Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment

Article

Dunn, Jeff, Ng, Shu Kay, Breitbart, William, Aitken, Joanne, Youl, Pip, Baade, Peter D. and Chambers, Suzanne K.. 2013. "Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment." Health and Quality of Life Outcomes. 11 (1). https://doi.org/10.1186/1477-7525-11-46
Article Title

Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment

ERA Journal ID13540
Article CategoryArticle
AuthorsDunn, Jeff (Author), Ng, Shu Kay (Author), Breitbart, William (Author), Aitken, Joanne (Author), Youl, Pip (Author), Baade, Peter D. (Author) and Chambers, Suzanne K. (Author)
Journal TitleHealth and Quality of Life Outcomes
Journal Citation11 (1)
Number of Pages8
Year2013
Place of PublicationUnited Kingdom
ISSN1477-7525
Digital Object Identifier (DOI)https://doi.org/10.1186/1477-7525-11-46
Web Address (URL)http://hqlo.biomedcentral.com/articles/10.1186/1477-7525-11-46
Abstract

Background: This longitudinal study describes the five year trajectories of health-related quality of life (HR-QOL) and life satisfaction in long term colorectal cancer survivors.Patients and methods: A population-based sample of 1966 colorectal cancer survivors were surveyed at six time points from five months to five years post-diagnosis. Predictor variables were: socio-demographic variables, optimism; cancer threat appraisal; perceived social support. Quality of life was assessed with the Functional Assessment of Cancer Therapy-Colorectal (HR-QOL); and the Satisfaction with Life Scale. Growth mixture models were applied to identify trajectory classes and their predictors.Results: Distinct adjustment trajectories were identified for HR-QOL and life satisfaction. Lower optimism, poorer social support, a more negative cognitive appraisal, and younger age were associated with poorer life satisfaction, while survivors with less than 8 years of education had higher life satisfaction. This pattern was similar for overall HR-QOL except that educational level was not a significant predictor and later stage disease and female gender emerged as related to poorer outcomes. One in five survivors reported poorer constant HR-QOL (19.2%) and a small group had poor life satisfaction (7.2%); 26.2% reported constant high HR-QOL and 48.8% had high constant life satisfaction. Socioeconomic disadvantage and remoteness of residence uniquely predicted poorer outcomes in the colorectal cancer specific HR-QOL sub domain.Conclusion: Although HR-QOL and subjective cognitive QOL share similar antecedents their trajectory patterns suggested they are distinct adjustment outcomes; with life satisfaction emerging as temporally stable phenomenon. Unique patterns of risk support suggest the need to account for heterogeneity in adjustment in longitudinal QOL studies with cancer survivors.

KeywordsCancer; Colorectal; Longitudinal; Quality of life; Survivorship; Adaptation, Psychological; Adult; Aged; Aged, 80 and over; Attitude to Health; Cognition; Colorectal Neoplasms; Female; Health Status Indicators; Healthcare Disparities; Humans; Interviews as Topic; Longitudinal Studies; Male; Middle Aged; Personal Satisfaction; Poverty Areas; Psychometrics; Quality of Life; Queensland; Questionnaires; Sickness Impact Profile; Social Support; Socioeconomic Factors; Survivors; Young Adult; Cancer;
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
Byline AffiliationsGriffith University
Memorial Sloan Kettering Cancer Center, United States
Queensland Cancer Fund, Australia
Cancer Council Australia, Australia
Institution of OriginUniversity of Southern Queensland
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Advanced prostate cancer experimental radioactive treatment—clinical trial decision making: patient experiences
Viljoen, Bianca, Hofman, Michael S., Chambers, Suzanne K., Dunn, Jeff, Dhillon, Haryana, Davis, Ian D. and Ralph, Nicholas. 2024. "Advanced prostate cancer experimental radioactive treatment—clinical trial decision making: patient experiences." BMJ Supportive and Palliative Care. 14 (2). https://doi.org/10.1136/bmjspcare-2021-002994
Are National Cancer Control Indicators for patient experiences being met in regional and remote Australia? A cross-sectional study of cancer survivors who travelled for treatment
Dunn, Jeff, Goodwin, Belinda, Aitken, Joanne F., March, Sonja, Crawford-Williams, Fiona, Ireland, Michael, Ralph, Nicholas, Zajdlewicz, Leah, Rowe, Arlen and Chambers, Suzanne. 2021. "Are National Cancer Control Indicators for patient experiences being met in regional and remote Australia? A cross-sectional study of cancer survivors who travelled for treatment." BMJ Open. 11 (2), pp. 1-10. https://doi.org/10.1136/bmjopen-2020-042507
Cancer-related help seeking in cancer survivors living in regional and remote Australia
Goodwin, Belinda C., Chambers, Suzanne, Aitken, Joanne, Ralph, Nicholas, March, Sonja, Ireland, Michael, Rowe, Arlen, Crawford-Williams, Fiona, Zajdlewicz, Leah and Dunn, Jeff. 2021. "Cancer-related help seeking in cancer survivors living in regional and remote Australia." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 30 (7), pp. 1068-1076. https://doi.org/10.1002/pon.5643
Deciding to enrol in a cancer trial: a systematic review of qualitative studies
Viljoen, Bianca, Chambers, Suzanne, Dunn, Jeff, Ralph, Nicholas and March, Sonja. 2020. "Deciding to enrol in a cancer trial: a systematic review of qualitative studies." Journal of Multidisciplinary Healthcare. 13, pp. 1257-1281. https://doi.org/10.2147/JMDH.S266281
A scoping review of the characteristics and benefits of online prostate cancer communities
Pyle, Denise, Perry, Amanda, Lamont-Mills, Andrea, Tehan, Gerry and Chambers, Suzanne K.. 2021. "A scoping review of the characteristics and benefits of online prostate cancer communities." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 30 (5), pp. 659-668. https://doi.org/10.1002/pon.5618
The Health Professionals Guide to Delivering Psychological Care for Men with Prostate Cancer
Chambers, Suzanne K, Heneka, Nicole and Dunn, Jeff. 2021. The Health Professionals Guide to Delivering Psychological Care for Men with Prostate Cancer. Australia. Australian Academic Press.
