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Identifying and exploring the self-management strategies used by childhood cancer survivors

PURPOSE: Childhood cancer survivors (CCSs) are at increased risk of chronic health problems. Effective self-management could help CCSs cope with the challenges that accompany survivorship and reduce their risk of developing further health problems. There is little evidence about the extent to which...

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Autores principales: Brown, Morven C., Haste, Anna, Araújo-Soares, Vera, Skinner, Roderick, Sharp, Linda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7966631/
https://www.ncbi.nlm.nih.gov/pubmed/33156449
http://dx.doi.org/10.1007/s11764-020-00935-2
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author Brown, Morven C.
Haste, Anna
Araújo-Soares, Vera
Skinner, Roderick
Sharp, Linda
author_facet Brown, Morven C.
Haste, Anna
Araújo-Soares, Vera
Skinner, Roderick
Sharp, Linda
author_sort Brown, Morven C.
collection PubMed
description PURPOSE: Childhood cancer survivors (CCSs) are at increased risk of chronic health problems. Effective self-management could help CCSs cope with the challenges that accompany survivorship and reduce their risk of developing further health problems. There is little evidence about the extent to which CCSs engage with self-management and the specific strategies they use. This study aimed to identify and explore the strategies that CCSs use to manage the consequences of cancer. METHODS: Twenty-four CCSs were recruited via follow-up clinics. Participants completed a semi-structured interview which was audio-recorded and transcribed. Directed content analysis was used to identify self-reported self-management strategies and categorise them into main self-management types. RESULTS: CCSs reported 118 specific self-management strategies which fell under 20 main self-management strategy types. All CCSs reported using several main self-management strategy types and specific self-management strategies. Main strategy types used by all CCSs were “adopting a healthy lifestyle”, “self-motivating”, “using support”, “reasoned decision-making” and “creating a healthy environment”. The most common specific self-management strategies were “receiving family support” (n = 20) and “attending follow-up and screening appointments” (n = 20). CONCLUSIONS: This is the first study which has enabled CCSs to self-report the numerous strategies they employ to look after their health and well-being, contributing to a more comprehensive picture of self-management in CCSs. IMPLICATIONS FOR CANCER SURVIVORS: These findings may increase healthcare professionals’ awareness of the many ways in which CCSs manage their health and is a valuable first step in the development of a supported self-management intervention for CCSs in follow-up care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11764-020-00935-2) contains supplementary material, which is available to authorized users.
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spelling pubmed-79666312021-04-01 Identifying and exploring the self-management strategies used by childhood cancer survivors Brown, Morven C. Haste, Anna Araújo-Soares, Vera Skinner, Roderick Sharp, Linda J Cancer Surviv Article PURPOSE: Childhood cancer survivors (CCSs) are at increased risk of chronic health problems. Effective self-management could help CCSs cope with the challenges that accompany survivorship and reduce their risk of developing further health problems. There is little evidence about the extent to which CCSs engage with self-management and the specific strategies they use. This study aimed to identify and explore the strategies that CCSs use to manage the consequences of cancer. METHODS: Twenty-four CCSs were recruited via follow-up clinics. Participants completed a semi-structured interview which was audio-recorded and transcribed. Directed content analysis was used to identify self-reported self-management strategies and categorise them into main self-management types. RESULTS: CCSs reported 118 specific self-management strategies which fell under 20 main self-management strategy types. All CCSs reported using several main self-management strategy types and specific self-management strategies. Main strategy types used by all CCSs were “adopting a healthy lifestyle”, “self-motivating”, “using support”, “reasoned decision-making” and “creating a healthy environment”. The most common specific self-management strategies were “receiving family support” (n = 20) and “attending follow-up and screening appointments” (n = 20). CONCLUSIONS: This is the first study which has enabled CCSs to self-report the numerous strategies they employ to look after their health and well-being, contributing to a more comprehensive picture of self-management in CCSs. IMPLICATIONS FOR CANCER SURVIVORS: These findings may increase healthcare professionals’ awareness of the many ways in which CCSs manage their health and is a valuable first step in the development of a supported self-management intervention for CCSs in follow-up care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11764-020-00935-2) contains supplementary material, which is available to authorized users. Springer US 2020-11-06 2021 /pmc/articles/PMC7966631/ /pubmed/33156449 http://dx.doi.org/10.1007/s11764-020-00935-2 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Brown, Morven C.
Haste, Anna
Araújo-Soares, Vera
Skinner, Roderick
Sharp, Linda
Identifying and exploring the self-management strategies used by childhood cancer survivors
title Identifying and exploring the self-management strategies used by childhood cancer survivors
title_full Identifying and exploring the self-management strategies used by childhood cancer survivors
title_fullStr Identifying and exploring the self-management strategies used by childhood cancer survivors
title_full_unstemmed Identifying and exploring the self-management strategies used by childhood cancer survivors
title_short Identifying and exploring the self-management strategies used by childhood cancer survivors
title_sort identifying and exploring the self-management strategies used by childhood cancer survivors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7966631/
https://www.ncbi.nlm.nih.gov/pubmed/33156449
http://dx.doi.org/10.1007/s11764-020-00935-2
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