Skip to main content
Erschienen in: Supportive Care in Cancer 6/2015

01.06.2015 | Original Article

Cancer survivors’ perceived need for supportive care and their attitude towards self-management and eHealth

verfasst von: Femke Jansen, Cornelia F. van Uden-Kraan, Valesca van Zwieten, Birgit I. Witte, Irma M. Verdonck-de Leeuw

Erschienen in: Supportive Care in Cancer | Ausgabe 6/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of this study was to explore the perceived need for supportive care including healthy lifestyle programs among cancer survivors, their attitude towards self-management and eHealth, and its association with several sociodemographic and clinical variables and quality of life.

Methods

A questionnaire on the perceived need for supportive care and attitude towards self-management and eHealth was completed by 212 cancer survivors from an online panel.

Results

Highest needs were reported regarding physical care (66 %), followed by healthy lifestyle programs (54 %), social care (43 %), psychological care (38 %), and life question-related programs (24 %). In general, cancer survivors had a positive attitude towards self-management and eHealth. Supportive care needs were associated with male gender, lower age, treatment with chemotherapy or (chemo)radiation (versus surgery alone), hematological cancer (versus skin cancer, breast cancer, and other types of cancer), and lower quality of life. A positive attitude towards self-management was associated with lower age. A more positive attitude towards eHealth was associated with lower age, higher education, higher income, currently being under treatment (versus treatment in the last year), treatment with chemotherapy or (chemo)radiation (versus surgery alone), prostate and testicular cancer (versus hematological, skin, gynecological, and breast cancer and other types of cancer), and lower quality of life.