Quality of online self-management resources for adults living with primary brain cancer, and their carers: a systematic environmental scan
Schaefer, Isabelle, Heneka, Nicole, Luckett, Tim, Agar, Meera R., Chambers, Suzanne K., Currow, David C., Halkett, Georgia, Disalvo, Domenica, Amgarth-Duff, Ingrid, Anderiesz, Cleola and Phillips, Jane L.. 2021. "Quality of online self-management resources for adults living with primary brain cancer, and their carers: a systematic environmental scan." BMC Palliative Care. 20 (1), pp. 1-11. https://doi.org/10.1186/s12904-021-00715-4
Prostate cancer survivorship care: if not now, when?
Dunn Jeffrey, Heathcote, Peter and Chambers, Suzanne K.. 2021. "Prostate cancer survivorship care: if not now, when?" BJU International. 127 (S1), pp. 30-31. https://doi.org/10.1111/bju.15358
Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries
Mahumud, Rashidul Alam, Gow, Jeff, Keramat, Syed Afroz, March, Sonja, Dunn, Jeff, Alam, Khorshed and Renzaho, Andre M. N.. 2020. "Distribution and predictors associated with the use of breast cancer screening services among women in 14 low-resource countries." BMC Public Health. 20, pp. 1-15. https://doi.org/10.1186/s12889-020-09557-w
Cost-effectiveness evaluations of the 9-Valent human papillomavirus (HPV) vaccine: evidence from a systematic review
Mahumud, Rashidul Alam, Alam, Khorshed, Keramat, Syed Afroz, Ormsby, Gail M., Dunn, Jeff and Gow, Jeff. 2020. "Cost-effectiveness evaluations of the 9-Valent human papillomavirus (HPV) vaccine: evidence from a systematic review." PLoS One. 15 (6), pp. 1-15. https://doi.org/10.1371/journal.pone.0233499
The changing relationship between health burden and work disability of Australian cancer survivors, 2003–2017: Evidence from a longitudinal survey
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2020. "The changing relationship between health burden and work disability of Australian cancer survivors, 2003–2017: Evidence from a longitudinal survey." BMC Public Health. 20, pp. 1-14. https://doi.org/10.1186/s12889-020-08710-9
Wealth stratified inequalities in service utilisation of breast cancer screening across the geographical regions: A pooled decomposition analysis
Mahumud, Rashidul Alam, Alam, Khorshed, Keramat, Syed Afroz, Renzaho, Andre M.N., Hossain, Md. Golam, Haque, Rezwanul, Ormsby, Gail M., Dunn, Jeff and Gow, Jeff. 2020. "Wealth stratified inequalities in service utilisation of breast cancer screening across the geographical regions: A pooled decomposition analysis." Archives of Public Health. 78, pp. 1-12. https://doi.org/10.1186/s13690-020-00410-5
Nurse-led supportive care intervention for men with advanced prostate cancer: healthcare professionals' perspectives
Ralph, Nicholas, Chambers, Suzanne, Laurie, Kirstyn, Oliffe, John, Lazenby, Mark and Dunn, Jeffrey. 2020. "Nurse-led supportive care intervention for men with advanced prostate cancer: healthcare professionals' perspectives." Oncology Nursing Forum. 47 (1), pp. 33-43. https://doi.org/10.1188/20.ONF.33-43
Contemporary consumer perspectives on prostate cancer survivorship: Fifty voices
Dunn, Jeff, Ralph, Nicholas, Green, Anna, Frydenberg, Mark and Chambers, Suzanne. 2020. "Contemporary consumer perspectives on prostate cancer survivorship: Fifty voices." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 29 (3), pp. 557-563. https://doi.org/10.1002/pon.5306
Geographical Disparities in Screening and Cancer-Related Health Behaviour
Goodwin, Belinda C., Rowe, Arlen K., Crawford-Williams, Fiona, Baade, Peter, Chambers, Suzanne K., Ralph, Nicholas and Aitken, Joanne F.. 2020. "Geographical Disparities in Screening and Cancer-Related Health Behaviour." International Journal of Environmental Research and Public Health. 17 (4), pp. 1-12. https://doi.org/10.3390/ijerph17041246
The burden of chronic diseases among Australian cancer patients: evidence from a longitudinal exploration, 2007-2017
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2020. "The burden of chronic diseases among Australian cancer patients: evidence from a longitudinal exploration, 2007-2017." PLoS One. 15 (2). https://doi.org/10.1371/journal.pone.0228744
Prostate cancer survivorship priorities for men and their partners: Delphi consensus from a nurse specialist cohort
Ralph, Nicholas, Green, Anna, Sara, Sally, McDonald, Suzanne, Norris, Philip, Terry, Victoria, Dunn, Jeffrey C. and Chambers, Suzanne K.. 2020. "Prostate cancer survivorship priorities for men and their partners: Delphi consensus from a nurse specialist cohort." Journal of Clinical Nursing. 29 (1-2), pp. 265-273. https://doi.org/10.1111/jocn.15096
A psychosocial care model for men with prostate cancer
Chambers, Suzanne K., Galvao, Daniel A., Green, Anna, Lazenby, Mark, Newton, Robert U., Oliffe, John L., Phillips, Jane L., Phillips, Rachel, Ralph, Nicholas, Sara, Sally, Heathcote, Peter and Dunn, Jeff. 2019. A psychosocial care model for men with prostate cancer. Sydney, Australia. Prostate Cancer Foundation of Australia.
