Abstract:To define the learning needs of patients with gynecological oncology. The study was performed as a descriptive study. A total of 92 patients were participated. Data were collected using Patient Learning Needs Scale (PLNS). The Pearson correlation test, independent sample t test, and analysis of one-way of variance (ANOVA) followed by Tukey's-B post hoc tests were used for statistical analyses by the SPSS 15.0 software package. The mean age of women's was 50.37 ± 12.20 years. The women's diagnoses were cervical… Show more
“…Two recent Turkish studies reported on the needs of women with gynaecological cancer, revealing a high prevalence of symptoms and unmet palliative care needs (Akkuzu et al, 2018; Seven, Sahin, Yilmaz, & Akyuz, 2016). Akkuzu et al (2018) also identified that women required knowledge on pain management, daily living activities and psychological support. Further international quantitative studies have focused on specific gynaecological cancer subgroups or on the needs of caregivers (Beesley et al, 2017).…”
Aim and objectives: To gain insight into the supportive care needs of Western Australian women experiencing gynaecological cancer. Background: Meeting the supportive care needs of people living with cancer is becoming increasingly important as advances in cancer treatment contribute to growing numbers of survivors. International evidence suggests between 24%-56% of women with gynaecological cancer have unmet supportive care needs and that psychological challenges, information provision and holistic care are priorities. No qualitative investigation has previously explored women's journey of gynaecological cancer within the Australian setting. Design: A qualitative descriptive design was used. Methods: Women treated for gynaecological cancer were recruited from a tertiary public women's hospital in Western Australia. Thematic analysis was conducted on qualitative data collected from 190 women over 12 months through written openended survey responses and telephone interviews. The COnsolidated criteria for REporting Qualitative research (COREQ) guided presentation of results. Results: Analysis yielded five themes and four subthemes: (a) Communication style directs the experience (subthemes: feeling supported; absence of empathy); (b) It's not just about the disease (subthemes: life has changed; holistic care); (c) A desire for information; (d) Drawing upon resilience; and (e) Navigating the system. Discussion: Exploration of the women's needs leads to the discussion of three concepts. Communication styles, harnessing women's resilience and alternative models of care are evaluated for their capacity to improve care and women's quality of life into survivorship. Recommendations are made for further research and possible interventions that can be translated into the clinical setting. Conclusion: Women with gynaecological cancer described complex often unmet supportive care needs and interactions with the healthcare system. Insight gained directs suggestions for improved service provision. | 1685 WILLIAMS et AL. S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section. How to cite this article: Williams N, Griffin G, Farrell V, Hauck YL. Gaining insight into the supportive care needs of women experiencing gynaecological cancer: A qualitative study. J Clin
“…Two recent Turkish studies reported on the needs of women with gynaecological cancer, revealing a high prevalence of symptoms and unmet palliative care needs (Akkuzu et al, 2018; Seven, Sahin, Yilmaz, & Akyuz, 2016). Akkuzu et al (2018) also identified that women required knowledge on pain management, daily living activities and psychological support. Further international quantitative studies have focused on specific gynaecological cancer subgroups or on the needs of caregivers (Beesley et al, 2017).…”
Aim and objectives: To gain insight into the supportive care needs of Western Australian women experiencing gynaecological cancer. Background: Meeting the supportive care needs of people living with cancer is becoming increasingly important as advances in cancer treatment contribute to growing numbers of survivors. International evidence suggests between 24%-56% of women with gynaecological cancer have unmet supportive care needs and that psychological challenges, information provision and holistic care are priorities. No qualitative investigation has previously explored women's journey of gynaecological cancer within the Australian setting. Design: A qualitative descriptive design was used. Methods: Women treated for gynaecological cancer were recruited from a tertiary public women's hospital in Western Australia. Thematic analysis was conducted on qualitative data collected from 190 women over 12 months through written openended survey responses and telephone interviews. The COnsolidated criteria for REporting Qualitative research (COREQ) guided presentation of results. Results: Analysis yielded five themes and four subthemes: (a) Communication style directs the experience (subthemes: feeling supported; absence of empathy); (b) It's not just about the disease (subthemes: life has changed; holistic care); (c) A desire for information; (d) Drawing upon resilience; and (e) Navigating the system. Discussion: Exploration of the women's needs leads to the discussion of three concepts. Communication styles, harnessing women's resilience and alternative models of care are evaluated for their capacity to improve care and women's quality of life into survivorship. Recommendations are made for further research and possible interventions that can be translated into the clinical setting. Conclusion: Women with gynaecological cancer described complex often unmet supportive care needs and interactions with the healthcare system. Insight gained directs suggestions for improved service provision. | 1685 WILLIAMS et AL. S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section. How to cite this article: Williams N, Griffin G, Farrell V, Hauck YL. Gaining insight into the supportive care needs of women experiencing gynaecological cancer: A qualitative study. J Clin
