Theory Derivation: Adaptation of a Contextual Model of Health Related Quality of Life to Rural Cancer Survivors


For the growing population of cancer survivors, an obvious conceptual framework to guide the inquiry of health related quality of life (HRQOL) in rural cancer survivors has not emerged. In this paper, Walker and Avant’s theory derivation procedures are used to adapt Ashing-Giwa’s Contextual Model of HRQOL, the parent Model, to incorporate rurality into the Model’s contextual dimensions. Rural cancer survivor relevant definitions and refinements are proposed for the macro (system) and micro (individual) level dimensions of the parent Model. This adaptation of the Ashing-Giwa HRQOL Model identifies concepts and components of a contextual model that must be included, measured, and accounted for to fully and deeply understand the HRQOL of rural cancer survivors.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share (for non-commerical purposes) the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).