Geographic variations in stage at diagnosis and survival for colorectal cancer in Australia: a systematic review
Crawford-Williams, Fiona, March, Sonja, Goodwin, Belinda C., Ireland, Michael J., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2019. "Geographic variations in stage at diagnosis and survival for colorectal cancer in Australia: a systematic review." European Journal of Cancer Care. 28 (3), pp. 1-16. https://doi.org/10.1111/ecc.13072
Ten-year quality of life outcomes in men with prostate cancer
Ralph, Nicholas, Ng, Shu Kay, Zajdlewicz, Leah, Lepore, Stephen J., Heathcote, Peter, Kneebone, Andrew, Dunn, Jeffrey C. and Chambers, Suzanne K.. 2020. "Ten-year quality of life outcomes in men with prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 29 (2), pp. 444-449. https://doi.org/10.1002/pon.5255
The role of masculinities in psychological and emotional help seeking by men with prostate cancer
Goodwin, Belinda C., Ralph, Nicholas, Ireland, Michael J., Hyde, Melissa K., Oliffe, John L., Dunn, Jeff and Chambers, Suzanne. 2020. "The role of masculinities in psychological and emotional help seeking by men with prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 29 (2), pp. 356-363. https://doi.org/10.1002/pon.5264
Strategies for increasing participation in mail-out colorectal cancer screening programs: a systematic review and meta-analysis
Goodwin, Belinda C., Ireland, Michael J., March, Sonja, Myers, Larry, Crawford-Williams, Fiona, Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2019. "Strategies for increasing participation in mail-out colorectal cancer screening programs: a systematic review and meta-analysis." Systematic Reviews. 8 (1), pp. 1-11. https://doi.org/10.1186/s13643-019-1170-x
Evaluation of the efficacy of 3D total-body photography with sequential digital dermoscopy in a high-risk melanoma cohort: Protocol for a randomised controlled trial
Primiero, Claire Amy, McInerney-Leo, Aideen M., Betz-Stablein, Brigid, Whiteman, David C., Gordon, Louisa, Caffery, Liam, Aitken, Joanne F., Eakin, Elizabeth, Osborne, Sonya, Gray, Len, Smithers, B. Mark, Janda, Monika, Soyer, H. Peter, Finnane, Anna, Primiero C.A., McInerney-Leo A.M., Betz-Stablein B., Whiteman D.C., Gordon L., ..., Finnane A.. 2019. "Evaluation of the efficacy of 3D total-body photography with sequential digital dermoscopy in a high-risk melanoma cohort: Protocol for a randomised controlled trial." BMJ Open. 9 (11). https://doi.org/10.1136/bmjopen-2019-032969
Ways to use interventions to increase participation in mail-out bowel cancer screening: a systematic review and meta-analysis
Myers, Larry, Goodwin, Belinda, March, Sonja and Dunn, Jeff. 2019. "Ways to use interventions to increase participation in mail-out bowel cancer screening: a systematic review and meta-analysis." Translational Behavioral Medicine. 10 (2), pp. 384-393. https://doi.org/10.1093/tbm/ibz081
Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 - 2014: an incidence-based approach in terms of trends, determinants and inequality
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2019. "Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 - 2014: an incidence-based approach in terms of trends, determinants and inequality." BMJ Open. 9 (12), pp. 1-19. https://doi.org/10.1136/bmjopen-2019-031874
Correction: Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 – 2014: an incidence-based approach in terms of trends, determinants and inequality
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2020. "Correction: Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 – 2014: an incidence-based approach in terms of trends, determinants and inequality ." BMJ Open. 10 (1). https://doi.org/10.1136/bmjopen-2019-031874corr1
The cost-effectiveness of controlling cervical cancer using a new 9-valent human papillomavirus vaccine among school-aged girls in Australia
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2019. "The cost-effectiveness of controlling cervical cancer using a new 9-valent human papillomavirus vaccine among school-aged girls in Australia." PLoS One. 14 (10), pp. 1-18. https://doi.org/10.1371/journal.pone.0223658
Geographic variation in compliance With FOBT colorectal cancer screening programs: the role of attitudes toward health and help seeking
Goodwin, Belinda C., March, Sonja, Ireland, Michael, Crawford-Williams, Fiona, Manski, Donna, Ford, Martelle and Dunn, Jeff. 2019. "Geographic variation in compliance With FOBT colorectal cancer screening programs: the role of attitudes toward health and help seeking." Rural and Remote Health. 19 (3), pp. 1-10. https://doi.org/10.22605/RRH4957
Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer
Chambers, Suzanne K., Occhipinti, Stefano, Stiller, Anna, Zajdlewicz, Leah, Nielsen, Lisa, Wittman, Daniela, Oliffe, John L., Ralph, Nicholas and Dunn, Jeff. 2019. "Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 28 (4), pp. 775-783. https://doi.org/10.1002/pon.5019
