Expectations and needs of patients with esophageal cancer during curative treatment regarding self-management, self-management support and eHealth: a qualitative study
Self-management is an essential component of the curative treatment trajectory of esophageal cancer patients. The aims of this study were to explore expectations and needs of esophageal cancer patients during curative treatment regarding self-management, relevant aspects of self-management in which...
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| Veröffentlicht in: | European journal of oncology nursing : the official journal of European Oncology Nursing Society 2024-08, Vol.71, p.102638, Article 102638 |
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| container_title | European journal of oncology nursing : the official journal of European Oncology Nursing Society |
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| creator | Adriaans, Daniëlle J.M. Rosendaal, Mariëlle Nieuwenhuijzen, Grard A.P. Heesakkers, Fanny B.M. Notenboom, Loes Teijink, Joep A.W. Laarhoven, Hanneke W.M. van Dierick-van Daele, Angelique T.M. |
| description | Self-management is an essential component of the curative treatment trajectory of esophageal cancer patients. The aims of this study were to explore expectations and needs of esophageal cancer patients during curative treatment regarding self-management, relevant aspects of self-management in which they need additional support, and to explore their willingness to use eHealth.
Semi-structured interviews were conducted with esophageal cancer patients, who had been treated with neoadjuvant chemo(radio)therapy followed by surgery, maximally 1 year after surgery. Based on the general model of self-management, the following themes were discussed: experience-based knowledge, contribution to care, living with the condition, and organization of care and support. A stepwise systematic text condensation guided the data analysis.
All four domains of the general model of self-management were identified. All participants described a remarkable difference between the pre-operative pathway, when it felt like they were taken by the hand, and the postoperative pathway, when it felt like they were thrown into the deep end. They adjusted to their new life situation by learning new experiences, while dealing with their diminished confidence in their bodies. Patients expressed the need for support from different sources, and were open to the idea of using eHealth in addition to usual care. (digital) Self-management support should be easily accessible, person-centered, confidential, and include personal contact.
Differences were found among esophageal cancer patients regarding self-management, self-management support and eHealth for self-management purposes, indicating there is no one approach that will meet the needs of all patients at all times.
•Self-management is an essential component of curative treatment of esophageal cancer patients.•A digital self-management support tool could be of additional value to support them.•This study focuses on (digital) selfmanagement support needs of patients with esophageal cancer during curative treatment.•(Digital) Self-management support should be confidential, easily accessible, person-centered, and contain personal contact. |
| doi_str_mv | 10.1016/j.ejon.2024.102638 |
| format | Article |
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Semi-structured interviews were conducted with esophageal cancer patients, who had been treated with neoadjuvant chemo(radio)therapy followed by surgery, maximally 1 year after surgery. Based on the general model of self-management, the following themes were discussed: experience-based knowledge, contribution to care, living with the condition, and organization of care and support. A stepwise systematic text condensation guided the data analysis.
All four domains of the general model of self-management were identified. All participants described a remarkable difference between the pre-operative pathway, when it felt like they were taken by the hand, and the postoperative pathway, when it felt like they were thrown into the deep end. They adjusted to their new life situation by learning new experiences, while dealing with their diminished confidence in their bodies. Patients expressed the need for support from different sources, and were open to the idea of using eHealth in addition to usual care. (digital) Self-management support should be easily accessible, person-centered, confidential, and include personal contact.
Differences were found among esophageal cancer patients regarding self-management, self-management support and eHealth for self-management purposes, indicating there is no one approach that will meet the needs of all patients at all times.
•Self-management is an essential component of curative treatment of esophageal cancer patients.•A digital self-management support tool could be of additional value to support them.•This study focuses on (digital) selfmanagement support needs of patients with esophageal cancer during curative treatment.•(Digital) Self-management support should be confidential, easily accessible, person-centered, and contain personal contact.</description><identifier>ISSN: 1462-3889</identifier><identifier>ISSN: 1532-2122</identifier><identifier>EISSN: 1532-2122</identifier><identifier>DOI: 10.1016/j.ejon.2024.102638</identifier><identifier>PMID: 38943774</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Aged ; Digital health ; Esophageal cancer ; Esophageal Neoplasms - psychology ; Esophageal Neoplasms - therapy ; Female ; Health services needs and demand ; Humans ; Male ; Middle Aged ; Needs Assessment ; Qualitative Research ; Self Care ; Self-Management ; Social Support ; Telemedicine ; Thematic analysis</subject><ispartof>European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2024-08, Vol.71, p.102638, Article 102638</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c281t-e905fd07031ef92a4d03d72410670f066a54d0fc66c15a4bc6a8bfc8c127a3d33</cites><orcidid>0000-0002-4596-9080</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejon.2024.102638$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38943774$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adriaans, Daniëlle J.M.</creatorcontrib><creatorcontrib>Rosendaal, Mariëlle</creatorcontrib><creatorcontrib>Nieuwenhuijzen, Grard A.P.</creatorcontrib><creatorcontrib>Heesakkers, Fanny B.M.</creatorcontrib><creatorcontrib>Notenboom, Loes</creatorcontrib><creatorcontrib>Teijink, Joep A.W.</creatorcontrib><creatorcontrib>Laarhoven, Hanneke W.M. van</creatorcontrib><creatorcontrib>Dierick-van Daele, Angelique T.M.</creatorcontrib><title>Expectations and needs of patients with esophageal cancer during curative treatment regarding self-management, self-management support and eHealth: a qualitative study</title><title>European journal of oncology nursing : the official journal of European Oncology Nursing Society</title><addtitle>Eur J Oncol Nurs</addtitle><description>Self-management is an essential component of the curative treatment trajectory of esophageal cancer patients. The aims of this study were to explore expectations and needs of esophageal cancer patients during curative treatment regarding self-management, relevant aspects of self-management in which they need additional support, and to explore their willingness to use eHealth.
