Skip to main content
Erschienen in: Supportive Care in Cancer 2/2016

01.02.2016 | Original Article

Toward structured peer support interventions in oncology: a qualitative insight into the experiences of gynaecological cancer survivors providing peer support

verfasst von: Ben Huntingdon, Penelope Schofield, Zahava Wolfowicz, Rebecca Bergin, Donna Kabel, Jennifer Edmunds, Sylvia Penberthy, Ilona Juraskova

Erschienen in: Supportive Care in Cancer | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Research into dyadic (one-to-one) peer support has predominantly focused on the recipients of peer support whilst neglecting the impact on the peer support providers (PSPs). Increasingly, structured/protocolised peer support interventions are employed. The aim of this qualitative study was to explore the experience of providing peer support within a protocolised intervention and how common key characteristics of such interventions (guidelines and checklists, rigorous training and partnerships with health professionals) may influence PSPs’ experiences. This research was conducted within the context of an ongoing randomised controlled trial investigating a protocolised peer support intervention (the Peer and Nurse support Trial to Assist women in Gynaecological Oncology (PeNTAGOn) study).

Methods

Eleven women (gynaecological cancer survivors) providing peer support within the PeNTAGOn study participated in semi-structured telephone interviews. Transcribed interviews were analysed using interpretative phenomenological analysis.

Results

Five key themes were identified which described the overall experience of providing protocolised peer support: (i) fitting oneself to the protocolised PSP role, (ii) the impact of personal beliefs about the value of research, (iii) protocolisation as both blessing and curse, (iv) discussing taboo or sensitive topics and (v) the impact of interactions with study personnel.