'I’m not doing that.' An in-depth examination of nonparticipation in mail-out bowel cancer screening programs
Goodwin, Belinda C., March, Sonja, Crawford-Williams, Fiona, Chambers, Suzanne K. and Dunn, Jeff. 2020. "'I’m not doing that.' An in-depth examination of nonparticipation in mail-out bowel cancer screening programs." Translational Behavioral Medicine. 10 (6), pp. 1515-1524. https://doi.org/10.1093/tbm/ibz096
Geographical variations in prostate cancer outcomes: a systematic review of international evidence
Dasgupta, Paramita, Baade, Peter, Aitken, Joanne, Ralph, Nicholas, Chambers, Suzanne Kathleen and Dunn, Jeff. 2019. "Geographical variations in prostate cancer outcomes: a systematic review of international evidence." Frontiers in Oncology. 9 (238), pp. 1-35. https://doi.org/10.3389/fonc.2019.00238
A novel framework for distress detection through an automated speech processing system
Rana, Rajib, Gururajan, Raj, Mackenzie, Geraldine, Dunn, Jeff, Gray, Anthony, Zhou, Xujuan, Barua, Prabal Datta, Epps, Julien and Humphris, Gerald Michael. 2018. "A novel framework for distress detection through an automated speech processing system." 2018 IEEE/WIC/ACM International Conference on Web Intelligence (WI 2018). Santiago, Chile 03 - 06 Dec 2018 Los Alamitos, CA, United States. https://doi.org/10.1109/WI.2018.00-29
Automated screening for distress: A perspective for the future
Rana, Rajib, Latif, Siddique, Gururajan, Raj, Gray, Anthony, Mackenzie, Geraldine, Humphris, Gerald and Dunn, Jeff. 2019. "Automated screening for distress: A perspective for the future." European Journal of Cancer Care. 28 (4). https://doi.org/10.1111/ecc.13033
Nurse-led supportive care intervention for men with advanced prostate cancer
Ralph, Nicholas, Chambers, Suzanne, Pomery, Amanda, Oliffe, John and Dunn, Jeff. 2019. "Nurse-led supportive care intervention for men with advanced prostate cancer." Oncology Nursing Forum. 46 (1), pp. 92-103. https://doi.org/10.1188/19.ONF.92-103
Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage
Goodwin, Belinda C., March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Ng, Shu-Kay, Baade, Peter D., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00372
Health literacy and the health status of men with prostate cancer
Goodwin, Belinda C., March, Sonja, Zajdlewicz, Leah, Osborne, Richard H., Dunn, Jeff and Chambers, Suzanne K.. 2018. "Health literacy and the health status of men with prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 27 (10), pp. 2374-2381. https://doi.org/10.1002/pon.4834
Interventions for prostate cancer survivorship: a systematic review of reviews
Crawford-Williams, Fiona, March, Sonja, Goodwin, Belinda C., Ralph, Nicholas, Galvao, Daniel A., Newton, Robert U., Chambers, Suzanne K. and Dunn, Jeff. 2018. "Interventions for prostate cancer survivorship: a systematic review of reviews." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 27 (10), pp. 2339-2348. https://doi.org/10.1002/pon.4888
Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review
Crawford-Williams, Fiona, March, Sonja, Ireland, Michael J., Rowe, Arlen, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00116
Cancer care in regional Australia from the health professional's perspective
Crawford-Williams, Fiona, Goodwin, Belinda, March, Sonja, Ireland, Michael J., Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Cancer care in regional Australia from the health professional's perspective." Supportive Care in Cancer. 26 (10), pp. 3507-3515. https://doi.org/10.1007/s00520-018-4218-x
Needy or resilient? how women with breast cancer think about peer support
Legg, Melissa, Occhipinti, Stefano, Youl, Philippa, Dunn, Jeff and Chambers, Suzanne K.. 2017. "Needy or resilient? how women with breast cancer think about peer support." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 26 (12), pp. 2307-2310. https://doi.org/10.1002/pon.4401
Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis
Sun, Jiandong, March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis." Australian and New Zealand Journal of Public Health. 42 (1), pp. 92-97. https://doi.org/10.1111/1753-6405.12722
A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia
Ireland, Michael J., March, Sonja, Crawford-Williams, Fiona, Cassimatis, Mandy, Aitken, Joanne F., Hyde, Melissa K., Chambers, Suzanne K., Sun, Jiandong and Dunn, Jeff. 2017. "A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia." BMC Cancer. 17 (1). https://doi.org/10.1186/s12885-017-3067-1
Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial
Chambers, Suzanne K, Ritterband, Lee M, Thorndike, Frances, Nielsen, Lisa, Aitken, Joanne F, Clutton, Samantha, Scuffham, Paul A, Youl, Philippa, Moreton, Bronwyn, Baade, Peter D and Dunn Jeff. 2018. "Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial." Journal of Medical Internet Research. 20 (1). https://doi.org/10.2196/jmir.8850
