal study.
abstract: OBJECTIVE
  Few patients participate in cancer support groups despite their benefits. This study investigated the importance of Theory of Planned Behaviour variables in predicting group participation, relative to disease impact, existing support, coping and demographic variables.
  
  
  METHODS
  Longitudinal study of patients with colorectal, lung or prostate cancer recruited from a specialist oncology centre. Patients self-completed surveys at baseline and six-month follow up. Baseline measures included Theory of Planned Behaviour (TPB) variables, distress and control over cancer (IPQ-R), coping (Brief COPE), social support (MSPSS), health related quality of life (EORTC QLQ-C30) and readiness to participate (PAPM). Group participation and recommendations to participate were measured at follow up. Univariable and Random Forest analyses investigated predictors of baseline readiness to participate and participation by six-month follow up.
  
  
  RESULTS
  N=192 patients completed baseline questionnaires. N=13 participated in a group and N=59 did not by six-month follow up. Baseline readiness to participate was associated with inadequate support and positive views of support groups. Lower cognitive functioning, recommendations and readiness to participate predicted group participation by six-month follow up.
  
  
  CONCLUSIONS
  Practitioners may facilitate group participation by promoting positive views of groups, recommending participation and focusing on patients experiencing greater disease impact and less existing support.
authors.affiliation: School of Nursing, Midwifery and Social Work The University of Manchester, UK. Electronic address: Gunn.grande@manchester.ac.uk.
authors.forename: Gunn
authors.initials: G
authors.lastname: Grande
authors.affiliation: School of Health, University of Central Lancashire, UK.
authors.forename: Janine
authors.initials: J
authors.lastname: Arnott
authors.affiliation: School of Nursing, Midwifery and Social Work The University of Manchester, UK.
authors.forename: Caroline
authors.initials: C
authors.lastname: Brundle
authors.affiliation: School of Nursing, Midwifery and Social Work The University of Manchester, UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Pilling
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D015179:Colorectal Neoplasms / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008175:Lung Neoplasms / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D010358:Patient Participation; D011237:Predictive Value of Tests; D011471:Prostatic Neoplasms / Q000523:psychology; D011788:Quality of Life / Q000523:psychology; D012657:Self-Help Groups; D012944:Social Support; D013315:Stress, Psychological; D011795:Surveys and Questionnaires
keywords: Cancer; Coping; Longitudinal study; Precaution Adoption Process Model; Support groups; Theory of Planned Behaviour