Tools to measure HIV knowledge, attitudes & practices (KAPs) in healthcare providers: a systematic review

Article

Kaladharan, Siddharth, Daken, Kirstie, Mullens, Amy B. and Durham, Jo. 2021. "Tools to measure HIV knowledge, attitudes & practices (KAPs) in healthcare providers: a systematic review." AIDS Care: psychological and socio-medical aspects of AIDS-HIV. 33 (11), pp. 1500-1506. https://doi.org/10.1080/09540121.2020.1822502
Article Title

Tools to measure HIV knowledge, attitudes & practices (KAPs) in healthcare providers: a systematic review

ERA Journal ID6072
Article CategoryArticle
AuthorsKaladharan, Siddharth (Author), Daken, Kirstie (Author), Mullens, Amy B. (Author) and Durham, Jo (Author)
Journal TitleAIDS Care: psychological and socio-medical aspects of AIDS-HIV
Journal Citation33 (11), pp. 1500-1506
Number of Pages7
Year2021
PublisherTaylor & Francis
Place of PublicationUnited Kingdom
ISSN0954-0121
1360-0451
Digital Object Identifier (DOI)https://doi.org/10.1080/09540121.2020.1822502
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/09540121.2020.1822502
Abstract

Healthcare providers’ knowledge, attitudes and practices (KAPs) related to HIV are important determinants of quality of care provided to HIV/AIDS patients. Most studies have focussed on low- and middle-income countries (LMIC) with far fewer conducted within high-income countries, where the epidemiology of HIV is typically distinct from low- and middle-income countries. As part of a larger study, we wanted to measure HIV-KAPs in healthcare providers in Australia. A systematic search was conducted to identify and evaluate existing tools designed to measure HIV-related KAPs among healthcare providers in higher-income countries. In total, eight instruments were identified. The instruments drew upon adapted forms of existing HIV-related KAPs and stigma theories and were developed based on a range of methodological designs and for different cadre of healthcare workers. The extent to which psychometric properties for each tool were evaluated varied widely. Further research with more robust methodological and psychometric rigour is required for adequate measurement of KAP among health professionals specific to HIV, so associated training needs, patient experiences and health outcomes can potentially be enhanced.

KeywordsHIV stigma, measures, healthcare professionals, Australia, high-income countries
ANZSRC Field of Research 2020420603. Health promotion
420605. Preventative health care
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Byline AffiliationsUniversity of Queensland
School of Psychology and Counselling
Queensland University of Technology
Institution of OriginUniversity of Southern Queensland
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Estimating the frequency and cost of emergency department presentations and hospitalisation of chronic obstructive pulmonary disease patients: a retrospective analysis from regional Queensland
Rana, Rezwanul, Gow, Jeff, Moloney, Clint, King, Alex, Keijzers, Gerben, Beccaria, Gavin and Mullens, Amy. 2021. "Estimating the frequency and cost of emergency department presentations and hospitalisation of chronic obstructive pulmonary disease patients: a retrospective analysis from regional Queensland." Emergency Medicine Australasia. 33 (3), pp. 491-498. https://doi.org/10.1111/1742-6723.13665
'We don’t recognize transsexuals … and we’re not going to treat you': cruel and unusual and the lived experiences of transgender women in US prisons
Phillips, Tania, Bromdal, Annette, Mullens, Amy, Gildersleeve, Jessica and Gow, Jeff. 2020. "'We don’t recognize transsexuals … and we’re not going to treat you': cruel and unusual and the lived experiences of transgender women in US prisons." Harmes, Marcus, Harmes, Meredith and Harmes, Barbara (ed.) The Palgrave handbook of incarceration in popular culture. Switzerland. Palgrave Macmillan. pp. 331-360
Domains of reinforcement associated with greater alcohol use among gay, bisexual and men who have sex with men (GBMSM) within ‘Chemsex’ contexts in Queensland
Fein, Erich, Mullens, Amy, Ray, Madeleine, Daken, Kirstie, Garvey, Shane, Muscolino, Robert and Young, Ross. 2019. "Domains of reinforcement associated with greater alcohol use among gay, bisexual and men who have sex with men (GBMSM) within ‘Chemsex’ contexts in Queensland." 2019 Australasian Professional Society on Alcohol and Other Drugs Conference (APSAD 2019). Hobart, Australia 10 - 13 Nov 2019 Sydney, Australia.