Community knowledge of law at the end of life: Availability and accessibility of web-based resources
White, Ben, Willmott, Lindy, Tilse, Cheryl, Wilson, Jill, Lawson, Deborah, Pearce, Angela, Dunn Jeffrey, Aitken, Joanne F., Feeney, Rachel and Jowett, Stephanie. 2018. "Community knowledge of law at the end of life: Availability and accessibility of web-based resources." Australian Health Review. 42 (3), pp. 266-271. https://doi.org/10.1071/AH16234
2012 President’s Plenary International Psycho-oncology Society: future directions in psycho-oncology
Breitbart, W., Bultz, B. D., Dunn, J., Grassi, L. and Watson, M.. 2013. "2012 President’s Plenary International Psycho-oncology Society: future directions in psycho-oncology ." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 22 (7), pp. 1439-1443. https://doi.org/10.1002/pon.3332
When peer support may be most beneficial: the relationship between upward comparison and perceived threat
Legg, Melissa, Occhipinti, S., Ferguson, M., Dunn, J. and Chambers, S. K.. 2011. "When peer support may be most beneficial: the relationship between upward comparison and perceived threat." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 20 (12), pp. 1358-1362. https://doi.org/10.1002/pon.1862
Survivor identity after colorectal cancer: Antecedents, prevalence and outcomes
Chambers, Suzanne K., Baade, Peter, Meng, Xingqiong, Youl, Pip, Aitken, Joanne and Dunn, Jeff. 2012. "Survivor identity after colorectal cancer: Antecedents, prevalence and outcomes." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 21 (9), pp. 962-969. https://doi.org/10.1002/pon.1991
ProsCan for couples: a feasibility study for evaluating peer support within a controlled research design
Chambers, Suzanne K., Schover, Leslie, Halford, Kim, Ferguson, Megan, Gardiner, R. A., Occhipinti, Stefano and Dunn, Jeff. 2011. "ProsCan for couples: a feasibility study for evaluating peer support within a controlled research design." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 22 (2), pp. 475-479. https://doi.org/10.1002/pon.2110
Trajectories of psychological distress after colorectal cancer
Dunn, Jeff, Ng, Shu Kay, Holland, Jimmie, Aitken, Joanne, Youl, Pip, Baade, Peter D. and Chambers, Suzanne K.. 2013. "Trajectories of psychological distress after colorectal cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 22 (8), pp. 1759-1765. https://doi.org/10.1002/pon.3210
A randomized trial comparing two low-intensity psychological interventions for distressed patients with cancer and their caregivers
Chambers, Suzanne Kathleen, Girgis, Araf, Occhipinti, Stefano, Hutchison, Sandy, Turner, Jane, McDowell, Michelle, Mihalopoulos, Cathrine, Carter, Robert and Dunn, Jeffrey Charles. 2014. "A randomized trial comparing two low-intensity psychological interventions for distressed patients with cancer and their caregivers." Oncology Nursing Forum. 41 (4), pp. E256-E266. https://doi.org/10.1188/14.ONF.E256-E266
The validity of the distress thermometer in prostate cancer populations
Chambers, Suzanne K., Zajdlewicz, Leah, Youlden, Danny R., Holland, Jimmie C. and Dunn, Jeff. 2014. "The validity of the distress thermometer in prostate cancer populations." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 23 (2), pp. 195-203. https://doi.org/10.1002/pon.3391
A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners
Chambers, Suzanne K., Occhipinti, Stefano, Schover, Leslie, Nielsen, Lisa, Zajdlewicz, Leah, Clutton, Samantha, Halford, Kim, Gardiner, Robert A. and Dunn, Jeff. 2015. "A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (7), pp. 748-756. https://doi.org/10.1002/pon.3726
Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints
Chambers, Suzanne K., Baade, Peter, Youl, Philippa, Aitken, Joanne, Occhipinti, Stefano, Vinod, Shalini, Valery, Patricia C., Garvey, Gail, Fong, Kwun M., Ball, David, Zorbas, Helen, Dunn, Jeff and O'Connell, Dianne L.. 2015. "Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (11), pp. 1569-1577. https://doi.org/10.1002/pon.3829
Economic evaluation of a psychological intervention for high distress cancer patients and carers: costs and quality-adjusted life years
Chatterton, Mary Lou, Chambers, Suzanne, Occhipinti, Stefano, Girgis, Afaf, Dunn, Jeffrey, Carter, Rob, Shih, Sophy and Mihalopoulos, Cathrine. 2016. "Economic evaluation of a psychological intervention for high distress cancer patients and carers: costs and quality-adjusted life years." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 25 (7), pp. 857-864. https://doi.org/10.1002/pon.4020
Systematic review of psychosocial outcomes for patients with advanced melanoma
Dunn, Jeff, Watson, Maggie, Aitken, Joanne F. and Hyde, Melissa K.. 2017. "Systematic review of psychosocial outcomes for patients with advanced melanoma." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 26 (11), pp. 1722-1731. https://doi.org/10.1002/pon.4290
Psycho-oncology and primary prevention in cancer control plans: an absent voice?
