Cancer-related fatigue in teenage and young adult cancer patients: Clinicians' perspectives, practice and challenges

Emma Willmott; Maria Loades; Laura Baker; Anna Spathis

doi:10.1111/ecc.13337

Cancer-related fatigue in teenage and young adult cancer patients: Clinicians' perspectives, practice and challenges

Emma Willmott, Maria Loades, Laura Baker, Anna Spathis

Research output: Contribution to journal › Article (Academic Journal) › peer-review

Abstract

OBJECTIVE: Cancer-related fatigue (CRF) is a common and distressing symptom experienced by teenage and young adult cancer patients (TYAs). This study aimed to explore clinicians' perspectives, practices and challenges in supporting TYAs with CRF.

METHOD: Ten clinicians from a TYA multidisciplinary team (MDT) participated in semi-structured interviews which were thematically analysed.

RESULTS: Clinicians perceived CRF as a common, but individual experience for TYAs and framed the broad impact of CRF in the context of TYAs' development. Clinicians' assessment and management of CRF for TYAs varied. Clinicians described a range of challenges affecting their practice in supporting TYAs with CRF, including limited knowledge, difficulties engaging TYAs, inadequate time in consultations and a lack of age-appropriate resources.

CONCLUSIONS: Despite clinicians' good insight into TYAs' unique experiences of CRF, the assessment and management of CRF for TYAs are complicated by numerous challenges. The development of evidence-based interventions and guidelines, clear pathways of care, and TYA-friendly resources, measures and programmes, is vital to support clinicians, and TYAs, in managing CRF.

Original language	English
Pages (from-to)	e13337
Journal	European Journal of Cancer Care
DOIs	https://doi.org/10.1111/ecc.13337
Publication status	E-pub ahead of print - 4 Oct 2020

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@article{436c04bf477c455d9b924f31990d0f97,

title = "Cancer-related fatigue in teenage and young adult cancer patients: Clinicians' perspectives, practice and challenges",

abstract = "OBJECTIVE: Cancer-related fatigue (CRF) is a common and distressing symptom experienced by teenage and young adult cancer patients (TYAs). This study aimed to explore clinicians' perspectives, practices and challenges in supporting TYAs with CRF.METHOD: Ten clinicians from a TYA multidisciplinary team (MDT) participated in semi-structured interviews which were thematically analysed.RESULTS: Clinicians perceived CRF as a common, but individual experience for TYAs and framed the broad impact of CRF in the context of TYAs' development. Clinicians' assessment and management of CRF for TYAs varied. Clinicians described a range of challenges affecting their practice in supporting TYAs with CRF, including limited knowledge, difficulties engaging TYAs, inadequate time in consultations and a lack of age-appropriate resources.CONCLUSIONS: Despite clinicians' good insight into TYAs' unique experiences of CRF, the assessment and management of CRF for TYAs are complicated by numerous challenges. The development of evidence-based interventions and guidelines, clear pathways of care, and TYA-friendly resources, measures and programmes, is vital to support clinicians, and TYAs, in managing CRF.",

author = "Emma Willmott and Maria Loades and Laura Baker and Anna Spathis",

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year = "2020",

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doi = "10.1111/ecc.13337",

language = "English",

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journal = "European Journal of Cancer Care",

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TY - JOUR

T1 - Cancer-related fatigue in teenage and young adult cancer patients

T2 - Clinicians' perspectives, practice and challenges

AU - Willmott, Emma

AU - Loades, Maria

AU - Baker, Laura

AU - Spathis, Anna

PY - 2020/10/4

Y1 - 2020/10/4

N2 - OBJECTIVE: Cancer-related fatigue (CRF) is a common and distressing symptom experienced by teenage and young adult cancer patients (TYAs). This study aimed to explore clinicians' perspectives, practices and challenges in supporting TYAs with CRF.METHOD: Ten clinicians from a TYA multidisciplinary team (MDT) participated in semi-structured interviews which were thematically analysed.RESULTS: Clinicians perceived CRF as a common, but individual experience for TYAs and framed the broad impact of CRF in the context of TYAs' development. Clinicians' assessment and management of CRF for TYAs varied. Clinicians described a range of challenges affecting their practice in supporting TYAs with CRF, including limited knowledge, difficulties engaging TYAs, inadequate time in consultations and a lack of age-appropriate resources.CONCLUSIONS: Despite clinicians' good insight into TYAs' unique experiences of CRF, the assessment and management of CRF for TYAs are complicated by numerous challenges. The development of evidence-based interventions and guidelines, clear pathways of care, and TYA-friendly resources, measures and programmes, is vital to support clinicians, and TYAs, in managing CRF.

AB - OBJECTIVE: Cancer-related fatigue (CRF) is a common and distressing symptom experienced by teenage and young adult cancer patients (TYAs). This study aimed to explore clinicians' perspectives, practices and challenges in supporting TYAs with CRF.METHOD: Ten clinicians from a TYA multidisciplinary team (MDT) participated in semi-structured interviews which were thematically analysed.RESULTS: Clinicians perceived CRF as a common, but individual experience for TYAs and framed the broad impact of CRF in the context of TYAs' development. Clinicians' assessment and management of CRF for TYAs varied. Clinicians described a range of challenges affecting their practice in supporting TYAs with CRF, including limited knowledge, difficulties engaging TYAs, inadequate time in consultations and a lack of age-appropriate resources.CONCLUSIONS: Despite clinicians' good insight into TYAs' unique experiences of CRF, the assessment and management of CRF for TYAs are complicated by numerous challenges. The development of evidence-based interventions and guidelines, clear pathways of care, and TYA-friendly resources, measures and programmes, is vital to support clinicians, and TYAs, in managing CRF.

U2 - 10.1111/ecc.13337

DO - 10.1111/ecc.13337

M3 - Article (Academic Journal)

C2 - 33015937

SP - e13337

JO - European Journal of Cancer Care

JF - European Journal of Cancer Care

SN - 0961-5423

ER -