Factors Associated with Choosing the Kerala Model of Palliative Care versus Standard Care among Indian Cancer Patients

Patients who opt for the Kerala Model of Palliative Care (KMPC) report favorable psychological outcomes. Still, not all patients in Kerala prefer this treatment's approach. Hence, this study is aimed to examine the demographical, medical, pain, and psychological factors associated with cancer p...

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Main Authors: Prema N. George, M.P. Ganesh, Shweta Chawak, Mahati Chittem
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2024-08-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742613
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author Prema N. George
M.P. Ganesh
Shweta Chawak
Mahati Chittem
author_facet Prema N. George
M.P. Ganesh
Shweta Chawak
Mahati Chittem
author_sort Prema N. George
collection DOAJ
description Patients who opt for the Kerala Model of Palliative Care (KMPC) report favorable psychological outcomes. Still, not all patients in Kerala prefer this treatment's approach. Hence, this study is aimed to examine the demographical, medical, pain, and psychological factors associated with cancer patients who choose the KMPC versus standard care (SC). Using a cross-sectional design and purposive sampling, 87 patients (SC = 40; KMPC = 47) residing in Kerala, India, responded to questionnaires on pain, anxiety, and depression, and quality of life (QoL). Data analysis was conducted using chi-squared and independent sample t-tests. Findings revealed that KMPC (vs. SC) patients had lower levels of education, were self-employed or homemakers, belonged to a middle or low socioeconomic status, received government aid or were financially self-supported, and were diagnosed for less than 1 year or less than 5 years. KMPC patients reported higher levels of pain, lower levels of anxiety and depression, better overall total QoL, physical health, social health, functionality capacity, and emotional health. These findings suggest the need for community awareness programs regarding the benefits of opting for the KMPC. Patients who chose KMPC reported higher levels of pain than SC patients, highlighting the need for the KMPC to improve its approach to pain management.
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spelling doaj-art-f4fc0a6771b14533a8f0585b586f9bd62025-08-20T03:44:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292024-08-01450434034510.1055/s-0042-1742613Factors Associated with Choosing the Kerala Model of Palliative Care versus Standard Care among Indian Cancer PatientsPrema N. George0https://orcid.org/0000-0002-4738-7965M.P. Ganesh1Shweta Chawak2https://orcid.org/0000-0001-8732-1357Mahati Chittem3Department of Liberal Arts, Indian Institute of Technology Hyderabad, Hyderabad, Telangana, IndiaDepartment of Entrepreneurship and Management, Indian Institute of Technology Hyderabad, Hyderabad, Telangana, IndiaDepartment of Liberal Arts, Indian Institute of Technology Hyderabad, Hyderabad, Telangana, IndiaDepartment of Liberal Arts, Indian Institute of Technology Hyderabad, Hyderabad, Telangana, IndiaPatients who opt for the Kerala Model of Palliative Care (KMPC) report favorable psychological outcomes. Still, not all patients in Kerala prefer this treatment's approach. Hence, this study is aimed to examine the demographical, medical, pain, and psychological factors associated with cancer patients who choose the KMPC versus standard care (SC). Using a cross-sectional design and purposive sampling, 87 patients (SC = 40; KMPC = 47) residing in Kerala, India, responded to questionnaires on pain, anxiety, and depression, and quality of life (QoL). Data analysis was conducted using chi-squared and independent sample t-tests. Findings revealed that KMPC (vs. SC) patients had lower levels of education, were self-employed or homemakers, belonged to a middle or low socioeconomic status, received government aid or were financially self-supported, and were diagnosed for less than 1 year or less than 5 years. KMPC patients reported higher levels of pain, lower levels of anxiety and depression, better overall total QoL, physical health, social health, functionality capacity, and emotional health. These findings suggest the need for community awareness programs regarding the benefits of opting for the KMPC. Patients who chose KMPC reported higher levels of pain than SC patients, highlighting the need for the KMPC to improve its approach to pain management.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742613palliative carepain managementquality of lifeIndia
spellingShingle Prema N. George
M.P. Ganesh
Shweta Chawak
Mahati Chittem
Factors Associated with Choosing the Kerala Model of Palliative Care versus Standard Care among Indian Cancer Patients
Indian Journal of Medical and Paediatric Oncology
palliative care
pain management
quality of life
India
title Factors Associated with Choosing the Kerala Model of Palliative Care versus Standard Care among Indian Cancer Patients
title_full Factors Associated with Choosing the Kerala Model of Palliative Care versus Standard Care among Indian Cancer Patients
title_fullStr Factors Associated with Choosing the Kerala Model of Palliative Care versus Standard Care among Indian Cancer Patients
title_full_unstemmed Factors Associated with Choosing the Kerala Model of Palliative Care versus Standard Care among Indian Cancer Patients
title_short Factors Associated with Choosing the Kerala Model of Palliative Care versus Standard Care among Indian Cancer Patients
title_sort factors associated with choosing the kerala model of palliative care versus standard care among indian cancer patients
topic palliative care
pain management
quality of life
India
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742613
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