Dunn, Jeff, Holland, Jimmie, Hyde, Melissa K. and Watson, Maggie. 2015. "Psycho-oncology and primary prevention in cancer control plans: an absent voice?" Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (10), pp. 1338-1345. https://doi.org/10.1002/pon.3917
The IPOS new international standard of quality cancer care: integrating the psychosocial domain into routine care
Holland, Jimmie, Watson, Maggie and Dunn, Jeff. 2011. "The IPOS new international standard of quality cancer care: integrating the psychosocial domain into routine care." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 20 (7), pp. 677-680. https://doi.org/10.1002/pon.1978
Reinforcing the role of psycho-social oncology in global cancer prevention: applying psycho-oncology research in programmes and practice
Dunn, Jeff, Adams, Cary, Holland, Jimmie and Watson, Maggie. 2015. "Reinforcing the role of psycho-social oncology in global cancer prevention: applying psycho-oncology research in programmes and practice." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (10), pp. 1217-1221. https://doi.org/10.1002/pon.3923
Psycho-oncology and advocacy in cancer care: an international perspective
Travado, Luzia, Geissler, Jan, Thiboldeaux, Kim, Dunn, Jeff, Kaur, Ranjit and Merriman, Anne. 2012. "Psycho-oncology and advocacy in cancer care: an international perspective." Grassi, Luigi and Riba, Michelle (ed.) Clinical psycho-oncology: an international perspective. United Kingdom. John Wiley & Sons. pp. 297-310
Barriers to lung cancer care: health professionals’ perspectives
Dunn, J., Garvey, G., Valery, P. C., Ball, D., Fong, K. M., Vinod, S., O’Connell, D. L. and Chambers, S. K.. 2017. "Barriers to lung cancer care: health professionals’ perspectives." Supportive Care in Cancer. 25 (2), pp. 497-504. https://doi.org/10.1007/s00520-016-3428-3
Geographic disparities in prostate cancer outcomes - review of international patterns
Baade, Peter D., Yu, Xue Qin, Smith, David P., Dunn, Jeff and Chambers, Suzanne K.. 2015. "Geographic disparities in prostate cancer outcomes - review of international patterns." Asian Pacific Journal of Cancer Prevention (APJCP). 16 (3), pp. 1259-1275. https://doi.org/10.7314/APJCP.2015.16.3.1259
Global controversies and advances in skin cancer
Baldwin, Louise and Dunn, Jeff. 2013. "Global controversies and advances in skin cancer." Asian Pacific Journal of Cancer Prevention (APJCP). 14 (4), pp. 2153-2155. https://doi.org/10.7314/APJCP.2013.14.4.2155
I nuovi standard internazionali IPOS della qualità delle cure oncologiche: integrare l’ambito psicosociale nelle cure di routine
Holland, Jimmie, Watson, Maggie and Dunn, Jeff. 2015. "I nuovi standard internazionali IPOS della qualità delle cure oncologiche: integrare l’ambito psicosociale nelle cure di routine." Salute e Societa.
The impact of rurality and disadvantage on the diagnostic interval for breast cancer in a large population-based study of 3202 women in Queensland, Australia
Youl, Philippa H., Aitken, Joanne F., Turrell, Gavin, Chambers, Suzanne K., Dunn, Jeffrey, Pyke, Christopher and Baade, Peter D.. 2016. "The impact of rurality and disadvantage on the diagnostic interval for breast cancer in a large population-based study of 3202 women in Queensland, Australia." International Journal of Environmental Research and Public Health. 13 (11). https://doi.org/10.3390/ijerph13111156
Survivor identity and post-traumatic growth after participating in challenge-based peer-support programmes
Morris, Bronwyn A., Campbell, Meredith, Dwyer, Megan, Dunn, Jeffrey and Chambers, Suzanne K.. 2011. "Survivor identity and post-traumatic growth after participating in challenge-based peer-support programmes." British Journal of Health Psychology. 16 (3), pp. 660-674. https://doi.org/10.1348/2044-8287.002004
Psychological distress and unmet supportive care needs in cancer patients and carers who contact cancer helplines
Chambers, S. K., Girgis, A., Occhipinti, S., Hutchison, S., Turner, J., Morris, B. and Dunn, J.. 2012. "Psychological distress and unmet supportive care needs in cancer patients and carers who contact cancer helplines." European Journal of Cancer Care. 21 (2), pp. 213-223. https://doi.org/10.1111/j.1365-2354.2011.01288.x
A systematic review of psycho-oncology research in Chinese populations: emerging trends
Chambers, S. K., Hyde, M. K., Au, A. M. L., Ip, D., Shum, D. and Dunn, J.. 2013. "A systematic review of psycho-oncology research in Chinese populations: emerging trends." European Journal of Cancer Care. 22 (6), pp. 824-831. https://doi.org/10.1111/ecc.12087
Advancing prostate cancer survivorship research in Australia
Chambers, Suzanne K., Scuffham, Paul A., Baade, Peter D., Lowe, Anthony P., Dunn, Jeff, Galvao, Daniel A., Gordon, Louisa, Smith, David P., Sandoe, David F., Wootten, Addie C., Spry, Nigel A., Gardiner, Robert A., Davis, Ian D. and Newton, Robert U.. 2015. "Advancing prostate cancer survivorship research in Australia." Cancer Forum. 39 (3), pp. 204-209.