Substance use at sex on premises venues among GBMSM (gay, bisexual and other men who have sex with men)
Daken, Kirstie, Mullens, Amy B., Lemoire, Jime, Brownlow, Charlotte, Howard, Chris and Coffey, Luke. 2019. "Substance use at sex on premises venues among GBMSM (gay, bisexual and other men who have sex with men)." 2019 Australasian Professional Society on Alcohol and Other Drugs Conference (APSAD 2019). Hobart, Australia 10 - 13 Nov 2019 Sydney, Australia.
Reducing Avoidable Copd Emergency Room Presentations: An Integrated Cross-Health Service Utilisation Scoping Initiative In South Queensland
Moloney, C., Beccaria, G., Sneath, E., Mullens, A., Issac, H., King, A., Gow, J. and Phillips, T.. 2020. "Reducing Avoidable Copd Emergency Room Presentations: An Integrated Cross-Health Service Utilisation Scoping Initiative In South Queensland." The Thoracic Society of Australia & New Zealand and the Australian and New Zealand Society of Respiratory Science Annual Scientific Meeting for Leaders in Lung Health & Respiratory Science (TSANZSRS 2020). Melbourne, Australia 27 - 31 Mar 2020 Australia. https://doi.org/10.1111/resp.13778
Strengths of the Health Action Process Approach: a Structured Review
Fein, Erich C., Cassimatis, Mandy, Jakovickis, Dharmashakti and Mullens, Amy B.. 2019. "Strengths of the Health Action Process Approach: a Structured Review." 2019 Australian Psychological Society College of Health Psychologists Conference. Adelaide, Australia 25 - 27 Apr 2019 Melbourne, Australia.
Sailing for Resilience: a Pilot Evaluation of Nature Therapy Program for Stress and Anxiety
Fein, Erich C., Tyquin, Dana, Mullens, Amy, Goldwater, Aaron and Gilmour, John. 2019. "Sailing for Resilience: a Pilot Evaluation of Nature Therapy Program for Stress and Anxiety." 2019 Australian Psychological Society College of Health Psychologists Conference. Adelaide, Australia 25 - 27 Apr 2019 Melbourne, Australia.
Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame
Krishnamoorthy, Govind, Davis, Penelope, O'Donovan, Analise, McDermott, Brett and Mullens, Amy. 2021. "Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame." International Journal of Cognitive Therapy. 14 (2), pp. 263-288. https://doi.org/10.1007/s41811-020-00085-4
Effectiveness of Interventions for Hepatitis B and C: A Systematic Review of Vaccination, Screening, Health Promotion and Linkage to Care Within Higher Income Countries
Ortiz, Elizabeth, Scanlon, Brighid, Mullens, Amy and Durham, Jo. 2019. "Effectiveness of Interventions for Hepatitis B and C: A Systematic Review of Vaccination, Screening, Health Promotion and Linkage to Care Within Higher Income Countries." Journal of Community Health. 45, pp. 201 -218. https://doi.org/10.1007/s10900-019-00699-6
Stimulant expectancy questionnaire for men who have sex with men: a measure of substance‐related beliefs
Mullens, Amy B., Fein, Erich C., Young, Ross, Dunne, Michael P., Norton, Graham and Daken, Kirstie. 2020. "Stimulant expectancy questionnaire for men who have sex with men: a measure of substance‐related beliefs." Health Promotion Journal of Australia. 31 (2), pp. 309-319. https://doi.org/10.1002/hpja.271
Mentoring matters: findings from the APS College of Health Psychologists Survey
Mullens, Amy, Stapleton, Peta, Clarke, Allison and Strodl, Esben. 2019. "Mentoring matters: findings from the APS College of Health Psychologists Survey." In-Psych.
