A Formative Study of Colon Cancer Surveillance Care: Implications for Survivor-Centered Interventions
| العنوان: | A Formative Study of Colon Cancer Surveillance Care: Implications for Survivor-Centered Interventions |
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| المؤلفون: | Jane G. Zapka, Katherine R. Sterba, Marvella E. Ford, Nancy R. LaPelle, Kent Armeson |
| المصدر: | Journal of Cancer Education. 30:719-727 |
| بيانات النشر: | Springer Science and Business Media LLC, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Adult, Male, Coping (psychology), Psychological intervention, Interpersonal communication, Article, Formative assessment, Nursing, Physicians, Survivorship curve, Health care, Early Intervention, Educational, Humans, Medicine, Survivors, Aged, Aged, 80 and over, Information Dissemination, business.industry, Communication, Public Health, Environmental and Occupational Health, Continuity of Patient Care, Middle Aged, Focus group, Oncology, Content analysis, Colonic Neoplasms, Female, business, Delivery of Health Care, Follow-Up Studies |
| الوصف: | Colon cancer is one of the most commonly diagnosed cancers in the United States, and an increasing number of survivors has underscored the need for improved colon cancer surveillance care quality. Post-treatment surveillance includes follow-up care visits and tests as well as psychosocial support and lifestyle counseling. This formative study explored the individual, interpersonal, and organizational-level factors related to adherence to surveillance care guidelines to identify modifiable factors for potential educational intervention strategies. A convenience sample of 22 survivors (12 women and 10 men) from two cancer centers were recruited to participate in focus groups or key informant telephone interviews to explore their experiences with care after completing treatment and complete a brief survey. Content analysis was used to identify themes. Results confirmed that survivors navigated a complex surveillance care schedule and described a strong trust in their health care providers that guided their follow-up care experiences. Participants defined the terms "survivorship" and "follow-up" in a variety of different ways. Individual-level themes critical to survivors' experiences included having a positive attitude, relying on one's faith, and coping with fears. Interpersonal-level themes centered around interactions and communication with family and health care providers in follow-up care. While organizational-level factors were highlighted infrequently, participants rated office reminder systems and communication among their multiple providers as valuable. Educational interventions capitalizing on survivors' connections with their physicians and focusing on preparing survivors for what to expect in the next phase of their cancer experience, could be beneficial at the end of treatment to activate survivors for the transition to the post-treatment period. |
| تدمد: | 1543-0154 0885-8195 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c55adfba6a6acaf351fbde6170c9b944 https://doi.org/10.1007/s13187-014-0756-1 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c55adfba6a6acaf351fbde6170c9b944 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15430154 08858195 |
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