Conclusions

The perceived need for supportive care including healthy lifestyle programs was high, and in general, cancer survivors had a positive attitude towards self-management and eHealth. Need and attitude were associated with sociodemographic and clinical variables and quality of life. Therefore, a tailored approach seems to be warranted to improve and innovate supportive care targeting cancer survivors.
Literatur
1.
Zurück zum Zitat Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ (2009) What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer 17:1117–1128CrossRefPubMed Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ (2009) What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer 17:1117–1128CrossRefPubMed
2.
Zurück zum Zitat Puts MTE, Papoutsis A, Springall E, Tourangeau AE (2012) A systematic review of unmet needs of newly diagnosed older cancer patients undergoing active cancer treatment. Support Care Cancer 20:1377–1394CrossRefPubMed Puts MTE, Papoutsis A, Springall E, Tourangeau AE (2012) A systematic review of unmet needs of newly diagnosed older cancer patients undergoing active cancer treatment. Support Care Cancer 20:1377–1394CrossRefPubMed
4.
Zurück zum Zitat McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K et al (2011) Self-management: enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin 61:50–62CrossRefPubMedCentralPubMed McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K et al (2011) Self-management: enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin 61:50–62CrossRefPubMedCentralPubMed
5.
Zurück zum Zitat Meropol NJ, Schulman KA (2007) Cost of cancer care: issues and implications. J Clin Oncol 25:180–186CrossRefPubMed Meropol NJ, Schulman KA (2007) Cost of cancer care: issues and implications. J Clin Oncol 25:180–186CrossRefPubMed
6.
Zurück zum Zitat Stitzenberg KB, Sigurdson ER, Egleston BL, Starkey RB, Meropol NJ (2009) Centralization of cancer surgery: implications for patient access to optimal care. J Clin Oncol 27:4671–4678CrossRefPubMedCentralPubMed Stitzenberg KB, Sigurdson ER, Egleston BL, Starkey RB, Meropol NJ (2009) Centralization of cancer surgery: implications for patient access to optimal care. J Clin Oncol 27:4671–4678CrossRefPubMedCentralPubMed
7.
Zurück zum Zitat Schäfer W, Kroneman M, Boerma W, van den Berg M, Westert G, Devillé W, et al (2010) The Netherlands: Health Syst Rev 2010. Report No.: 12 Schäfer W, Kroneman M, Boerma W, van den Berg M, Westert G, Devillé W, et al (2010) The Netherlands: Health Syst Rev 2010. Report No.: 12
8.
Zurück zum Zitat Bright MA, Fleisher L, Thomsen C, Morra ME, Marcus A, Gehring W (2005) Exploring e-health usage and interest among cancer information service users: the need for personalized interactions and multiple channels remains. J Health Commun 10:35–52CrossRefPubMed Bright MA, Fleisher L, Thomsen C, Morra ME, Marcus A, Gehring W (2005) Exploring e-health usage and interest among cancer information service users: the need for personalized interactions and multiple channels remains. J Health Commun 10:35–52CrossRefPubMed
9.
Zurück zum Zitat Leykin Y, Thekdi SM, Shumay DM, Munoz RF, Riba M, Dunn LB (2012) Internet interventions for improving psychological well-being in psycho-oncology: review and recommendations. Psychooncology 21:1016–1025CrossRefPubMedCentralPubMed Leykin Y, Thekdi SM, Shumay DM, Munoz RF, Riba M, Dunn LB (2012) Internet interventions for improving psychological well-being in psycho-oncology: review and recommendations. Psychooncology 21:1016–1025CrossRefPubMedCentralPubMed
10.
Zurück zum Zitat Kuijpers W, Groen WG, Aaronson NK, van Harten WH (2013) A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res 15:e37CrossRefPubMedCentralPubMed Kuijpers W, Groen WG, Aaronson NK, van Harten WH (2013) A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res 15:e37CrossRefPubMedCentralPubMed
11.
Zurück zum Zitat Emmons KM, Puleo E, Sprunck-Harrild K, Ford J, Ostroff JS, Hodgson D et al (2013) Partnership for health-2, a web-based versus print smoking cessation intervention for childhood and young adult cancer survivors: randomized comparative effectiveness study. J Med Internet Res 15:e218CrossRefPubMedCentralPubMed Emmons KM, Puleo E, Sprunck-Harrild K, Ford J, Ostroff JS, Hodgson D et al (2013) Partnership for health-2, a web-based versus print smoking cessation intervention for childhood and young adult cancer survivors: randomized comparative effectiveness study. J Med Internet Res 15:e218CrossRefPubMedCentralPubMed
12.