The OnTrack Diabetes Group Therapy Project: Feasibility Trial of a Web-based CBT Program with Conjunctive Group Therapy
Cassimatis, Mandy, Kavanagh, David, Kazantzis, Nikolaos and Mullens, Amy B.. 2019. "The OnTrack Diabetes Group Therapy Project: Feasibility Trial of a Web-based CBT Program with Conjunctive Group Therapy." International Society for Research on Internet Interventions - ISRII: The Next Generation (2019). Auckland, New Zealand 13 - 15 Feb 2019
HIV Point of Care Testing (PoCT) at late-night sex on premises venues (SOPV) for gay and bisexual men and other men who have sex with men (GBMSM): a mixed methods analysis
Mullens, Amy B., Daken, Kirstie, Lemoire, Jime, Brownlow, Charlotte, Driver, Glen and Gow, Jeff. 2020. "HIV Point of Care Testing (PoCT) at late-night sex on premises venues (SOPV) for gay and bisexual men and other men who have sex with men (GBMSM): a mixed methods analysis." AIDS and Behavior. 24 (2), pp. 450-466. https://doi.org/10.1007/s10461-019-02500-0
Whole-incarceration-setting approaches to supporting and upholding the rights and health of incarcerated transgender people
Bromdal, Annette, Clark, Kirsty A., Hughto, Jaclyn M. W., Debattista, Joseph, Phillips, Tania M., Mullens, Amy B., Gow, Jeff and Daken, Kirstie. 2019. "Whole-incarceration-setting approaches to supporting and upholding the rights and health of incarcerated transgender people." International Journal of Transgenderism. 20 (4), pp. 341-350. https://doi.org/10.1080/15532739.2019.1651684
Point-of-care testing (POCT) for HIV/STI targeting MSM in regional Australia at community ‘beat’ locations
Mullens, Amy, Duyker, Josh, Brownlow, Charlotte, Lemoire, Jime, Daken, Kirstie and Gow, Jeff. 2019. "Point-of-care testing (POCT) for HIV/STI targeting MSM in regional Australia at community ‘beat’ locations." BMC Health Services Research. 19 (93), pp. 1-10. https://doi.org/10.1186/s12913-019-3899-2
Recommendations and practices for holistic chronic obstructive pulmonary disease (COPD) assessment and optimal referral patterns in emergency department presentations: a scoping review protocol
Moloney, Clint, Beccaria, Gavin, Mullens, Amy, Issac, Hancy and Phillips, Tania. 2019. "Recommendations and practices for holistic chronic obstructive pulmonary disease (COPD) assessment and optimal referral patterns in emergency department presentations: a scoping review protocol ." BMJ Open. 9 (8), pp. 1-5. https://doi.org/10.1136/bmjopen-2019-030358
Substance-related expectancies mediate relationships between substance use (stimulants, alcohol) and condomless anal sex among men
Mullens, Amy, Fein, Erich, Ray, Madeleine and Young, Ross. 2018. "Substance-related expectancies mediate relationships between substance use (stimulants, alcohol) and condomless anal sex among men." International Journal of Behavioral Medicine. 25 (1 (Supplement)), p. S172.
Experiences of transgender prisoners and their knowledge, attitudes and practices regarding sexual behaviours and HIV/STIs: a systematic review
Mullens, Amy, Bromdal, Annette, Phillips, Tania and Gow, Jeff. 2018. "Experiences of transgender prisoners and their knowledge, attitudes and practices regarding sexual behaviours and HIV/STIs: a systematic review." International Journal of Behavioral Medicine. 25, p. S42.
The experience of psychological distress, symptoms of trauma, coping and post-traumatic growth in parents of children with congenital heart disease: a systematic review of the literature
Mullens, Amy and Brown, Jodie. 2018. "The experience of psychological distress, symptoms of trauma, coping and post-traumatic growth in parents of children with congenital heart disease: a systematic review of the literature." International Journal of Behavioral Medicine. 25 (1 (Supplement)), p. S14.