Semi-structured interviews were conducted with esophageal cancer patients, who had been treated with neoadjuvant chemo(radio)therapy followed by surgery, maximally 1 year after surgery. Based on the general model of self-management, the following themes were discussed: experience-based knowledge, contribution to care, living with the condition, and organization of care and support. A stepwise systematic text condensation guided the data analysis.
All four domains of the general model of self-management were identified. All participants described a remarkable difference between the pre-operative pathway, when it felt like they were taken by the hand, and the postoperative pathway, when it felt like they were thrown into the deep end. They adjusted to their new life situation by learning new experiences, while dealing with their diminished confidence in their bodies. Patients expressed the need for support from different sources, and were open to the idea of using eHealth in addition to usual care. (digital) Self-management support should be easily accessible, person-centered, confidential, and include personal contact.
Differences were found among esophageal cancer patients regarding self-management, self-management support and eHealth for self-management purposes, indicating there is no one approach that will meet the needs of all patients at all times.
•Self-management is an essential component of curative treatment of esophageal cancer patients.•A digital self-management support tool could be of additional value to support them.•This study focuses on (digital) selfmanagement support needs of patients with esophageal cancer during curative treatment.•(Digital) Self-management support should be confidential, easily accessible, person-centered, and contain personal contact.</description><subject>Adult</subject><subject>Aged</subject><subject>Digital health</subject><subject>Esophageal cancer</subject><subject>Esophageal Neoplasms - psychology</subject><subject>Esophageal Neoplasms - therapy</subject><subject>Female</subject><subject>Health services needs and demand</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Qualitative Research</subject><subject>Self Care</subject><subject>Self-Management</subject><subject>Social Support</subject><subject>Telemedicine</subject><subject>Thematic analysis</subject><issn>1462-3889</issn><issn>1532-2122</issn><issn>1532-2122</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhSMEoqXwAiyQlyyawT8Z20FsUFUoUqVuytry2NczHiV2ajulfSJeE4cUFixY3atzzzmW9TXNW4I3BBP-4biBYwwbimlXBcqZfNacki2jLSWUPq97x2nLpOxPmlc5HzHGPRPyZXPCZN8xIbrT5uflwwSm6OJjyEgHiwKAzSg6NFURQsnohy8HBDlOB70HPSCjg4GE7Jx82CMzp2q8B1QS6DLWBEqw18kuxwyDa0cdanC5nP8roDxPU0zl98twVdvL4SPS6G7Wgy9rby6zfXzdvHB6yPDmaZ41379c3l5ctdc3X79dfL5uDZWktNDjrbNYYEbA9VR3FjMraEcwF9hhzvW2Ss5wbshWdzvDtdw5Iw2hQjPL2Fnzfu2dUrybIRc1-mxgGHSAOGfFsGCCUNnTaqWr1aSYcwKnpuRHnR4VwWoBpI5qAaQWQGoFVEPvnvrn3Qj2b-QPkWr4tBqg_vLeQ1LZVAwGrE8VlLLR_6__F4RopfM</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Adriaans, Daniëlle J.M.</creator><creator>Rosendaal, Mariëlle</creator><creator>Nieuwenhuijzen, Grard A.P.</creator><creator>Heesakkers, Fanny B.M.</creator><creator>Notenboom, Loes</creator><creator>Teijink, Joep A.W.</creator><creator>Laarhoven, Hanneke W.M. van</creator><creator>Dierick-van Daele, Angelique T.M.</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4596-9080</orcidid></search><sort><creationdate>202408</creationdate><title>Expectations and needs of patients with esophageal cancer during curative treatment regarding self-management, self-management support and eHealth: a qualitative study</title><author>Adriaans, Daniëlle J.M. ; Rosendaal, Mariëlle ; Nieuwenhuijzen, Grard A.P. ; Heesakkers, Fanny B.M. ; Notenboom, Loes ; Teijink, Joep A.W. ; Laarhoven, Hanneke W.M. van ; Dierick-van Daele, Angelique T.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c281t-e905fd07031ef92a4d03d72410670f066a54d0fc66c15a4bc6a8bfc8c127a3d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Digital health</topic><topic>Esophageal cancer</topic><topic>Esophageal Neoplasms - psychology</topic><topic>Esophageal Neoplasms - therapy</topic><topic>Female</topic><topic>Health services needs and demand</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Qualitative Research</topic><topic>Self Care</topic><topic>Self-Management</topic><topic>Social Support</topic><topic>Telemedicine</topic><topic>Thematic analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adriaans, Daniëlle J.M.