Hopefulness in adolescents with cancer serves critical functions related to the adolescents’ sense of well-being and commitment to treatment. Given these critical functions, it is important to determine the essential characteristics of hopefulness, which include the degree and dynamism of hopefulness and the nature and attributes of hoped-for objects. The purposes of this two-site study were to describe the degree and dynamism of hopefulness at four time points during the first 6 months of adolescents’ treatment for newly diagnosed cancer, to identify and describe the adolescents’hoped-for objects, and to evaluate potential relationships between the characteristics of hopefulness and patient gender, age, diagnosis, and time point in treatment. Seventy-eight adolescents completed the Hopefulness Scale for Adolescents, the Hopelessness Scale, and the Hopefulness Interview Question at each time point. Hopefulness scores were higher and hopelessness scores substantially lower than reported in other tested samples. Adolescents identified a total of 57 different hopes. Differences by age, gender, and diagnosis were found.
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References
1.
Artinian, B. (1984). Fostering hope in the bone marrow transplant child. Maternal-Child Nursing Journal, 14, 57-71.
2.
Averill, J. R. , Catlin, G., & Chon, K. K. (1990). Rules of hope. New York: Springer-Verlag.
3.
Baltrusch, H. , & Waltz, E. (1987). Theoretical framework for developing measures of quality of life and morale. In N. Aaronson & J. Beckmann (Eds.), The quality of life of cancer patients (pp. 25-36). New York: Raven.
4.
Bode, U. , & Levine, A. S. (1982). The biology and management of osteosarcoma. In A. S. Levine (Ed.), Cancer in the young. New York: Masson.
5.
Brown, A. (1978). Knowing when, where, and how to remember: A problem of metacognition. In R. Glaser (Ed.), Advances in instructional psychology. Hillsdale, NJ: Lawrence Erlbaum.
6.
Brown, A. , Bransford, J., Ferrara, R., & Campione, J. (1983). Learning, remembering, and understanding. In P. H. Mussen (Ed.), Handbook of child psychology (Vol. 3, pp. 77-166). New York: John Wiley.
7.
Campbell, L. (1987). Hopefulness: A concept analysis. Journal of Psychosocial Nursing, 25, 18-22.
8.
Farran, C. J. , Hearth, K. A., & Popovich, J. M. (1995). Hope and hopelessness: Critical clinical instruments. Thousand Oaks, CA: Sage.
9.
Fochtman, D. (1979). How adolescents live with leukemia. Cancer Nursing, 2, 27-31.
10.
Gabriel, H. , & Hofman, A. (1983). Managing chronic illness. In A. Hofman & D. Greydanus (Eds.), Adolescent medicine (pp. 350-359). Menlo Park, CA: Addison-Wesley.
11.
Gresik, M. V. , & Fernbach, D. J. (1986). Leukemia in childhood. In M. Finegold (Ed.), Pathology of neoplasia in children and adolescents (pp. 46-86). Philadelphia: W. B. Saunders.
12.
Hinds, P. (1985). Relationship among caring behaviors of nurses, adolescent hopefulness and adolescent health care outcomes. Unpublished doctoral dissertation, University of Arizona.
13.
Hinds, P. (1988a). Adolescent hopefulness in illness and health. Advances in Nursing Science, 10, 79-88.
14.
Hinds, P. (1988b). The relationship of caring behaviors of nurses with hopefulness and health care outcomes of adolescents. Archives of Psychiatric Nursing, 2, 21-29.
15.
Hinds, P. (1989). Method triangulation to index change in clinical phenomena. Western Journal of Nursing Research, 11, 440-447.
16.
Hinds, P. (1990). Quality of life in children and adolescents with cancer. Seminars in Oncology Nursing, 6, 285-291.
17.
Hinds, P. , & Gattuso, J. (1991a). From pilot work to a major study in cancer nursing research. Cancer Nursing, 14, 132-135.
18.
Hinds, P. , & Gattuso, J. (1991b). Measuring hopefulness in adolescents. Journal of Pediatric Oncology Nursing, 8, 92-94.
19.
Hinds, P. , & Martin, J. (1988). Hopefulness and the self-sustaining process in adolescents with cancer. Nursing Research, 37, 336-340.
20.
Hinds, P. , Martin, J., & Vogel, R. (1987). Nursing strategies to influence adolescent hopefulness during cancer. Journal of Pediatric Oncology Nursing, 4, 14-22.
21.
Holdcraft, C. , & Williamson, C. (1991). Assessment of hope in psychiatric and chemically dependent patients. Applied Nursing Research, 4, 129-134.
22.
Johnson, N. D. (1989). A descriptive study of gender differences in adolescent hopefulness. Unpublished master’s thesis, University of Tennessee, Memphis, College of Nursing.
23.
Kashani, J. H. , Reid, J. C., & Rosenberg, T. K. (1989). Levels of hopelessness in children and adolescents: A developmental perspective. Journal of Consulting and Clinical Psychology, 57, 496-499.
24.
Kazdin, A. , French, N., Unis, A., Esvceldt-Dawson, K., & Sherick, R. (1983). Hopelessness, depression, and suicidal intent among psychiatrically disturbed inpatient children. Journal of Consulting and Clinical Psychology, 51, 504-510.
25.
Kazdin, A. , Rodgers, A., & Colbus, D. (1986). The hopelessness scale for children: Psychometric characteristics and concurrent validity. Journal of Consulting and Clinical Psychology, 54, 241-245.
26.
Krippendorff, K. (1980). Content analysis: An introduction to its methodology. Beverly Hills, CA: Sage.
27.
Lewis, H. , & Kliewer, W. (1996). Hope, coping, and adjustment among children with sickle cell disease: Tests of mediator and moderator levels. Journal of Pediatric Psychology, 21, 25-41.
28.
Lewis, S. (1984). Cancer in adolescents. In H. Roback (Ed.), Helping patients and their families cope with medical problems (pp. 285-312). San Francisco: Jossey-Bass.
29.
Limandri, B. , & Boyle, D. (1978). Instilling hope. American Journal of Nursing, 78, 79-80.
30.
Malpas, J. S. (1987). Hodgkin’s disease in children. In P. Selby & T. J. McElwain (Eds.), Hodgkin’s disease (pp. 386-403). London: Blackwell Scientific.
31.
Rait, D. , & Holland, J. (1986). Pediatric cancer: Psychosocial issues and approaches. Mediguide to Oncology, 6, 1-5.
32.
Snyder, C. R. , Hoza, B., Pelham, W. E., Rapoff, M., Ware, L., Danovsky, M., Highberger, L., Rubenstein, H., & Stahl, K. J. (1997). The development and validation of the Children’s Hope Scale. Journal of Pediatric Psychology, 22, 399-421.
33.
Stanley, A. (1978). The common lived experience of hope: The isolation of discrete descriptive elements to the experience of hope in healthy young adults. Dissertation Abstracts International, 39, 1212B. (University Microfilms No. 78-16, p. 899)
34.
Yarcheski, A. , Scoloveno, M., & Mahon, N. (1994). Social support and well-being in adolescents: The mediating role of hopefulness. Nursing Research, 43, 288-292.
35.
Hinds, P. (1988). Adolescent hopefulness in illness and health. Advances in Nursing Science, 10, 79-88.
36.
Hinds P. (1990). Quality of life in children and adolescents experiencing cancer. Seminars in Oncology Nursing, 6(4), 285-291.
37.
Hinds P. , & Martin J. (1988). Hopefulness and the self-sustaining process in adolescents with cancer. Nursing Research, 37(6), 336-340.
