Myeloma patients' experiences of haematopoietic stem cell transplant: A qualitative thematic synthesis

Walpole, Geraldine; Clark, Helen; Dowling, Maura

doi:10.1016/j.ejon.2018.05.002

Cited by 11 publications

(14 citation statements)

References 33 publications

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Section: Discussionsupporting

confidence: 79%

“…The post-HCT coping strategies and resources we identified build on prior studies of younger adults undergoing HCT [12][13][14][15][16]. Consistent with Walpole et al [16] and Lyons et al [24], we found that the experience of returning to life activities varied based on many factors including the time frame post-HCT, experience of complications and symptoms, and functional limitations commonly seen among HCT survivors. Farsi et al [12,13] identified a variety of coping strategies for adapting to HCT including: denial and avoidance, connection with divine purpose, reliance on health, information seeking, seeking social support, management of side effects, positive thinking, patience and resignation, and changing priorities.…”

Section: Discussionsupporting

confidence: 79%

“…Returning to life activities is an important goal for older patients post-HCT. However, current literature on adaptation and coping post-HCT has focused on younger survivors [9][10][11][12][13][14][15][16]. Community providers may be unfamiliar with survivorship in HCT in general and with survivorship among older adults in particular, which may be complicated by age-related cognitive and functional decline.…”

Section: Introductionmentioning

confidence: 99%

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Returning to life activities after hematopoietic cell transplantation in older adults

Koll

Semin

Coburn

et al. 2020

Journal of Geriatric Oncology

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Objectives: The prevalence of hematopoietic cell transplant (HCT) among older adults with hematological malignancies has more than doubled over the last decade and continues to grow. HCT is an intense process that can impact functional status and health-related quality of life. The objective of this paper is to describe the experience of returning to life activities after HCT in patients 60 years of age and older and the resources required to adapt and cope to limitations in physical, psychological, and cognitive function. Materials and Methods: Twenty English speaking adults 60 years and older with hematological malignancy 3 to 12 months post-HCT completed semi-structured interviews. Open-ended questions and probes were guided by the Transactional Model of Stress and Coping to explore adaptive functioning, coping resources, and coping strategies. An integrated grounded theory approach was used to code the textual data to identify themes. The study took place at a tertiary comprehensive cancer center in the Midwest United States. Results: Eight allogeneic and twelve autologous HCT recipients participated in the interviews. Nineteen participants were within 6-12 months and 1 participant was at 3 months post-HCT. Our findings identify the significant role of engaging in life activities and social support in the recovery of physical, psychological and cognitive function. Conclusion: Older HCT recipients are an understudied population. They are at high risk for functional decline. Our findings may provide community oncologists and primary care physicians with a context for providing care to older HCT survivors during their recovery.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Returning to life activities after hematopoietic cell transplantation in older adults

Koll

Semin

Coburn

et al. 2020

Journal of Geriatric Oncology

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“…Similarly, a study indicated that kidney transplant recipients always had fear over unpredicted post-transplantation complications (31). Moreover, a study noted that patients with myeloma had fear over an imminent death before and after bone marrow transplantation (29). All these findings highlight the importance of providing transplant recipients with assurance and reducing their fears and concerns.…”

Section: Discussionmentioning

confidence: 99%

“…A former study also showed that bone marrow transplant recipients had fear over infection and transplant rejection. Another study reported fear, particularly over death, as one of the most important post-LT experiences (29,30). Similarly, a study indicated that kidney transplant recipients always had fear over unpredicted post-transplantation complications (31).…”

Section: Discussionmentioning

confidence: 99%

Patients’ Experiences of Life Challenges After Liver Transplantation: A Qualitative Study

Taher

Toossi

Jafarian

et al. 2021

Journal of Patient Experience

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Patients experience a new life with different challenges after liver transplantation (LT). Identifying these challenges can facilitate the improvement of their quality of life. This study aimed to explore patients’ experiences of post-LT life challenges. This qualitative study was performed in 2019 through the content analysis approach. Participants were liver transplant recipients purposively recruited from a LT clinic. Semistructured interviews were conducted for data collection. Data were analyzed through Graneheim and Lundman’s conventional content analysis approach. Meaning units were identified and coded, and the codes were grouped into subcategories and categories according to their similarities. In total, 18 transplant recipients were interviewed. Their age mean was 51 years and their transplant age ranged from 4 months to 12 years. Their post-LT life challenges were categorized into 4 main categories, that is, self-care deficit, the need for seeking information, fears and concerns, and hope–despair duality. Nurses and members of LT team are recommended to assess transplant recipients’ life challenges and develop comprehensive plans for managing their challenges and problems and improving their quality of life.

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Myeloma patients’ experiences of a supervised physical activity programme: a qualitative study

Land

Hackett

Sidhu

et al. 2022

Support Care Cancer

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Purpose The Myeloma: Advancing Survival Cancer Outcomes Trial (MASCOT) tested the impact of a supervised exercise programme on fatigue, clinical, and patient-reported outcomes in multiple myeloma [MM] patients. The current study explored MM patients’ experiences of the programme to guide future interventions. Methods Purposive sampling was used to recruit stable MM patients participating in MASCOT. Semi-structured, face-to-face interviews were conducted, transcribed verbatim, and analysed using thematic analysis. Results Six themes were identified. Key drivers for participation in MASCOT were “Altruism and extended cancer care”; participants wanted to give something back and assist in improving post-treatment care for MM patients, especially as after treatment “Barriers to being physically active” were a fear of damage and lack of health professional guidance. “Influences fostering change within the intervention” included physiotherapy supervision and tailored exercises, which gave participants confidence to push themselves in a safe environment and broke down misconceptions about their body. “Social support”, from both family and peers in the programme, promoted motivation and adherence. Participants expressed concerns about “Maintaining things going forward” but had identified mechanisms to aid continuation. “Physical and mental benefits” of the programme were highlighted; participants were able to do things they couldn’t before and described feeling free from the constraints of MM. Conclusions A post-treatment exercise intervention for MM patients was a positive experience, which enhanced participants’ physical and psychological wellbeing. Tailored gym and home-based exercises, a specialist cancer physiotherapist, and sustained support were perceived to be important for success. Implications for cancer survivors Exercise support for MM patients, ideally with physiotherapist supervision, should be incorporated into survivorship care to qualitatively improve patients’ quality of life, self-efficacy, and mental wellbeing.

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Myeloma patients' experiences of haematopoietic stem cell transplant: A qualitative thematic synthesis

Cited by 11 publications

References 33 publications

Returning to life activities after hematopoietic cell transplantation in older adults

Returning to life activities after hematopoietic cell transplantation in older adults

Patients’ Experiences of Life Challenges After Liver Transplantation: A Qualitative Study

Myeloma patients’ experiences of a supervised physical activity programme: a qualitative study

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