SEGMENTATION OF PATIENTS TO PERSONA’S, THE CONSTRUCT VALIDITY OF THE SUBJECTIVE HEALTH EXPERIENCE QUESTIONNAIRE IN PATIENTS UNDERGOING ONCOLOGICAL SURGERY

P. Bor¹, K. Valkenet¹, R. van Hillegersberg², C. Veenhof^1,3

¹UMC Utrecht, Rehabilitation, Physiotherapy Sciences and Sports, Utrecht, Netherlands, ²UMC Utrecht, Surgery, Utrecht, Netherlands, ³HU University of Applied Sciences, Research Group Innovation of Human Movement Care, Utrecht, Netherlands

Background: After surgery patients have different needs in terms of care. The Subjective Health Experience questionnaire divides persons in 4 groups (persona’s) based on their ‘acceptance’ and ‘perceived control’. Additionally, this questionnaire provides a recommendation for the need for support per persona. This questionnaire is validated in healthy adults and it is unknown whether this questionnaire is also applicable for patients who underwent major oncological surgery.

Purpose: To determine the construct validity of the Subjective Health Experience questionnaire in terms of segmentation to the different persona’s one month after discharge in patients undergoing oncological surgery.

Methods: A single center observational cohort study was conducted in patients undergoing major oncological surgery (esophagus, stomach, colorectal, liver or bladder) between November 2020 and April 2022. The construct validity of the Subjective Health Experience questionnaire was determined by testing hypotheses based on the constructs
(1) acceptance
(2) perceived control
(3) physical functioning
(4) anxiety and depression.

Results: In total, 98 patients were included. A significant moderate correlation was found for the constructs acceptance (r=0.622, p=0.000) and perceived control (r=0.347, p=0.004). A higher level of physical functioning was found for the persona group with high acceptance and perceived control scores compared to the persona group with low acceptance and perceived control (57±10 versus 47±10, minimal detectable change = 5). A lower level of anxiety and depression was found in the persona group of patients with high acceptance and perceived control scores compared the persona group with low acceptance and perceived control (13±8 versus 33±3, minimal detectable change = 1.7).

Conclusions: Two hypothesis (based on the constructs physical functioning and anxiety and depression) could be confirmed. Two hypothesis (based on the constructs acceptance and perceived control) could not be confirmed. Since moderate correlations were found for these constructs, the overall construct validity of the Subjective Health Experience questionnaire seems acceptable for patients who underwent major oncological surgery.

Implications: The Subjective Health Experience questionnaire is a short questionnaire (six questions), which divide patients to different persona’s. Segmentation of patients to different persona’s might help to personalize care.

Funding acknowledgements: No funding

Keywords:
Personalized care
Postoperative recovery
Oncological surgery

Topics:
Health promotion & wellbeing/healthy ageing/physical activity
Oncology, HIV & palliative care
Mental health

Did this work require ethics approval? Yes

Institution: UMC Utrecht

Committee: METC

Ethics number: 19/026