“…Other potential issues affecting recruitment may include the stigma associated with EC diagnosis, the experience of treatment-related side effects and embarrassment regarding their functional capacity. Importantly, ECS also frequently report the need for resources to help them deal with pain [1] and that pain can impact their ability to remain in lifestyle studies [21]. Interestingly, a recent study found ECS who were exercisers had lower levels of co-morbidity and were more likely to report that feeling better physically and emotionally rather than reducing the risk of disease was the important outcome of exercise[13], which may be useful for care providers trying to educate these women in future approaches.…”
Section: Discussionmentioning
confidence: 99%
“…A significant concern given that evidence from a recent systematic review indicates that inactivity is highly correlated with worse QOL, and even more so for obese ECS [2]. Not surprisingly, gynecologic cancer survivors most frequently report learning needs for coping with pain, daily living activities and psychosocial support [1]. Unfortunately, ECS generally do not engage in lifestyle change of their own accord [20, 25].…”
There are a growing number of cancer survivors in the USA. Despite lifestyle behaviors being strongly associated with morbidity and mortality following primary treatment, recruitment to clinical research studies that aim to improve such behaviors remains a significant challenge. Furthermore, pilot and feasibility studies are critical for the refinement of research methods and form an important training opportunity for early career scientists. This report details the challenges faced and lessons learned in the process of recruiting a population of overweight/obese endometrial cancer survivors (ECS) to two separate studies focused on lifestyle behaviors: a survey study and a randomized behavioral intervention study that aimed to improve diet, physical activity, and quality of life. We used in-clinic and mail-based approaches to reach eligible patients identified from clinic records. Surveys were offered via paper or online. To evaluate the recruitment process, we compared clinic records and enrollment data over time and location. Chi-squared tests were also used to compare recruitment strategies. We address specific challenges at the patient level, the clinic/provider level, and the organizational level. Overall response rate was 13.9% to the survey and 4% to the intervention. Responses to in-clinic offers were greater than to mail-based approaches for the survey with no difference for the intervention. Identifying the unique characteristics of each survivorship population, adequate planning, resource allocation, and involvement of key staff are essential to supporting recruitment efforts to research studies. Having the support of physicians and nurses is especially critical to the success of recruitment.
“…People with cancer face a range of common concerns such as the symptoms associated with cancer and its treatment effects (Akkuzu et al, 2018;Beaver & Booth, 2007;Papadakos et al, 2012), fear of recurrence and difficulty communicating with others about their cancer (Papadakos et al, 2012). However, women with gynaecological cancer also report a range of more specific treatment-related concerns.…”
Objective: Generic distress screening tools may not recognise the unique concerns reported in some cancer populations. The face and content validity of a screening tool derived from the National Cancer Comprehensive Network distress thermometer and problem list and adapted specifically for women with gynaecological cancer is presented.Methods: Building on existing work, panels of clinicians and researchers, and focus groups with women treated for gynaecological cancer, developed a nuanced distress screening tool.
Results:The clinical reference group used an iterative process to reduce 54 items to 22 across four domains (practical/family/psychological/physical). These items were included in the draft tool, which was reviewed by two focus groups of long-term cancer survivors. Participants unanimously thought the tool was necessary though several changes were recommended. The final draft tool contained a global distress score and 25 items across the four domains.
Conclusions:This measure provides a structured screening tool tailored to the concerns of women with gynaecological cancer, enhancing communication between clinicians and their patients about potentially identified and unrecognised sources of distress. Future research will focus on establishing sensitivity and specificity of this tool and further assessing its utility in clinical settings for all gynaecological cancers (including rare cancers like vulvar cancer).
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