</creatorcontrib><creatorcontrib>Rosendaal, Mariëlle</creatorcontrib><creatorcontrib>Nieuwenhuijzen, Grard A.P.</creatorcontrib><creatorcontrib>Heesakkers, Fanny B.M.</creatorcontrib><creatorcontrib>Notenboom, Loes</creatorcontrib><creatorcontrib>Teijink, Joep A.W.</creatorcontrib><creatorcontrib>Laarhoven, Hanneke W.M. van</creatorcontrib><creatorcontrib>Dierick-van Daele, Angelique T.M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of oncology nursing : the official journal of European Oncology Nursing Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adriaans, Daniëlle J.M.</au><au>Rosendaal, Mariëlle</au><au>Nieuwenhuijzen, Grard A.P.</au><au>Heesakkers, Fanny B.M.</au><au>Notenboom, Loes</au><au>Teijink, Joep A.W.</au><au>Laarhoven, Hanneke W.M. van</au><au>Dierick-van Daele, Angelique T.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Expectations and needs of patients with esophageal cancer during curative treatment regarding self-management, self-management support and eHealth: a qualitative study</atitle><jtitle>European journal of oncology nursing : the official journal of European Oncology Nursing Society</jtitle><addtitle>Eur J Oncol Nurs</addtitle><date>2024-08</date><risdate>2024</risdate><volume>71</volume><spage>102638</spage><pages>102638-</pages><artnum>102638</artnum><issn>1462-3889</issn><issn>1532-2122</issn><eissn>1532-2122</eissn><abstract>Self-management is an essential component of the curative treatment trajectory of esophageal cancer patients. The aims of this study were to explore expectations and needs of esophageal cancer patients during curative treatment regarding self-management, relevant aspects of self-management in which they need additional support, and to explore their willingness to use eHealth.
Semi-structured interviews were conducted with esophageal cancer patients, who had been treated with neoadjuvant chemo(radio)therapy followed by surgery, maximally 1 year after surgery. Based on the general model of self-management, the following themes were discussed: experience-based knowledge, contribution to care, living with the condition, and organization of care and support. A stepwise systematic text condensation guided the data analysis.
All four domains of the general model of self-management were identified. All participants described a remarkable difference between the pre-operative pathway, when it felt like they were taken by the hand, and the postoperative pathway, when it felt like they were thrown into the deep end. They adjusted to their new life situation by learning new experiences, while dealing with their diminished confidence in their bodies. Patients expressed the need for support from different sources, and were open to the idea of using eHealth in addition to usual care. (digital) Self-management support should be easily accessible, person-centered, confidential, and include personal contact.
Differences were found among esophageal cancer patients regarding self-management, self-management support and eHealth for self-management purposes, indicating there is no one approach that will meet the needs of all patients at all times.
•Self-management is an essential component of curative treatment of esophageal cancer patients.•A digital self-management support tool could be of additional value to support them.•This study focuses on (digital) selfmanagement support needs of patients with esophageal cancer during curative treatment.•(Digital) Self-management support should be confidential, easily accessible, person-centered, and contain personal contact.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>38943774</pmid><doi>10.1016/j.ejon.2024.102638</doi><orcidid>https://orcid.org/0000-0002-4596-9080</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2024-08, Vol.71, p.102638, Article 102638 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Digital health Esophageal cancer Esophageal Neoplasms - psychology Esophageal Neoplasms - therapy Female Health services needs and demand Humans Male Middle Aged Needs Assessment Qualitative Research Self Care Self-Management Social Support Telemedicine Thematic analysis |
| title | Expectations and needs of patients with esophageal cancer during curative treatment regarding self-management, self-management support and eHealth: a qualitative study |
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