Zurück zum Zitat Hong Y, Pena-Purcell NC, Ory MG (2012) Outcomes of online support and resources for cancer survivors: a systematic literature review. Patient Educ Couns 86:288–296CrossRefPubMed Hong Y, Pena-Purcell NC, Ory MG (2012) Outcomes of online support and resources for cancer survivors: a systematic literature review. Patient Educ Couns 86:288–296CrossRefPubMed
13.
Zurück zum Zitat Schulman-Green D, Bradley EH, Knobf MT, Prigerson H, DiGiovanna MP, McCorkle R (2011) Self-management and transitions in women with advanced breast cancer. J Pain Symptom Manage 42:517–525CrossRefPubMedCentralPubMed Schulman-Green D, Bradley EH, Knobf MT, Prigerson H, DiGiovanna MP, McCorkle R (2011) Self-management and transitions in women with advanced breast cancer. J Pain Symptom Manage 42:517–525CrossRefPubMedCentralPubMed
14.
Zurück zum Zitat Schulman-Green D, Bradley EH, Nicholson NRJ, George E, Indeck A, McCorkle R (2012) One step at a time: self-management and transitions among women with ovarian cancer. Oncol Nurs Forum 39:354–360CrossRefPubMedCentralPubMed Schulman-Green D, Bradley EH, Nicholson NRJ, George E, Indeck A, McCorkle R (2012) One step at a time: self-management and transitions among women with ovarian cancer. Oncol Nurs Forum 39:354–360CrossRefPubMedCentralPubMed
15.
Zurück zum Zitat Van Uden-Kraan CF, Drossaert CHC, Taal E, Smit WM, Bernelot Moens HJ, Van de Laar MAFJ (2011) Determinants of engagement in face-to-face and online patient support groups. J Med Internet Res 13:e106CrossRefPubMedCentralPubMed Van Uden-Kraan CF, Drossaert CHC, Taal E, Smit WM, Bernelot Moens HJ, Van de Laar MAFJ (2011) Determinants of engagement in face-to-face and online patient support groups. J Med Internet Res 13:e106CrossRefPubMedCentralPubMed
16.
Zurück zum Zitat van de Poll-Franse LV, van Eenbergen MCHJ (2008) Internet use by cancer survivors: current use and future wishes. Support Care Cancer 16:1189–1195CrossRefPubMed van de Poll-Franse LV, van Eenbergen MCHJ (2008) Internet use by cancer survivors: current use and future wishes. Support Care Cancer 16:1189–1195CrossRefPubMed
17.
Zurück zum Zitat Bjoernes CD, Laursen BS, Delmar C, Cummings E, Nøhr C (2012) A dialogue-based web application enhances personalized access to healthcare professionals—an intervention study. BMC Med Informat Decis Making 12 Bjoernes CD, Laursen BS, Delmar C, Cummings E, Nøhr C (2012) A dialogue-based web application enhances personalized access to healthcare professionals—an intervention study. BMC Med Informat Decis Making 12
18.
Zurück zum Zitat Boyes AW, Girgis A, D’Este C, Zucca AC (2012) Prevalence and correlates of cancer survivors’ supportive care needs 6 months after diagnosis: a population-based cross-sectional study. BMC Cancer 12:150CrossRefPubMedCentralPubMed Boyes AW, Girgis A, D’Este C, Zucca AC (2012) Prevalence and correlates of cancer survivors’ supportive care needs 6 months after diagnosis: a population-based cross-sectional study. BMC Cancer 12:150CrossRefPubMedCentralPubMed
19.
Zurück zum Zitat Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P (2000) The unmet supportive care needs of patients with cancer. Cancer 88:226–237CrossRefPubMed Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P (2000) The unmet supportive care needs of patients with cancer. Cancer 88:226–237CrossRefPubMed
20.
Zurück zum Zitat Ream E, Quennell A, Fincham L, Faithfull S, Khoo V, Wilson-Barnett J et al (2008) Supportive care needs of men living with prostate cancer in England: a survey. Br J Cancer 98:1903–1909CrossRefPubMedCentralPubMed Ream E, Quennell A, Fincham L, Faithfull S, Khoo V, Wilson-Barnett J et al (2008) Supportive care needs of men living with prostate cancer in England: a survey. Br J Cancer 98:1903–1909CrossRefPubMedCentralPubMed
21.
Zurück zum Zitat Jorgensen ML, Young JM, Harrison JD, Solomon MJ (2012) Unmet supportive care needs in colorectal cancer: differences by age. Support Care Cancer 20:1275–1281CrossRefPubMed Jorgensen ML, Young JM, Harrison JD, Solomon MJ (2012) Unmet supportive care needs in colorectal cancer: differences by age. Support Care Cancer 20:1275–1281CrossRefPubMed
22.
Zurück zum Zitat McIllmurray MB, Thomas C, Francis B, Morris S, Soothill K, Al-hamad A (2001) The psychosocial needs of cancer patients: findings from an observational study. European Journal of Cancer Care 10:261–269CrossRefPubMed McIllmurray MB, Thomas C, Francis B, Morris S, Soothill K, Al-hamad A (2001) The psychosocial needs of cancer patients: findings from an observational study. European Journal of Cancer Care 10:261–269CrossRefPubMed
23.
Zurück zum Zitat Pauwels EJ, Charlier C, De Bourdeauhuij I, Lechner L, Van Hoof E (2013) Care needs after primary breast cancer treatment. Survivors’ associated sociodemographic and medical characteristics. Psycho-Oncology 22:125–132CrossRefPubMed Pauwels EJ, Charlier C, De Bourdeauhuij I, Lechner L, Van Hoof E (2013) Care needs after primary breast cancer treatment. Survivors’ associated sociodemographic and medical characteristics. Psycho-Oncology 22:125–132CrossRefPubMed
