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Cancer survivors’ perspectives on adjustment-focused self-management interventions: A qualitative meta-synthesis
Coffey, Laura; Mooney, Orla; Dunne, Simon; Sharp, Linda; Timmons, Aileen Mary; Desmond, Deirdre; O'Sullivan, Eleanor; Timon, Conrad; Gooberman-Hill, Rachael; Gallagher, Pamela
Purpose: Self-management interventions improve patient outcomes across a range of long-term conditions but are often limited by low uptake and completion rates. The aim of this paper was to conduct a meta-synthesis of qualitative studies exploring cancer survivors’ views and experiences of engaging with adjustment-focused self-management interventions in order to inform the development of future interventions targeting this population. Methods: Four electronic databases were systematically searched. Studies that used qualitative methods to explore cancer survivors’ views and experiences of engaging with adjustment-focused self-management interventions were included. A meta-ethnographic approach was used to synthesize the findings. Results: Thirteen studies met the inclusion criteria. Engaging with adjustment-focused self-management interventions enabled cancer survivors to gain emotional and informational support from peers and/or facilitators in an open, non-judgemental environment, become empowered through enhancing knowledge and skills and regaining confidence and control, and move beyond cancer by accepting illness experiences, reprioritising goals and adopting a positive outlook. However, the extent to which they engaged with, and benefited from, such interventions was mitigated by diverse preferences regarding intervention design, content and delivery. Personal obstacles to engagement included low perceived need, reticence to discuss cancer-related experiences and various practical issues. Conclusions: Cancer survivors derive a range of benefits from participating in adjustment-focused self-management interventions; potential barriers to engagement should be addressed more comprehensively in intervention marketing, design and delivery.
Keyword(s): Meta-synthesis; Qualitative research; Self-management; Cancer Survivorship
Publication Date:
2016
Type: Journal article
Peer-Reviewed: Yes
Institution: Maynooth University
Citation(s): Coffey, Laura and Mooney, Orla and Dunne, Simon and Sharp, Linda and Timmons, Aileen Mary and Desmond, Deirdre and O'Sullivan, Eleanor and Timon, Conrad and Gooberman-Hill, Rachael and Gallagher, Pamela (2016) Cancer survivors’ perspectives on adjustment-focused self-management interventions: A qualitative meta-synthesis. Journal of Cancer Survivorship, 10 (6). pp. 1012-1034. ISSN 1932-2267
Publisher(s): Springer US
File Format(s): other
Related Link(s): http://mural.maynoothuniversity.ie/10592/1/LC-Cancer-2016.pdf
First Indexed: 2020-04-02 06:14:27 Last Updated: 2020-04-02 06:14:27