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    Cancer survivors’ perspectives on adjustment-focused self-management interventions: A qualitative meta-synthesis


    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

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    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.

    Item Type: Article
    Additional Information: This is the preprint version of the published article, which is available at Coffey, L., Mooney, O., Dunne, S. et al. J Cancer Surviv (2016) 10: 1012. https://doi.org/10.1007/s11764-016-0546-3
    Keywords: Meta-synthesis; Qualitative research; Self-management; Cancer Survivorship;
    Academic Unit: Faculty of Science and Engineering > Psychology
    Item ID: 10592
    Identification Number: https://doi.org/10.1007/s11764-016-0546-3
    Depositing User: Laura Coffey
    Date Deposited: 28 Feb 2019 17:10
    Journal or Publication Title: Journal of Cancer Survivorship
    Publisher: Springer US
    Refereed: Yes
    Funders: Irish Cancer Society, Health Research Board (HRB)
    URI:

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