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Supportive Care in Cancer

, Volume 23, Issue 6, pp 1679–1688 | Cite as

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

  • Femke Jansen
  • Cornelia F. van Uden-Kraan
  • Valesca van Zwieten
  • Birgit I. Witte
  • Irma M. Verdonck-de Leeuw
Original Article

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.

Keywords

Supportive care Self-management eHealth Cancer survivors 

Notes

Acknowledgments

We would like to thank Lonneke Gijsbers and Madeleine Wallien (Motivaction) for their contribution in drafting the study-specific questionnaires and in the data collection. This study is supported by a grant from Achmea Healthcare Foundation (SAG).

Conflict of interest

There was no conflict of interest.

References

  1. 1.
    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 17:1117–1128CrossRefPubMedGoogle Scholar
  2. 2.
    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 20:1377–1394CrossRefPubMedGoogle Scholar
  3. 3.
    Rabin C, Politi M (2010) Need for health behavior interventions for young adult cancer survivors. Am J Health Behav 34:70–76CrossRefPubMedCentralPubMedGoogle Scholar
  4. 4.
    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 61:50–62CrossRefPubMedCentralPubMedGoogle Scholar
  5. 5.
    Meropol NJ, Schulman KA (2007) Cost of cancer care: issues and implications. J Clin Oncol 25:180–186CrossRefPubMedGoogle Scholar
  6. 6.
    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 27:4671–4678CrossRefPubMedCentralPubMedGoogle Scholar
  7. 7.
    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.: 12Google Scholar
  8. 8.
    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 10:35–52CrossRefPubMedGoogle Scholar
  9. 9.
    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 21:1016–1025CrossRefPubMedCentralPubMedGoogle Scholar
  10. 10.
    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:e37CrossRefPubMedCentralPubMedGoogle Scholar
  11. 11.
    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:e218CrossRefPubMedCentralPubMedGoogle Scholar
  12. 12.
    Hong Y, Pena-Purcell NC, Ory MG (2012) Outcomes of online support and resources for cancer survivors: a systematic literature review. Patient Educ Couns 86:288–296CrossRefPubMedGoogle Scholar
  13. 13.
    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 42:517–525CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    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 39:354–360CrossRefPubMedCentralPubMedGoogle Scholar
  15. 15.
    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:e106CrossRefPubMedCentralPubMedGoogle Scholar
  16. 16.
    van de Poll-Franse LV, van Eenbergen MCHJ (2008) Internet use by cancer survivors: current use and future wishes. Support Care Cancer 16:1189–1195CrossRefPubMedGoogle Scholar
  17. 17.
    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 12Google Scholar
  18. 18.
    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 12:150CrossRefPubMedCentralPubMedGoogle Scholar
  19. 19.
    Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P (2000) The unmet supportive care needs of patients with cancer. Cancer 88:226–237CrossRefPubMedGoogle Scholar
  20. 20.
    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 98:1903–1909CrossRefPubMedCentralPubMedGoogle Scholar
  21. 21.
    Jorgensen ML, Young JM, Harrison JD, Solomon MJ (2012) Unmet supportive care needs in colorectal cancer: differences by age. Support Care Cancer 20:1275–1281CrossRefPubMedGoogle Scholar
  22. 22.
    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 10:261–269CrossRefPubMedGoogle Scholar
  23. 23.
    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 22:125–132CrossRefPubMedGoogle Scholar
  24. 24.
    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 17:22–29CrossRefPubMedGoogle Scholar
  25. 25.
    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 22:2557–2564CrossRefPubMedGoogle Scholar
  26. 26.
    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 25:2560–2566CrossRefPubMedGoogle Scholar
  27. 27.
    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 24:2151–2158CrossRefPubMedGoogle Scholar
  28. 28.
    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 8:73–82CrossRefGoogle Scholar
  29. 29.
    Ventura F, Öhlén J, Koinberg I (2013) An integrative review of supportive e-health programs in cancer care. Eur J Oncol Nurs 17:498–507CrossRefPubMedGoogle Scholar
  30. 30.
    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–e133CrossRefPubMedGoogle Scholar
  31. 31.
    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 49:443–448CrossRefPubMedGoogle Scholar
  32. 32.
    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 149:1574–1578PubMedGoogle Scholar
  33. 33.
    Verweij A (RIVM) Onderwijsdeelname: Indeling opleidingsniveau. Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid Bilthoven: RIVM, 2008Google Scholar
  34. 34.
    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 7:523–534CrossRefPubMedGoogle Scholar
  35. 35.
    Pekmezi DW, Demark-Wahnefried (2011) Updated evidence in support of diet and exercise interventions in cancer survivors. Acta Oncol 50:167–178CrossRefPubMedCentralPubMedGoogle Scholar
  36. 36.
    Ligibel J (2012) Lifestyle factors in cancer survivorship. J Clin Oncol 30:3697–3704CrossRefPubMedGoogle Scholar
  37. 37.
    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 33:749–753CrossRefPubMedGoogle Scholar
  38. 38.
    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 23:592–604CrossRefPubMedGoogle Scholar
  39. 39.
    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 13:296CrossRefPubMedCentralPubMedGoogle Scholar
  40. 40.
    Ye J, Rust G, Fry-Johnson Y, Strothers H (2010) E-mail in patient-provider communication: a systematic review. Patient Educ Couns 80:266–273CrossRefPubMedCentralPubMedGoogle Scholar
  41. 41.
    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:e111CrossRefPubMedCentralPubMedGoogle Scholar
  42. 42.
    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 21:963–970CrossRefPubMedGoogle Scholar
  43. 43.
    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 22:1635–1640CrossRefPubMedCentralPubMedGoogle Scholar
  44. 44.
    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:e34CrossRefPubMedCentralPubMedGoogle Scholar
  45. 45.
    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:e86CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Femke Jansen
    • 1
  • Cornelia F. van Uden-Kraan
    • 1
    • 2
  • Valesca van Zwieten
    • 1
  • Birgit I. Witte
    • 3
  • Irma M. Verdonck-de Leeuw
    • 1
    • 2
  1. 1.Department of Otolaryngology-Head and Neck SurgeryVU University Medical CenterAmsterdamThe Netherlands
  2. 2.Department of Clinical PsychologyVU UniversityAmsterdamThe Netherlands
  3. 3.Department of Epidemiology and BiostatisticsVU University Medical CenterAmsterdamThe Netherlands

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