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dc.contributor.authorPeditto, Kati
dc.date.accessioned2019-10-15T16:48:12Z
dc.date.available2021-08-31T06:00:24Z
dc.date.issued2019-08-30
dc.identifier.otherPeditto_cornellgrad_0058F_11480
dc.identifier.otherhttp://dissertations.umi.com/cornellgrad:11480
dc.identifier.otherbibid: 11050547
dc.identifier.urihttps://hdl.handle.net/1813/67564
dc.description.abstractAs cancer remains the leading disease-related cause of death in adolescence, healthcare officials must consider the influence of facility design on peer-to-peer social support and quality of life, while accounting for an adolescent’s unique and changing needs. Both the stress of treatment and the environment in which treatment occurs can influence adolescents during a time of significant social, biological, and cognitive transitions. This dissertation spans developmental psychology and health design to inform specific design guidelines to improve quality of care for adolescents and young adults (AYAs) with cancer. A phenomenology first addresses the gap in AYA research by exploring the experience of cancer during adolescence and young adulthood. Interviews with AYA participants assist in understanding the needs of patients and the structures that support or impede their experience. Following the interviews, a questionnaire is developed to investigate the mediating influence of peer social support on the relationship between features in the built environment and improved quality of life. Multiple regression demonstrates the value of certain environmental characteristics as they influence social support and quality of life. A third study extends the results of the questionnaire through focus groups with AYA participants to further elucidate the preferences of young people in the built environment. The features deemed most influential, along with the evidence for their value, are presented in a set of design guidelines for retroactive and future facility design. Through translational research design, this dissertation will have a wide applied impact on patient quality for a currently under-studied population.
dc.language.isoen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAYA
dc.subjectadolescence
dc.subjectyoung adulthood
dc.subjectPsychology
dc.subjectPhenomenology
dc.subjectDevelopmental psychology
dc.subjecthealth design
dc.subjectarchitecture
dc.subjectcancer
dc.titleA Space of Their Own: Improving Social Support and Quality of Life for Adolescents and Young Adults with Cancer
dc.typedissertation or thesis
thesis.degree.disciplineDesign and Environmental Analysis
thesis.degree.grantorCornell University
thesis.degree.levelDoctor of Philosophy
thesis.degree.namePh.D., Design and Environmental Analysis
dc.contributor.chairShepley, Mardelle M.
dc.contributor.committeeMemberMendle, Jane E.
dc.contributor.committeeMemberBurrow, Anthony L.
dcterms.licensehttps://hdl.handle.net/1813/59810
dc.identifier.doihttps://doi.org/10.7298/0q66-yj79


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