Predicting participation in meaningful activity for older adults with cancer.
OBJECTIVE
Participation in activity that is personally meaningful leads to improved emotional and physical well-being and quality of life. However, little is known about what predicts participation in meaningful activity by older adults with cancer.


METHODS
Seventy-one adults aged 65 years and older with a diagnosis of cancer were enrolled. All adults were evaluated with the following: a brief geriatric assessment, the meaningful activity participation assessment (MAPA), and the Possibilities for Activity Scale (PActS). The MAPA measures participation in meaningful activity, and the PActS measures what older adults believe they should and could be doing. A regression approach was used to assess the predictors of meaningful activity participation.


RESULTS
The PActS (B = .56, p < .001) was the strongest predictor of meaningful activity participation.


CONCLUSIONS
What older adults with cancer feel they should and could do significantly predicted meaningful participation in activities above and beyond clinical and demographic factors. In future research, perceptions of possibilities for activity may be useful in the design of interventions targeted to improve meaningful participation in older adults with cancer.
Cancer Care Quality Training Program, Department of Health Policy and Management, CB# 7411, 1102G McGavran-Greenberg Hall, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-741, USA, pergolot@email.unc.edu.
Mackenzi
M
Pergolotti
Malcolm P
MP
Cutchin
Hyman B
HB
Muss
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D010358:Patient Participation; D010465:Perception; D011788:Quality of Life / Q000523:psychology*