Experiences of transgender prisoners and their knowledge, attitudes, and practices regarding sexual behaviors and HIV/STIs: a systematic review
Bromdal, Annette, Mullens, Amy B., Phillips, Tania M. and Gow, Jeff. 2019. "Experiences of transgender prisoners and their knowledge, attitudes, and practices regarding sexual behaviors and HIV/STIs: a systematic review." International Journal of Transgenderism. 20 (1), pp. 4-20. https://doi.org/10.1080/15532739.2018.1538838
Characteristics Of Early Adopters Of Hiv Point Of Care Testing (Poct) At Late-Night Sex On Premises Venue (Sopv) Theme Parties
Mullens, Amy, Daken, Kirstie, Lemoire, Jime, Brownlow, Charlotte and Gow, Jeff. 2018. "Characteristics Of Early Adopters Of Hiv Point Of Care Testing (Poct) At Late-Night Sex On Premises Venue (Sopv) Theme Parties." 15th International Congress of Behavioral Medicine. Santiago, Chile 14 - 17 Nov 2018 United States. Springer.
Integrating theories of alcohol consumption: how do drinking motives influence self-efficacy?
Girdlestone, D., Fein, E. and Mullens, A.. 2017. "Integrating theories of alcohol consumption: how do drinking motives influence self-efficacy?" 38th National Conference of the Australian Association for Cognitive and Behaviour Therapy (AACBT 2017):Innovations in Cognitive and Behavioural Therapies across the Lifespan. Sydney, Australia 26 - 28 Oct 2017 Australia.
Exploring HIV risks, testing and prevention among sub-Saharan African community members in Australia
Mullens, Amy B., Kelly, Jennifer, Debattista, Joseph, Phillips, Tania M., Gu, Zhihong and Siggins, Fungisai. 2018. "Exploring HIV risks, testing and prevention among sub-Saharan African community members in Australia." International Journal for Equity in Health. 17. https://doi.org/10.1186/s12939-018-0772-6
HIV risks and prevention: themes from a community forum among African community members in Queensland
Mullens, Amy, Debattista, Joseph, Gu, Zhihong, Siggins, Fungisai, Phillips, Tania and Kelly, Jennifer. 2017. "HIV risks and prevention: themes from a community forum among African community members in Queensland." ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Novel HIV testing during health promotion outreach: a qualitative analysis of field notes by peer-testers
Mullens, Amy, Duyker, Josh, Lemoire, Jime and Brownlow, Charlotte. 2017. "Novel HIV testing during health promotion outreach: a qualitative analysis of field notes by peer-testers." ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Health behaviours and health literacy: Hepatitis B regarding Sub-Saharan African migrants living in Queensland
Majerovic, A., Mullens, A., Debattista, J., Fein, E., Gu, Z. and Siggins, F.. 2017. "Health behaviours and health literacy: Hepatitis B regarding Sub-Saharan African migrants living in Queensland." ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Mentoring: results from the Australian Psychological Society College of Health Psychologists professional mentoring survey
Stapleton, P., Clarke, A., Strodl, E. and Mullens, A.. 2017. "Mentoring: results from the Australian Psychological Society College of Health Psychologists professional mentoring survey." ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Integrating theories of alcohol consumption: how do drinking motives influence HAPA self-efficacy?
Girdlestone, Denise, Fein, Erich and Mullens, Amy. 2017. "Integrating theories of alcohol consumption: how do drinking motives influence HAPA self-efficacy?" ASBHM - CHP Conference 2017. Gold Coast, Australia 13 - 15 Jul 2017 Gold Coast, Australia.
Lived experiences among transgender and gender diverse offenders and their knowledge, attitudes and practices regarding sexual behaviours and HIV/STIs, and knowledge and attitudes among prison officers towards transgender and gender diverse prisoners, sexuality and HIV/STIs: protocol for a systematic review
Bromdal, Annette, Mullens, Amy, Phillips, Tania and Gow, Jeff. 2017. "Lived experiences among transgender and gender diverse offenders and their knowledge, attitudes and practices regarding sexual behaviours and HIV/STIs, and knowledge and attitudes among prison officers towards transgender and gender diverse prisoners, sexuality and HIV/STIs: protocol for a systematic review." PROSPERO: International Prospective Register of Systematic Reviews. 18 Sept 2017.
