The Contextual Model of HRQOL is informed by the traditional
HRQOL Model, the Biopsychosocial Model (Committee
on Population, 2004), more recent qualitative and quantitative
studies with survivors from diverse ethnic backgrounds,
the cancer and survivorship literature, and multicultural and
psychological literature. The model includes socioecologic,
cultural, demographic, and healthcare system contexts; general
health and comorbidity; cancer-related medical factors;
health effi cacy; and psychological well-being. The domains
may vary among and within ethnic groups and contain some
generalizations about group membership. However, great cau