24.
Zurück zum Zitat Schmid-Büchi S, Halfens RJG, Müller M, Dassen T, van den Borne B (2013) Factors associated with supportive care needs of patients under treatment for breast cancer. Eur J Oncol Nurs 17:22–29CrossRefPubMed Schmid-Büchi S, Halfens RJG, Müller M, Dassen T, van den Borne B (2013) Factors associated with supportive care needs of patients under treatment for breast cancer. Eur J Oncol Nurs 17:22–29CrossRefPubMed
25.
Zurück zum Zitat Smith AB, King M, Butow P, Luckett T, Grimison P, Toner GC et al (2013) The prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional study. Psychooncology 22:2557–2564CrossRefPubMed Smith AB, King M, Butow P, Luckett T, Grimison P, Toner GC et al (2013) The prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional study. Psychooncology 22:2557–2564CrossRefPubMed
26.
Zurück zum Zitat Smith DP, Supramaniam R, King MT, Ward J, Berry M, Armstrong BK (2007) Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. J Clin Oncol 25:2560–2566CrossRefPubMed Smith DP, Supramaniam R, King MT, Ward J, Berry M, Armstrong BK (2007) Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. J Clin Oncol 25:2560–2566CrossRefPubMed
27.
Zurück zum Zitat Brédart A, Kop JL, Griesser AC, Fiszer C, Zaman K, Panes-Ruedin B et al (2013) Assessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care. Annals of Oncology 24:2151–2158CrossRefPubMed Brédart A, Kop JL, Griesser AC, Fiszer C, Zaman K, Panes-Ruedin B et al (2013) Assessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care. Annals of Oncology 24:2151–2158CrossRefPubMed
28.
Zurück zum Zitat Newell S, Sanson-Fisher RW, Girgis A, Ackland S (1999) The physical and psycho-social experiences of patients attending an outpatient medical oncology department: a cross-sectional study. Eur J Cancer Care 8:73–82CrossRef Newell S, Sanson-Fisher RW, Girgis A, Ackland S (1999) The physical and psycho-social experiences of patients attending an outpatient medical oncology department: a cross-sectional study. Eur J Cancer Care 8:73–82CrossRef
29.
Zurück zum Zitat Ventura F, Öhlén J, Koinberg I (2013) An integrative review of supportive e-health programs in cancer care. Eur J Oncol Nurs 17:498–507CrossRefPubMed Ventura F, Öhlén J, Koinberg I (2013) An integrative review of supportive e-health programs in cancer care. Eur J Oncol Nurs 17:498–507CrossRefPubMed
30.
Zurück zum Zitat Verdonck-de Leeuw IM, de Bree R, Keizer AL, Houffelaar T, Cuijpers P, van der Linden MH et al (2009) Computerized prospective screening for high levels of emotional distress in head and neck cancer patients and referral rate to psychosocial care. Oral Oncol 45:e129–e133CrossRefPubMed Verdonck-de Leeuw IM, de Bree R, Keizer AL, Houffelaar T, Cuijpers P, van der Linden MH et al (2009) Computerized prospective screening for high levels of emotional distress in head and neck cancer patients and referral rate to psychosocial care. Oral Oncol 45:e129–e133CrossRefPubMed
31.
Zurück zum Zitat Oskam IM, Verdonck-de Leeuw IM, Aaronson NK, Witte BI, de Bree R, Doornaert P et al (2013) Prospective evaluation of health-related quality of life in long-term oral and oropharyngeal cancer survivors and the perceived need for supportive care. Oral Oncol 49:443–448CrossRefPubMed Oskam IM, Verdonck-de Leeuw IM, Aaronson NK, Witte BI, de Bree R, Doornaert P et al (2013) Prospective evaluation of health-related quality of life in long-term oral and oropharyngeal cancer survivors and the perceived need for supportive care. Oral Oncol 49:443–448CrossRefPubMed
32.
Zurück zum Zitat Lamers LM, Stalmeier PFM, McDonnell J, Krabbe PFM, van Busschbach JJ (2005) Measuring the quality of life in economic evaluations: the Dutch EQ-5D tariff. Ned Tijdschr Geneeskd 149:1574–1578PubMed Lamers LM, Stalmeier PFM, McDonnell J, Krabbe PFM, van Busschbach JJ (2005) Measuring the quality of life in economic evaluations: the Dutch EQ-5D tariff. Ned Tijdschr Geneeskd 149:1574–1578PubMed
33.
Zurück zum Zitat Verweij A (RIVM) Onderwijsdeelname: Indeling opleidingsniveau. Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid Bilthoven: RIVM, 2008 Verweij A (RIVM) Onderwijsdeelname: Indeling opleidingsniveau. Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid Bilthoven: RIVM, 2008
34.
Zurück zum Zitat Badr H, Chandra J, Paxton RJ, Ater JL, Urbauer D, Cruz CS et al (2013) Health-related quality of life, lifestyle behaviors, and intervention preferences of survivors of childhood cancer. J Cancer Surviv 7:523–534CrossRefPubMed Badr H, Chandra J, Paxton RJ, Ater JL, Urbauer D, Cruz CS et al (2013) Health-related quality of life, lifestyle behaviors, and intervention preferences of survivors of childhood cancer. J Cancer Surviv 7:523–534CrossRefPubMed
