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Herrmann, Anne ; Mansfield, Elise ; Tzelepis, Flora ; Lynagh, Marita ; Hall, Alix

Use of the supportive care framework to explore haematological cancer survivors’ unmet needs: a qualitative study

Herrmann, Anne , Mansfield, Elise, Tzelepis, Flora, Lynagh, Marita and Hall, Alix (2020) Use of the supportive care framework to explore haematological cancer survivors’ unmet needs: a qualitative study. BMC Health Services Research 20, p. 1062.

Date of publication of this fulltext: 19 Feb 2021 10:11
Article
DOI to cite this document: 10.5283/epub.44981


Abstract

BackgroundSome sub-types of haematological cancers are acute and require intensive treatment soon after diagnosis. Other sub-types are chronic, relapse over many years and require life-long cycles of monitoring interspersed with bouts of treatment. This often results in significant uncertainty about the future, high levels of depression and anxiety, and reduced quality of life. Little is known ...

BackgroundSome sub-types of haematological cancers are acute and require intensive treatment soon after diagnosis. Other sub-types are chronic, relapse over many years and require life-long cycles of monitoring interspersed with bouts of treatment. This often results in significant uncertainty about the future, high levels of depression and anxiety, and reduced quality of life. Little is known about how to improve care for haematological cancer survivors. This study explored qualitatively, in a sample of haematological cancer survivors, (i) their unmet needs experienced as a result of their disease and treatment; and (ii) strategies that may help address these needs.MethodsSemi-structured interviews were conducted with 17 adult haematological cancer survivors. Data was analysed using qualitative content analysis. The Supportive Care Framework guided data collection and analysis.ResultsParticipants had a mean age of 57years (SD 13). Most were male (n=10, 59%). Five themes emerged from the data: (i) changes in unmet needs across the care trajectory (with greatest unmet needs experienced soon after diagnosis, at discharge from hospital and with cancer recurrence); (ii) informational unmet needs requiring improved patient-centred communication; (iii) uncertainty about treatment and the future; (iv) coordinated, tailored and documented post-treatment care planning as a strategy for optimal care delivery; and (v) ongoing support services to meet psychosocial and practical unmet needs by involving peer support, less bureaucratic transport services and flexible work arrangements.ConclusionsTo our knowledge, this is the first qualitative investigation using the Supportive Care Framework to explore unmet needs of haematological cancer survivors. Our findings offer fresh insights into this important area of study. Written, take-home care plans which provide simple but tailored guidance on where to seek additional support may help decrease uncertainty and feelings of vulnerability post-treatment for adult haematological cancer survivors. Future research should further develop and test strategies aimed at addressing unmet needs of haematological cancer survivors identified in this study.



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Details

Item typeArticle
Journal or Publication TitleBMC Health Services Research
Publisher:BMC
Place of Publication:LONDON
Volume:20
Page Range:p. 1062
Date2020
InstitutionsMedicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Medicine > Institut für Epidemiologie und Präventivmedizin
Identification Number
ValueType
10.1186/s12913-020-05927-7DOI
KeywordsACUTE MYELOID-LEUKEMIA; UNDERSTANDING DISTRESS; LYMPHOMA SURVIVORS; MULTIPLE-MYELOMA; PATIENT; PREVALENCE; COMMUNICATION; PERSPECTIVES; EXPERIENCES; MANAGEMENT; Haematological cancer; Survivorship; Unmet needs; Content analysis; Patient-centred care
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-449811
Item ID44981

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