A mixed methods study to explore the supportive care needs of breast cancer survivors

Abstract

Background

Needs assessment is the essence of quality cancer survivorship care. The aim of this study was to explore the supportive care needs of breast cancer survivors (BCS) in the first five years post-treatment.

Methods

A mixed methods approach was employed. A quantitative study included a Supportive Care Needs Survey, which was completed by 250 BCS to identify the level of their needs for help. The quantitative data informed semi-structured qualitative interviews undertaken with 60 BCS to explore in details their post-treatment needs and experiences.

Results

32.4% and 16.8% reported 1 – 5 and ≥6 needs for help, respectively. The regression analyses revealed that women within two years post-treatment and with higher educational level had higher levels of Psychological and Health Care System/Information needs. The qualitative data revealed that "continuity of care" and "life style advice and self-management" as prominent survivorship concerns. It was shown that determination to continue normal life, social support, and feeling overwhelmed by information were all experienced as important influences on survivors' need for help.

Conclusions

Post-treatment needs vary with BCS characteristics and to the domains concerned. The approach to post-treatment care needs to be personalized and viable.

http://ift.tt/2ucT7zX