Conclusions

These insights into the advantages and disadvantages of protocolised peer support can be used to inform future research and social support programs and maximise the effectiveness of such programs for patients, PSPs and the health-care system.
Literatur
1.
Zurück zum Zitat Dennis CL (2003) Peer support within a health care context: a concept analysis. Int J Nurs Stud 40(3):321–332PubMedCrossRef Dennis CL (2003) Peer support within a health care context: a concept analysis. Int J Nurs Stud 40(3):321–332PubMedCrossRef
2.
Zurück zum Zitat Weber BA, Roberts BL, Yarandi H, Mills TL, Chumbler NR, Wajsman Z (2007) The impact of dyadic social support on self-efficacy and depression after radical prostatectomy. J Aging Health 19(4):630–645PubMedCrossRef Weber BA, Roberts BL, Yarandi H, Mills TL, Chumbler NR, Wajsman Z (2007) The impact of dyadic social support on self-efficacy and depression after radical prostatectomy. J Aging Health 19(4):630–645PubMedCrossRef
4.
Zurück zum Zitat Pistrang N, Jay Z, Gessler S, Barker C (2012) Telephone peer support for women with gynaecological cancer: recipients’ perspectives. Psycho-Oncology 21(10):1082–1090PubMedCrossRef Pistrang N, Jay Z, Gessler S, Barker C (2012) Telephone peer support for women with gynaecological cancer: recipients’ perspectives. Psycho-Oncology 21(10):1082–1090PubMedCrossRef
5.
Zurück zum Zitat Hoey LM, Ieropoli SC, White VM, Jefford M (2008) Systematic review of peer-support programs for people with cancer. Patient Educ Couns 70(3):315–337PubMedCrossRef Hoey LM, Ieropoli SC, White VM, Jefford M (2008) Systematic review of peer-support programs for people with cancer. Patient Educ Couns 70(3):315–337PubMedCrossRef
6.
Zurück zum Zitat Macvean ML, White VM, Sanson-Fisher R (2008) One-to-one volunteer support programs for people with cancer: a review of the literature. Patient Educ Couns 70(1):10–24PubMedCrossRef Macvean ML, White VM, Sanson-Fisher R (2008) One-to-one volunteer support programs for people with cancer: a review of the literature. Patient Educ Couns 70(1):10–24PubMedCrossRef
7.
Zurück zum Zitat Giese-Davis J, Bliss-Isberg C, Carson K, Star P, Donaghy J, Cordova MJ, Stevens N, Wittenberg L, Batten C, Spiegel D (2006) The effect of peer counseling on quality of life following diagnosis of breast cancer: an observational study. Psycho-Oncology 15(11):1014–1022PubMedCrossRef Giese-Davis J, Bliss-Isberg C, Carson K, Star P, Donaghy J, Cordova MJ, Stevens N, Wittenberg L, Batten C, Spiegel D (2006) The effect of peer counseling on quality of life following diagnosis of breast cancer: an observational study. Psycho-Oncology 15(11):1014–1022PubMedCrossRef
8.
9.
Zurück zum Zitat Pistrang N, Jay Z, Gessler S, Barker C (2013) Telephone peer support for women with gynaecological cancer: benefits and challenges for supporters. Psycho-Oncology 22(4):886–894PubMedCrossRef Pistrang N, Jay Z, Gessler S, Barker C (2013) Telephone peer support for women with gynaecological cancer: benefits and challenges for supporters. Psycho-Oncology 22(4):886–894PubMedCrossRef
10.
Zurück zum Zitat Chambers SK, Schover L, Halford K, Ferguson M, Gardiner R, Occhipinti S, Dunn J (2013) ProsCan for couples: a feasibility study for evaluating peer support within a controlled research design. Psycho-Oncology 22(2):475–479PubMed Chambers SK, Schover L, Halford K, Ferguson M, Gardiner R, Occhipinti S, Dunn J (2013) ProsCan for couples: a feasibility study for evaluating peer support within a controlled research design. Psycho-Oncology 22(2):475–479PubMed
11.
Zurück zum Zitat Chambers SK, Schover L, Halford K, Clutton S, Ferguson M, Gordon L, Gardiner RA, Occhipinti S, Dunn J (2008) ProsCan for couples: randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer who receive radical prostatectomy. BMC Cancer 8(1):226PubMedPubMedCentralCrossRef Chambers SK, Schover L, Halford K, Clutton S, Ferguson M, Gordon L, Gardiner RA, Occhipinti S, Dunn J (2008) ProsCan for couples: randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer who receive radical prostatectomy. BMC Cancer 8(1):226PubMedPubMedCentralCrossRef
12.
Zurück zum Zitat Schofield P, Juraskova I, Bergin R, Gough K, Mileshkin L, Krishnasamy M, White K, Bernshaw D, Penberthy S, Aranda S (2013) A nurse- and peer-led support program to assist women in gynaecological oncology receiving curative radiotherapy, the PeNTAGOn study (Peer and Nurse support Trial to Assist women in Gynaecological Oncology): study protocol for a randomised controlled trial. Trials 13 (39). doi: 10.1186/1745-6215-14-39 Schofield P, Juraskova I, Bergin R, Gough K, Mileshkin L, Krishnasamy M, White K, Bernshaw D, Penberthy S, Aranda S (2013) A nurse- and peer-led support program to assist women in gynaecological oncology receiving curative radiotherapy, the PeNTAGOn study (Peer and Nurse support Trial to Assist women in Gynaecological Oncology): study protocol for a randomised controlled trial. Trials 13 (39). doi: 10.​1186/​1745-6215-14-39
13.
