Self-help friendliness in cancer care: A cross-sectional study among self-help group leaders in Germany.

cancer care cooperation patient involvement patient participation peer support quality management self-help friendliness

Journal

Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926

Informations de publication

Date de publication:
12 2022
Historique:
revised: 23 08 2022
received: 07 03 2022
accepted: 08 09 2022
pubmed: 22 9 2022
medline: 30 11 2022
entrez: 21 9 2022
Statut: ppublish

Résumé

Peer support is increasingly recognized as crucial for improving health and psychosocial outcomes in oncological care. The integration of cancer self-help groups (SHGs) into cancer care facilities has gained importance in recent years. Yet, there is a lack of knowledge of the extent and quality of cooperation between cancer care facilities and SHGs and their integration into routine care. The concept of self-help friendliness (SHF) provides a feasible instrument for the measurement of cooperation and integration. A cross-sectional study across Germany investigates the experiences of 266 leaders of cancer SHGs concerning their cooperation with cancer care facilities based on the criteria for SHF. The participatory study was developed and conducted with representatives of the House of Cancer Self-Help and the federal associations of cancer self-help. According to the SHG leaders, about 80% of their members primarily find their way to an SHG via other patients and only less than 50% more or less frequently via hospitals or rehabilitation clinics. The quality of cooperation with cancer centres, hospitals and rehabilitation clinics, however, is rated as good to very good by more than 70% of the respondents. Nine out of 10 quality criteria for SHF are fully or at least partially implemented, the values vary between 53% and 87%. Overall, 58% of the SHG leaders feel well to be very well integrated into care facilities. The results show a positive assessment of the involvement of SHGs in oncological care, but differences between inpatient and outpatient care and low referrals to SHGs are prominent. The concept of SHF is a feasible solution for a systematic and measurable involvement of SHGs. The perspectives and insight of patient representatives obtained through qualitative interviews were directly incorporated into this study. Representatives of cancer self-help organizations were involved in the development of the questionnaire, reviewed it for content and comprehensibility, and further helped to recruit participants.

Sections du résumé

BACKGROUND
Peer support is increasingly recognized as crucial for improving health and psychosocial outcomes in oncological care. The integration of cancer self-help groups (SHGs) into cancer care facilities has gained importance in recent years. Yet, there is a lack of knowledge of the extent and quality of cooperation between cancer care facilities and SHGs and their integration into routine care. The concept of self-help friendliness (SHF) provides a feasible instrument for the measurement of cooperation and integration.
METHODS
A cross-sectional study across Germany investigates the experiences of 266 leaders of cancer SHGs concerning their cooperation with cancer care facilities based on the criteria for SHF. The participatory study was developed and conducted with representatives of the House of Cancer Self-Help and the federal associations of cancer self-help.
RESULTS
According to the SHG leaders, about 80% of their members primarily find their way to an SHG via other patients and only less than 50% more or less frequently via hospitals or rehabilitation clinics. The quality of cooperation with cancer centres, hospitals and rehabilitation clinics, however, is rated as good to very good by more than 70% of the respondents. Nine out of 10 quality criteria for SHF are fully or at least partially implemented, the values vary between 53% and 87%. Overall, 58% of the SHG leaders feel well to be very well integrated into care facilities.
CONCLUSIONS
The results show a positive assessment of the involvement of SHGs in oncological care, but differences between inpatient and outpatient care and low referrals to SHGs are prominent. The concept of SHF is a feasible solution for a systematic and measurable involvement of SHGs.
PATIENT OR PUBLIC CONTRIBUTION
The perspectives and insight of patient representatives obtained through qualitative interviews were directly incorporated into this study. Representatives of cancer self-help organizations were involved in the development of the questionnaire, reviewed it for content and comprehensibility, and further helped to recruit participants.

Identifiants

pubmed: 36129136
doi: 10.1111/hex.13608
pmc: PMC9700191
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

3005-3016

Informations de copyright

© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd.

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Auteurs

Elâ Ziegler (E)

Centre for Psychosocial Medicine, Institute of Medical Sociology, Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Stefan Nickel (S)

Centre for Psychosocial Medicine, Institute of Medical Sociology, Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Alf Trojan (A)

Centre for Psychosocial Medicine, Institute of Medical Sociology, Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Jens Klein (J)

Centre for Psychosocial Medicine, Institute of Medical Sociology, Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Christopher Kofahl (C)

Centre for Psychosocial Medicine, Institute of Medical Sociology, Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

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Classifications MeSH