Metacognitions mediate HIV stigma and depression/anxiety in men who have sex with men living with HIV
Strodl, Esben, Stewart, Lauren, Mullens, Amy B. and Deb, Sibnath. 2015. "Metacognitions mediate HIV stigma and depression/anxiety in men who have sex with men living with HIV." Health Psychology Open. 2 (1), pp. 1-11. https://doi.org/10.1177/2055102915581562
Guidelines for Peer Supervision
Mullens, Amy. 2016. "Guidelines for Peer Supervision." Drug Arm Clinical Worker State-wide professional development forum (2016). Annerley, Australia
Substance use among LGQBTIQ
Mullens, Amy. 2016. "Substance use among LGQBTIQ." College of Community Services (Drug Arm, Healthy Options) LGBT Symposium (2016). Brisbane, Australia 11 Feb 2016
Queensland Chemsex Study
Ray, Madeleine, Garvey, Shane, Mullens, Amy and Fein, Erich. 2017. "Queensland Chemsex Study." The 2017 Australian Winter School Conference. Brisbane, Australia 27 - 28 Jul 2017
PoCT (point of care) HIV/STI testing at after-hours SOPV (sex on premises venues) theme parties
Mullens, Amy, Driver, Glen, Lemoire, Jime and Daken, Kirstie. 2017. "PoCT (point of care) HIV/STI testing at after-hours SOPV (sex on premises venues) theme parties." 9th IAS conference on HIV science (IAS 2017). Paris, France 23 - 26 Jul 2017
Comparison of government and non-government alcohol and other drug (AOD) treatment service delivery for the lesbian, gay, bisexual, and transgender (LGBT) community
Mullens, Amy B., Fischer, Jane, Stewart, Mary, Kenny, Kathryn, Garvey, Shane and Debattista, Joseph. 2017. "Comparison of government and non-government alcohol and other drug (AOD) treatment service delivery for the lesbian, gay, bisexual, and transgender (LGBT) community." Substance Use and Misuse. 52 (8), pp. 1027-1038. https://doi.org/10.1080/10826084.2016.1271430
Predicating HIV risk behaviour secondary to substance use
Mullens, Amy, Young, Ross McD, Dunne, Michael P., Debattista, Joe and Norton, Graham. 2011. "Predicating HIV risk behaviour secondary to substance use." Australasian Professional Society on Alcohol and Other Drugs Conference 2011. Hobart, Tasmania 13 - 16 Nov 2011 United Kingdom. John Wiley & Sons.
Metacognitions mediate HIV stigma & depression/anxiety in men who have sex with men living with HIV
Mullens, Amy B., Strodl, Esben, Stewart, Lauren and Deb, Sibnath. 2016. "Metacognitions mediate HIV stigma & depression/anxiety in men who have sex with men living with HIV." 14th International Congress of Behavioral Medicine: Behavioral Medicine: Making an Impact in the Modern World (ICBM 2016). Melbourne, Australia 07 - 10 Dec 2016
Innovative methods to increase HIV testing among MSM in regional Queensland
Mullens, Amy, Duyker, Josh and Lemoire, Jime. 2016. "Innovative methods to increase HIV testing among MSM in regional Queensland." 14th International Congress of Behavioral Medicine: Behavioral Medicine: Making an Impact in the Modern World (ICBM 2016). Melbourne, Australia 07 - 10 Dec 2016
Depression mediates HIV stigma and medication adherence in men who have sex with men (living with HIV)
Mullens, Amy B., Strodl, Esben, Fein, Erich, Stewart, Lauren and Daken, Kirstie. 2016. "Depression mediates HIV stigma and medication adherence in men who have sex with men (living with HIV)." 14th International Congress of Behavioral Medicine: Behavioral Medicine: Making an Impact in the Modern World (ICBM 2016). Melbourne, Australia 07 - 10 Dec 2016
Utilisation of novel methodologies to engage 'hard to reach' clients in health promotion and screening, in rural and regional areas
Mullens, Amy B., Duyker, Josh and Lemoire, Jime. 2016. "Utilisation of novel methodologies to engage 'hard to reach' clients in health promotion and screening, in rural and regional areas." 8th Australian Rural and Remote Mental Health Symposium. Kingscliffe, Australia 02 - 04 Nov 2016 Nerang, Qld, Australia.
