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Autor/inn/enBrunet, Jennifer; Wurz, Amanda; Srivastava, Deeksha
TitelThe Process of Self-Management: A Qualitative Case Study Reporting on Cancer Survivors' and Program Staff's Experiences within One Self-Management Support Intervention
QuelleIn: Health Education & Behavior, 47 (2020) 4, S.592-601 (10 Seiten)
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ZusatzinformationORCID (Wurz, Amanda)
Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1090-1981
DOI10.1177/1090198120902029
SchlagwörterSelf Management; Intervention; Cancer; Comorbidity; Symptoms (Individual Disorders); Self Esteem; Knowledge Level; Case Studies; Patients; Foreign Countries; Holistic Approach; Health Services; Medical Services; Canada
AbstractBackground: Cancer survivors must manage a range of adverse symptoms and side effects postdiagnosis. These effects often co-occur with preexisting comorbid conditions. Recognizing the complex chronicity of the disease, self-management support interventions have been developed to promote cancer survivors' knowledge, skills, and confidence to self-manage their health. Though shown to be beneficial, the processes underlying self-management have yet to be explicated. Aim: To explore how a community-based self-management support intervention fosters cancer survivors' knowledge, confidence, and skills to self-manage their health. Method: A qualitative case study adopting multiple viewpoints was utilized. Seventeen cancer survivors who participated in a self-management support intervention (referred to as a cancer coaching program) were interviewed and six program staff took part in a focus group. Transcripts from the interviews and focus group were analyzed using a hybrid inductive--deductive approach guided by principles of qualitative description. Results: Cancer survivors and program staff offered complementary perspectives that enhanced our understanding of how the self-management support intervention fosters cancer survivors' knowledge, confidence, and skills to self-manage their health. Four themes captured strategies necessary to promote self-management: (1) looking beyond the disease: the importance of holistic person-centered care, (2) cocreating plans: the key to effective and meaningful self-management support, (3) fostering activation via tailored, targeted, and expert-sourced information and resources, and (4) having dependable and impartial emotional support. Within each theme, pertinent self-management support strategies were described by cancer survivors and program staff. Discussion and Conclusion: Findings offer an understanding of how one community-based self-management support intervention promotes self-management and highlight valuable self-management support strategies that could be incorporated into existing and future interventions. (As Provided).
AnmerkungenSAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2024/1/01
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