Cancer survivors' perspectives on adjustment-focused self-management interventions: a qualitative meta-synthesis

L Coffey, O Mooney, S Dunne, L Sharp, A Timmons, D Desmond, E O'Sullivan, C Timon, Rachael Gooberman-Hill, P Gallagher

Research output: Contribution to journalArticle (Academic Journal)peer-review

22 Citations (Scopus)
293 Downloads (Pure)

Abstract

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.
Implications for Cancer Survivors
The findings suggest some key considerations for the development and implementation of future adjustment-focused self-management interventions that may help to optimize their appeal and effectiveness among cancer survivors.
Original languageEnglish
Pages (from-to)1012-1034
Number of pages23
JournalJournal of Cancer Survivorship
Volume10
Issue number6
Early online date5 May 2016
DOIs
Publication statusPublished - Dec 2016

Keywords

  • Meta-synthesis
  • Qualitative research
  • Self-management
  • Cancer
  • Survivorship

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