Self-management by older people living with cancer and multi-morbidity: a qualitative study.
Cancer survivorship
Complex conditions
Late effects
Multimorbidity
Older adults
Qualitative research
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
12
09
2021
accepted:
31
01
2022
pubmed:
12
2
2022
medline:
30
4
2022
entrez:
11
2
2022
Statut:
ppublish
Résumé
Over half of individuals diagnosed with cancer are aged over 70 years, and more than 75% of those with cancer report at least one other medical condition. Having multiple conditions alongside cancer in old age may lower functional status, greater likelihood of treatment complications and less favourable prognoses. This qualitative study explored how older people with long-term chronic conditions manage their health and meet their health-related goals after they have completed treatment for cancer. One-to-one face-to-face qualitative interviews were conducted with 8 older people and 2 informal caregivers based in the UK. Older adults were eligible to participate if they were over 70 and had completed primary cancer treatment with curative intent and had at least one other chronic health condition. A semi-structured interview schedule developed a priori based on Shippee's cumulative complexity model was used. We aimed to explore experiences that could influence self-management, utilisation of healthcare services and health outcomes. A framework analysis was used to describe and interpret the data. Four overarching themes were identified in the analysis. These themes related to factors that influenced the everyday health-related workload and capacity of the participants. These factors included their health, resources, and opportunities, as well their motivation and sense of perceived control over their lives. Fragmented healthcare systems and relationships with healthcare professionals also influenced the participants' self-management of their health. Our findings highlight the interaction between an individuals' needs, capacity, treatment burden, and the services and resources available to them. These findings support calls to promote person-centred care to better support older adults to manage their health.
Identifiants
pubmed: 35147757
doi: 10.1007/s00520-022-06892-z
pii: 10.1007/s00520-022-06892-z
pmc: PMC8831683
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4823-4833Subventions
Organisme : National Institute for Health Research (NIHR) CLAHRC Wessex.
ID : JB received funding to support this study. Funders: National Institute of Health Research
Organisme : National Institute for Health Research (NIHR) CLAHRC Wessex.
ID : Collaboration for Leadership in Applied Health Research
Organisme : National Institute for Health Research (NIHR) CLAHRC Wessex.
ID : Care Wessex (NIHR CLAHRC Wessex). https://clahrc-wessex.nihr.ac.uk/ The funders had no role in study design
Organisme : National Institute for Health Research (NIHR) CLAHRC Wessex.
ID : data collection
Organisme : National Institute for Health Research (NIHR) CLAHRC Wessex.
ID : analysis
Organisme : National Institute for Health Research (NIHR) CLAHRC Wessex.
ID : decision to publish
Organisme : National Institute for Health Research (NIHR) CLAHRC Wessex.
ID : or preparation of the manuscript.
Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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