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01.03.2018 | Original Article | Ausgabe 3/2018

Supportive Care in Cancer 3/2018

Can models of self-management support be adapted across cancer types? A comparison of unmet self-management needs for patients with breast or colorectal cancer

Zeitschrift:
Supportive Care in Cancer > Ausgabe 3/2018
Autoren:
Elise Mansfield, Lisa Mackenzie, Mariko Carey, Kerry Peek, Jan Shepherd, Tiffany-Jane Evans
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s00520-017-3896-0) contains supplementary material, which is available to authorized users.

Abstract

Purpose

There is an increased focus on supporting patients with cancer to actively participate in their healthcare, an approach commonly termed ‘self-management’. Comparing unmet self-management needs across cancer types may reveal opportunities to adapt effective self-management support strategies from one cancer type to another. Given that breast and colorectal cancers are prevalent, and have high survival rates, we compared these patients’ recent need for help with self-management.

Method

Data on multiple aspects of self-management were collected from 717 patients with breast cancer and 336 patients with colorectal cancer attending one of 13 Australian medical oncology treatment centres.

Results

There was no significant difference between the proportion of patients with breast or colorectal cancer who reported a need for help with at least one aspect of self-management. Patients with breast cancer were significantly more likely to report needing help with exercising more, while patients with colorectal cancer were more likely to report needing help with reducing alcohol consumption. When controlling for treatment centre, patients who were younger, experiencing distress or had not received chemotherapy were more likely to report needing help with at least one aspect of self-management.

Conclusions

A substantial minority of patients reported an unmet need for self-management support. This indicates that high-quality intervention research is needed to identify effective self-management support strategies, as well as implementation trials to identify approaches to translating these strategies into practice. Future research should continue to explore whether self-management support strategies could be adapted across cancer types.

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Zusatzmaterial
ESM 1 (DOCX 13 kb).
520_2017_3896_MOESM1_ESM.docx
Literatur
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