A systematic review of the impact of stigma and nihilism on lung cancer outcomes
Chambers, Suzanne K., Dunn, Jeffrey, Occhipinti, Stefano, Hughes, Suzanne, Baade, Peter, Sinclair, Sue, Aitken, Joanne, Youl, Pip and O'Connell, Dianne L.. 2012. "A systematic review of the impact of stigma and nihilism on lung cancer outcomes." BMC Cancer. 12 (184). https://doi.org/10.1186/1471-2407-12-184
Couple distress after localised prostate cancer
Chambers, Suzanne K., Schover, Leslie, Nielsen, Lisa, Halford, Kim, Clutton, Samantha, Gardiner, Robert A., Dunn, Jeff and Occhipinti, Stefano. 2013. "Couple distress after localised prostate cancer." Supportive Care in Cancer. 21 (11), pp. 2967-2976. https://doi.org/10.1007/s00520-013-1868-6
Sleep disturbance in cancer patients and caregivers who contact telephone-based help services
Morris, Bronwyn A., Thorndike, Frances P., Ritterband, Lee M., Glozier, Nick, Dunn, Jeff and Chambers, Suzanne K.. 2015. "Sleep disturbance in cancer patients and caregivers who contact telephone-based help services." Supportive Care in Cancer. 23 (4), pp. 1113-1120. https://doi.org/10.1007/s00520-014-2458-y
Satisfaction, organizational commitment and future action in charity sport event volunteers
Hyde, Melissa K., Dunn, Jeff, Wust, Natalie, Bax, Caitlin and Chambers, Suzanne K.. 2016. "Satisfaction, organizational commitment and future action in charity sport event volunteers." International Journal of Nonprofit and Voluntary Sector Marketing. 21 (3), pp. 148-167. https://doi.org/10.1002/nvsm.1552
Benefit finding after cancer: the role of optimism, intrusive thinking and social environment
Dunn, Jeff, Occhipinti, Stefano, Campbell, Alistair, Ferguson, Megan and Chambers, Suzanne K.. 2011. "Benefit finding after cancer: the role of optimism, intrusive thinking and social environment." Journal of Health Psychology. 16 (1), pp. 169-177. https://doi.org/10.1177/1359105310371555
The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia
Baade, Peter D., Meng, Xingqiong, Youl, Philippa H., Aitken, Joanne F., Dunn, Jeff and Chambers, Suzanne K.. 2011. "The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia." Cancer Epidemiology, Biomarkers and Prevention. 20 (7), pp. 1410-1420. https://doi.org/10.1158/1055-9965.EPI-11-0079
A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer
Youl, Philippa H., Baade, Peter D., Aitken, Joanne F., Chambers, Suzanne K., Turrell, Gavin, Pyke, Christopher and Dunn, Jeffrey. 2011. "A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer." BMC Cancer. 11. https://doi.org/10.1186/1471-2407-11-415
Motorcycles and breast cancer: the influence of peer support and challenge on distress and posttraumatic growth
Morris, B. A., Chambers, S. K., Campbell, M., Dwyer, M. and Dunn, J.. 2012. "Motorcycles and breast cancer: the influence of peer support and challenge on distress and posttraumatic growth." Supportive Care in Cancer. 20 (8), pp. 1849-1858. https://doi.org/10.1007/s00520-011-1287-5
Engaging NGOs in national cancer-control efforts
Dunn, Jeff, Herron, Lisa, Adams, Cary and Chambers, Suzanne. 2013. "Engaging NGOs in national cancer-control efforts." The Lancet Oncology. 14 (11), pp. 1044-1046. https://doi.org/10.1016/S1470-2045(13)70390-5
Defining young in the context of prostate cancer
Chambers, Suzanne K., Lowe, Anthony, Hyde, Melissa K., Zajdlewicz, Leah, Gardiner, Robert A., Sandoe, David and Dunn, Jeff. 2015. "Defining young in the context of prostate cancer." American Journal of Men's Health. 9 (2), pp. 103-114. https://doi.org/10.1177/1557988314529991
Integrating psychosocial care into neuro-oncology: challenges and strategies
Chambers, Suzanne K., Grassi, Luigi, Hyde, Melissa K., Holland, Jimmie and Dunn, Jeff. 2015. "Integrating psychosocial care into neuro-oncology: challenges and strategies." Frontiers in Oncology. 5 (February). https://doi.org/10.3389/fonc.2015.00041
Systematic review of motives for episodic volunteering
Dunn, Jeff, Chambers, Suzanne K. and Hyde, Melissa K.. 2016. "Systematic review of motives for episodic volunteering." Voluntas: International Journal of Voluntary and Nonprofit Organizations. 27 (1), pp. 425-464. https://doi.org/10.1007/s11266-015-9548-4
Medical help-seeking for sexual concerns in prostate cancer survivors
Hyde, Melissa K., Zajdlewicz, Leah, Wootten, Addie C., Nelson, Christian J., Lowe, Anthony, Dunn, Jeff and Chambers, Suzanne K.. 2016. "Medical help-seeking for sexual concerns in prostate cancer survivors." Sexual Medicine. 4 (1), pp. e7-e17. https://doi.org/10.1016/j.esxm.2015.12.004
Episodic volunteering and retention: an integrated theoretical approach
Hyde, Melissa K., Dunn, Jeff, Bax, Caitlin and Chambers, Suzanne K.. 2016. "Episodic volunteering and retention: an integrated theoretical approach." Nonprofit and Voluntary Sector Quarterly. 45 (1), pp. 45-63. https://doi.org/10.1177/0899764014558934
Adopting a survivor identity after cancer in a peer support context
Morris, Bronwyn A., Lepore, Stephen J., Wilson, Bridget, Lieberman, Morton A., Dunn, Jeff and Chambers, Suzanne K.. 2014. "Adopting a survivor identity after cancer in a peer support context." Journal of Cancer Survivorship. 8 (3), pp. 427-436. https://doi.org/10.1007/s11764-014-0355-5
The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial
Devin, James L., Sax, Andrew T., Hughes, Gareth I., Jenkins, David G., Aitken, Joanne F., Chambers, Suzanne K., Dunn, Jeffrey C., Bolam, Kate A. and Skinner, Tina L.. 2016. "The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial." Journal of Cancer Survivorship. 10 (3), pp. 467-479. https://doi.org/10.1007/s11764-015-0490-7
A five-year prospective study of quality of life after colorectal cancer
Chambers, Suzanne K., Meng, Xingqiong, Youl, Pip, Aitken, Joanne, Dunn, Jeff and Baade, Peter. 2012. "A five-year prospective study of quality of life after colorectal cancer." Quality of Life Research. 21 (9), pp. 1551-1564. https://doi.org/10.1007/s11136-011-0067-5
Systematic review of research into the psychological aspects of prostate cancer in Asia: what do we know?