Zurück zum Zitat Dunn J Efficacy of peer support interventions: summary of current knowledge. In: Clinical Oncology Society of Australia 29th Annual Scientific Meeting & International Psycho-oncology Society 14th World Congress, Brisbane, Australia, 2012. Dunn J Efficacy of peer support interventions: summary of current knowledge. In: Clinical Oncology Society of Australia 29th Annual Scientific Meeting & International Psycho-oncology Society 14th World Congress, Brisbane, Australia, 2012.
14.
Zurück zum Zitat Gale NK, Heath G, Cameron E, Rashid S, Redwood S (2013) Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol 13(1):117PubMedPubMedCentralCrossRef Gale NK, Heath G, Cameron E, Rashid S, Redwood S (2013) Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol 13(1):117PubMedPubMedCentralCrossRef
15.
Zurück zum Zitat Pistrang N, Barker C (2012) Varieties of qualitative research: a pragmatic approach to selecting methods. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ (eds) APA handbook of research methods in psychology, vol 2. American Psychological Association, Washington, D.C., pp. 5–18 Pistrang N, Barker C (2012) Varieties of qualitative research: a pragmatic approach to selecting methods. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ (eds) APA handbook of research methods in psychology, vol 2. American Psychological Association, Washington, D.C., pp. 5–18
16.
Zurück zum Zitat Braun V, Clarke V (2012) Thematic analysis. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ (eds) APA handbook of research methods in psychology, vol 2: research designs: quantitative, qualitative, neuropsychological and biological, vol 2. American Psychological Association, Washington, D.C. Braun V, Clarke V (2012) Thematic analysis. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ (eds) APA handbook of research methods in psychology, vol 2: research designs: quantitative, qualitative, neuropsychological and biological, vol 2. American Psychological Association, Washington, D.C.
17.
Zurück zum Zitat Lovibond SH, Lovibond PF (1995) Manual for the depression anxiety stress scales, 2nd edn. Psychology Foundation, Sydney Lovibond SH, Lovibond PF (1995) Manual for the depression anxiety stress scales, 2nd edn. Psychology Foundation, Sydney
18.
Zurück zum Zitat Koelsch LE (2013) Reconceptualizing the member check interview. Int JQual Methods 12:168–179 Koelsch LE (2013) Reconceptualizing the member check interview. Int JQual Methods 12:168–179
19.
Zurück zum Zitat NVivo Qualitative Analysis Software (2012). 10 edn. QSR International Pty Ltd. NVivo Qualitative Analysis Software (2012). 10 edn. QSR International Pty Ltd.
20.
Zurück zum Zitat Haboubi N, Lincoln N (2003) Views of health professionals on discussing sexual issues with patients. Disabil Rehabil 25(6):291–296PubMedCrossRef Haboubi N, Lincoln N (2003) Views of health professionals on discussing sexual issues with patients. Disabil Rehabil 25(6):291–296PubMedCrossRef
21.
Zurück zum Zitat Gott M, Galena E, Hinchliff S, Elford H (2004) “Opening a can of worms”: GP and practice nurse barriers to talking about sexual health in primary care. Fam Pract 21(5):528–536PubMedCrossRef Gott M, Galena E, Hinchliff S, Elford H (2004) “Opening a can of worms”: GP and practice nurse barriers to talking about sexual health in primary care. Fam Pract 21(5):528–536PubMedCrossRef
22.
Zurück zum Zitat Bourgeois-Law G, Lotocki R (1999) Sexuality and gynaecological cancer: a needs assessment. Can J Hum Sex 8(4):231–240 Bourgeois-Law G, Lotocki R (1999) Sexuality and gynaecological cancer: a needs assessment. Can J Hum Sex 8(4):231–240
23.
Zurück zum Zitat Juraskova I (2009) Quality of life/quality of sex: psycho-sexual adjustment following gynaecological cancer. VDM Verlag Dr. Müller, Saarbrücken Juraskova I (2009) Quality of life/quality of sex: psycho-sexual adjustment following gynaecological cancer. VDM Verlag Dr. Müller, Saarbrücken
24.
Zurück zum Zitat Winder PA, Hiltunen EF, Sethares KA, Butzlaff A (2004) Partnerships in mending hearts: nurse and peer intervention for recovering cardiac elders. J Cardiovasc Nurs 19(3):184–191PubMedCrossRef Winder PA, Hiltunen EF, Sethares KA, Butzlaff A (2004) Partnerships in mending hearts: nurse and peer intervention for recovering cardiac elders. J Cardiovasc Nurs 19(3):184–191PubMedCrossRef
Metadaten
Titel
Toward structured peer support interventions in oncology: a qualitative insight into the experiences of gynaecological cancer survivors providing peer support
verfasst von
Ben Huntingdon
Penelope Schofield
Zahava Wolfowicz
Rebecca Bergin
Donna Kabel
Jennifer Edmunds
Sylvia Penberthy
Ilona Juraskova
Publikationsdatum
01.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 2/2016
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-015-2853-z

Weitere Artikel der Ausgabe 2/2016

Supportive Care in Cancer 2/2016 Zur Ausgabe

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

CUP-Syndrom: Künstliche Intelligenz kann Primärtumor finden

30.04.2024 Künstliche Intelligenz Nachrichten

Krebserkrankungen unbekannten Ursprungs (CUP) sind eine diagnostische Herausforderung. KI-Systeme können Pathologen dabei unterstützen, zytologische Bilder zu interpretieren, um den Primärtumor zu lokalisieren.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Update Onkologie

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