Supervision: considerations and self-reflective practice
Mullens, Amy. 2015. "Supervision: considerations and self-reflective practice." 2015 Queensland Clinical Training Network Research Symposium. Brisbane, Australia 12 - 13 Nov 2015 Australia.
A&D staff attitudes regarding LGBT clients
Mullens, Amy. 2016. "A&D staff attitudes regarding LGBT clients." 3rd International Conference on Social Identity and Health. Brisbane, Australia 16 - 18 Jun 2016 St Lucia, Australia.
Substance-related expectancies among men who have sex with men: development of psychometric tools to predict unprotected sexual activity
Boedicker Mullens, Amy. 2011. Substance-related expectancies among men who have sex with men: development of psychometric tools to predict unprotected sexual activity. PhD Thesis Doctor of Philosophy. Queensland University of Technology.
Confidant and breast cancer patient reports of quality of life
Sandgren, Ann K., Mullens, Amy B., Erickson, Shannon C., Romanek, Kathleen M. and McCaul, Kevin D.. 2004. "Confidant and breast cancer patient reports of quality of life." Quality of Life Research. 13 (1), pp. 155-160. https://doi.org/10.1023/B:QURE.0000015287.90952.95
The amyl nitrite expectancy questionnaire for men who have sex with men (AEQ-MSM): a measure of substance related beliefs
Mullens, Amy B., Young, Ross, Dunne, Michael P. and Norton, Graham. 2011. "The amyl nitrite expectancy questionnaire for men who have sex with men (AEQ-MSM): a measure of substance related beliefs." Substance Use and Misuse. 46 (13), pp. 1642-1650. https://doi.org/10.3109/10826084.2011.599096
The drinking expectancy questionnaire for men who have sex with men (DEQ-MSM): a measure of substance-related beliefs
Mullens, Amy B., Young, Ross McD., Dunne, Michael P. and Norton, Graham. 2011. "The drinking expectancy questionnaire for men who have sex with men (DEQ-MSM): a measure of substance-related beliefs." Drug and Alcohol Review. 30 (4), pp. 372-380. https://doi.org/10.1111/j.1465-3362.2010.00225.x
The cannabis expectancy questionnaire for men who have sex with men (CEQ-MSM): a measure of substance-related beliefs
Mullens, A. B., Young, R. McD., Dunne, M. and Norton, G.. 2010. "The cannabis expectancy questionnaire for men who have sex with men (CEQ-MSM): a measure of substance-related beliefs." Addictive Behaviors. 35, pp. 616-619. https://doi.org/10.1016/j.addbeh.2010.01.006
The consequences of substance use among gay and bisexual men: a consensual qualitative research analysis
Mullens, Amy B., Young, Ross McD., Hamernik, Elisabeth and Dunne, Michael. 2009. "The consequences of substance use among gay and bisexual men: a consensual qualitative research analysis." Sexual Health. 6 (2), pp. 139-152. https://doi.org/10.1071/SH08061
Sex on premises venue (SOPV) health promotion project in response to sustained increases in new HIV notifications
Mullens, Amy B., Staunton, Shaun, Debattista, Joseph, Hamernik, Elisabeth and Gill, Darren. 2009. "Sex on premises venue (SOPV) health promotion project in response to sustained increases in new HIV notifications." Sexual Health. 6 (1), pp. 41-44. https://doi.org/10.1071/SH07087
The motivational effects of thinking and worrying about the effects of smoking cigarettes
McCaul, Kevin D., Mullens, Amy, Romanek, Kathleen M., Erickson, Shannon C. and Gatheridge, Brian J.. 2007. "The motivational effects of thinking and worrying about the effects of smoking cigarettes." Cognition and Emotion. 21 (8), pp. 1780-1798. https://doi.org/10.1080/02699930701442840
Coping after cancer: risk perceptions, worry and health behaviors among colorectal cancer survivors
Mullens, Amy B., McCaul, Kevin D., Erickson, Shannon C. and Sandgren, Ann K.. 2004. "Coping after cancer: risk perceptions, worry and health behaviors among colorectal cancer survivors." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 13 (6), pp. 367-376. https://doi.org/10.1002/pon.751