Chambers, Suzanne Kathleen, Hyde, Melissa Karen, Ip, David Fu-Keung, Dunn, Jeffrey Charles and Gardiner, Robert Alexander. 2013. "Systematic review of research into the psychological aspects of prostate cancer in Asia: what do we know?" Asian Pacific Journal of Cancer Prevention (APJCP). 14 (4), pp. 2621-2626. https://doi.org/10.7314/APJCP.2013.14.4.2621
Measuring masculinity in the context of chronic disease
Chambers, Suzanne K., Hyde, Melissa K., Oliffe, John L., Zajdlewicz, Leah, Lowe, Anthony, Wootten, Addie C. and Dunn, Jeff. 2016. "Measuring masculinity in the context of chronic disease." Psychology of Men and Masculinity. 17 (3), pp. 228-242. https://doi.org/10.1037/men0000018
Psycho-oncology assessment in Chinese populations: a systematic review of quality of life and psychosocial measures
Hyde, M. K., Chambers, S. K., Shum, D., Ip, D. and Dunn, J.. 2016. "Psycho-oncology assessment in Chinese populations: a systematic review of quality of life and psychosocial measures." European Journal of Cancer Care. 25 (5), pp. 691-718. https://doi.org/10.1111/ecc.12367
'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy
Wall, Laurelie R., Cartmill, Bena, Ward, Elizabeth C., Hill, Anne J., Isenring, Elizabeth, Byrnes, Joshua, Chambers, Suzanne, Dunn, Jeff, Nixon, Jodie, Whelan, Jane and Porceddu, Sandro V.. 2016. "'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy." Oral Oncology. 54, pp. 47-53. https://doi.org/10.1016/j.oraloncology.2016.01.004
The multi-disciplinary art and science of cancer care: integrating psycho-oncology
Watson, Maggie and Dunn, Jeffrey. 2016. "The multi-disciplinary art and science of cancer care: integrating psycho-oncology." Future Oncology. 12 (24), pp. 2775-2778. https://doi.org/10.2217/fon-2016-0374
Psychological wellness and health-related stigma: a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer
Chambers, S. K., Morris, B. A., Clutton, S., Foley, E., Giles, L., Schofield, P., O'Connell, D. and Dunn, J.. 2015. "Psychological wellness and health-related stigma: a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer." European Journal of Cancer Care. 24 (1), pp. 60-70. https://doi.org/10.1111/ecc.12221
Epidemiology of prostate cancer in the Asia-Pacific region
Baade, Peter D., Youlden, Danny R., Cramb, Susanna M., Dunn, Jeff and Gardiner, Robert A.. 2013. "Epidemiology of prostate cancer in the Asia-Pacific region." Prostate International. 1 (2), pp. 47-58. https://doi.org/10.12954/PI.12014
Review of the history and development in the field of psychosocial oncology
Watson, Maggie, Dunn, Jeff and Holland, Jimmie C.. 2014. "Review of the history and development in the field of psychosocial oncology." International Review of Psychiatry. 26 (1), pp. 128-135. https://doi.org/10.3109/09540261.2013.849230
A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors
Occhipinti, Stefano, Chambers, Suzanne K., Lepore, Stephen, Aitken, Joanne and Dunn, Jeff. 2015. "A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors." PLoS One. 10 (9). https://doi.org/10.1371/journal.pone.0139119
New Challenges in Psycho-Oncology Research III: A systematic review of psychological interventions for prostate cancer survivors and their partners: clinical and research implications
Chambers, Suzanne K., Hyde, Melissa K., Smith, David P., Hughes, Suzanne, Yuill, Susan, Egger, Sam, O'Connell, Dianne L., Stein, Kevin, Frydenberg, Mark, Wittert, Gary and Dunn, Jeff. 2017. "New Challenges in Psycho-Oncology Research III: A systematic review of psychological interventions for prostate cancer survivors and their partners: clinical and research implications." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 26 (7), pp. 873-913. https://doi.org/10.1002/pon.4431
Location of residence and breast cancer stage: a SEER population-based analysis
Brandon, Lindsay, Youl, Pip, Baade, Peter, Whiteside, Eliza and Kimlin, Michael. 2015. "Location of residence and breast cancer stage: a SEER population-based analysis." The Breast Journal. 21 (6), pp. 693-695. https://doi.org/10.1111/tbj.12499
A biomimicry approach to automating visual road surveys
Ng, S. K., Carter, S. J. B. and Bullen, Frank. 2006. "A biomimicry approach to automating visual road surveys." 22nd ARRB Conference: Research Into Practice. Canberra, Australia 29 Oct - 02 Nov 2006 Canberra, Australia.
Lifetime ultraviolet exposure estimates for selected population groups in south east Queensland
Parisi, A. V., Meldrum, L. R., Wong, J. C. F., Aitken, J. and Fleming, R. A.. 1999. "Lifetime ultraviolet exposure estimates for selected population groups in south east Queensland." Physics in Medicine and Biology. 44 (12), pp. 2947-2953. https://doi.org/10.1088/0031-9155/44/12/307
Effect of childhood and adolescent ultraviolet exposures on cumulative exposure in south east Queensland schools
Parisi, A. V., Meldrum, L. R., Wong, J. C. F., Aitken, J. and Fleming, R. A.. 2000. "Effect of childhood and adolescent ultraviolet exposures on cumulative exposure in south east Queensland schools." Photodermatology, Photoimmunology and Photomedicine. 16 (1), pp. 19-24. https://doi.org/10.1034/j.1600-0781.2000.160106.x
Evaluation of differences in ultraviolet exposure during weekend and weekday activities
Parisi, A. V., Meldrum, L. R., Kimlin, M. G., Wong, J. C. F., Aitken, J. and Mainstone, J. S.. 2000. "Evaluation of differences in ultraviolet exposure during weekend and weekday activities." Physics in Medicine and Biology. 45 (8), pp. 2253-2262. https://doi.org/10.1088/0031-9155/45/8/314