35.
36.
37.
Zurück zum Zitat Poulsen GM, Pedersen LL, Østerlind K, Bæksgaard L, Andersen JR (2014) Randomized trial of the effects of individual nutritional counseling in cancer patients. Clinical Nutrition 33:749–753CrossRefPubMed Poulsen GM, Pedersen LL, Østerlind K, Bæksgaard L, Andersen JR (2014) Randomized trial of the effects of individual nutritional counseling in cancer patients. Clinical Nutrition 33:749–753CrossRefPubMed
38.
Zurück zum Zitat Nekolaichuk CL, Turner J, Collie K, Cumming C, Stevenson A (2013) Cancer patients’ experiences of the early phase of individual counseling in an outpatient psycho-oncology setting. Qual Health Res 23:592–604CrossRefPubMed Nekolaichuk CL, Turner J, Collie K, Cumming C, Stevenson A (2013) Cancer patients’ experiences of the early phase of individual counseling in an outpatient psycho-oncology setting. Qual Health Res 23:592–604CrossRefPubMed
39.
Zurück zum Zitat Wilhelmsen M, Lillevoll K, Beck Risør M, Ragnhild H, Johanson M, Waterloo K et al (2013) Motivation to persist with internet-based cognitive behavioural treatment using blended care: a qualitative study. BMC Psychiatry 13:296CrossRefPubMedCentralPubMed Wilhelmsen M, Lillevoll K, Beck Risør M, Ragnhild H, Johanson M, Waterloo K et al (2013) Motivation to persist with internet-based cognitive behavioural treatment using blended care: a qualitative study. BMC Psychiatry 13:296CrossRefPubMedCentralPubMed
40.
41.
Zurück zum Zitat van Gemert-Pijnen JEWC, Nijland N, van Limburg M, Ossebaard HC, Kelders SM, Eysenbach G et al (2011) A holistic framework to improve the uptake and impact of eHealth technologies. J Med Internet Res 13:e111CrossRefPubMedCentralPubMed van Gemert-Pijnen JEWC, Nijland N, van Limburg M, Ossebaard HC, Kelders SM, Eysenbach G et al (2011) A holistic framework to improve the uptake and impact of eHealth technologies. J Med Internet Res 13:e111CrossRefPubMedCentralPubMed
42.
Zurück zum Zitat Peters TTA, van Dijk BAC, Roodenburg JLN, van der Laan BFAM, Halmos GB (2014) Relation between age, comorbidity, and complications in patients undergoing major surgery for head and neck cancer. Ann Surg Oncol 21:963–970CrossRefPubMed Peters TTA, van Dijk BAC, Roodenburg JLN, van der Laan BFAM, Halmos GB (2014) Relation between age, comorbidity, and complications in patients undergoing major surgery for head and neck cancer. Ann Surg Oncol 21:963–970CrossRefPubMed
43.
Zurück zum Zitat Kerr EA, Heisler M, Krein SL, Kabeto M, Langa KM, Weir D et al (2007) Beyond comorbidity counts: how do comorbidity type and severity influence diabetes patients’ treatment priorities and self-management? J Gen Intern Med 22:1635–1640CrossRefPubMedCentralPubMed Kerr EA, Heisler M, Krein SL, Kabeto M, Langa KM, Weir D et al (2007) Beyond comorbidity counts: how do comorbidity type and severity influence diabetes patients’ treatment priorities and self-management? J Gen Intern Med 22:1635–1640CrossRefPubMedCentralPubMed
44.
Zurück zum Zitat Børøsund E, Cvancarova M, Ekstedt M, Moore SM, Ruland CM (2013) How user characteristics affect use patterns in web-based illness management support for patients with breast and prostate cancer. J Med Internet Res 15:e34CrossRefPubMedCentralPubMed Børøsund E, Cvancarova M, Ekstedt M, Moore SM, Ruland CM (2013) How user characteristics affect use patterns in web-based illness management support for patients with breast and prostate cancer. J Med Internet Res 15:e34CrossRefPubMedCentralPubMed
45.
Zurück zum Zitat van der Vaart R, van Deursen AJAM, Drossaert CHC, Taal E, van Dijk JAMG, van de Laar MAFJ (2011) Does the eHealth Literacy Scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. J Med Internet Res 13:e86CrossRefPubMedCentralPubMed van der Vaart R, van Deursen AJAM, Drossaert CHC, Taal E, van Dijk JAMG, van de Laar MAFJ (2011) Does the eHealth Literacy Scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. J Med Internet Res 13:e86CrossRefPubMedCentralPubMed
Metadaten
Titel
Cancer survivors’ perceived need for supportive care and their attitude towards self-management and eHealth
verfasst von
Femke Jansen
Cornelia F. van Uden-Kraan
Valesca van Zwieten
Birgit I. Witte
Irma M. Verdonck-de Leeuw
Publikationsdatum
01.06.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 6/2015
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-014-2514-7

Weitere Artikel der Ausgabe 6/2015

Supportive Care in Cancer 6/2015 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.