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Conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study

PURPOSE: Teenage and young adult cancer care in England is centralized around 13 principal treatment centers, alongside linked “designated” hospitals, following recommendations that this population should have access to age-appropriate care. The term age-appropriate care has not yet been defined; it...

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Autores principales: Lea, Sarah, Taylor, Rachel M, Martins, Ana, Fern, Lorna A, Whelan, Jeremy S, Gibson, Faith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207223/
https://www.ncbi.nlm.nih.gov/pubmed/30498386
http://dx.doi.org/10.2147/AHMT.S182176
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author Lea, Sarah
Taylor, Rachel M
Martins, Ana
Fern, Lorna A
Whelan, Jeremy S
Gibson, Faith
author_facet Lea, Sarah
Taylor, Rachel M
Martins, Ana
Fern, Lorna A
Whelan, Jeremy S
Gibson, Faith
author_sort Lea, Sarah
collection PubMed
description PURPOSE: Teenage and young adult cancer care in England is centralized around 13 principal treatment centers, alongside linked “designated” hospitals, following recommendations that this population should have access to age-appropriate care. The term age-appropriate care has not yet been defined; it is however the explicit term used when communicating the nature of specialist care. The aim of this study was to develop an evidence-based, contextually relevant and operational model defining age-appropriate care for teenagers and young adults with cancer. MATERIALS AND METHODS: A mixed-methods study was conducted comprising 1) semi-structured interview data from young people with cancer and health care professionals involved in their care; 2) an integrative literature review to identify the current understanding and use of the term age-appropriate care; 3) synthesis of both sets of data to form a conceptual model of age-appropriate care. A combination of qualitative content, thematic and framework analysis techniques was used to analyze and integrate data. RESULTS: Analysis and synthesis across data sources enabled identification of seven core components of age-appropriate care, which were presented as a conceptual model: best treatment; health care professional knowledge; communication, interactions and relationships; recognizing individuality; empowering young people; promoting normality; and the environment. Subthemes emerged which included healthcare professionals clinical and holistic expertise, and the environment comprising both physical and social elements. CONCLUSION: The proposed model, necessarily constructed from multiple components, presents an evidence-based comprehensive structure for understanding the nature of age-appropriate care. It will be useful for clinicians, health service managers and researchers who are designing, implementing and evaluating interventions that might contribute to the provision of age-appropriate care. While the individual elements of age-appropriate care can exist independently or in part, age-appropriate care is optimal when all seven elements are present and could be applied to the care of young people with long-term conditions other than cancer.
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spelling pubmed-62072232018-11-29 Conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study Lea, Sarah Taylor, Rachel M Martins, Ana Fern, Lorna A Whelan, Jeremy S Gibson, Faith Adolesc Health Med Ther Original Research PURPOSE: Teenage and young adult cancer care in England is centralized around 13 principal treatment centers, alongside linked “designated” hospitals, following recommendations that this population should have access to age-appropriate care. The term age-appropriate care has not yet been defined; it is however the explicit term used when communicating the nature of specialist care. The aim of this study was to develop an evidence-based, contextually relevant and operational model defining age-appropriate care for teenagers and young adults with cancer. MATERIALS AND METHODS: A mixed-methods study was conducted comprising 1) semi-structured interview data from young people with cancer and health care professionals involved in their care; 2) an integrative literature review to identify the current understanding and use of the term age-appropriate care; 3) synthesis of both sets of data to form a conceptual model of age-appropriate care. A combination of qualitative content, thematic and framework analysis techniques was used to analyze and integrate data. RESULTS: Analysis and synthesis across data sources enabled identification of seven core components of age-appropriate care, which were presented as a conceptual model: best treatment; health care professional knowledge; communication, interactions and relationships; recognizing individuality; empowering young people; promoting normality; and the environment. Subthemes emerged which included healthcare professionals clinical and holistic expertise, and the environment comprising both physical and social elements. CONCLUSION: The proposed model, necessarily constructed from multiple components, presents an evidence-based comprehensive structure for understanding the nature of age-appropriate care. It will be useful for clinicians, health service managers and researchers who are designing, implementing and evaluating interventions that might contribute to the provision of age-appropriate care. While the individual elements of age-appropriate care can exist independently or in part, age-appropriate care is optimal when all seven elements are present and could be applied to the care of young people with long-term conditions other than cancer. Dove Medical Press 2018-10-24 /pmc/articles/PMC6207223/ /pubmed/30498386 http://dx.doi.org/10.2147/AHMT.S182176 Text en © 2018 Lea et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Lea, Sarah
Taylor, Rachel M
Martins, Ana
Fern, Lorna A
Whelan, Jeremy S
Gibson, Faith
Conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study
title Conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study
title_full Conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study
title_fullStr Conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study
title_full_unstemmed Conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study
title_short Conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study
title_sort conceptualizing age-appropriate care for teenagers and young adults with cancer: a qualitative mixed-methods study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207223/
https://www.ncbi.nlm.nih.gov/pubmed/30498386
http://dx.doi.org/10.2147/AHMT.S182176
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