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Supportive Care in Cancer

, Volume 25, Issue 11, pp 3561–3568 | Cite as

‘We’re completely back to normal, but I’d say it’s a new normal’: a qualitative exploration of adaptive functioning in rural families following a parental cancer diagnosis

  • E. D. GarrardEmail author
  • K. M. Fennell
  • C. Wilson
Original Article
  • 412 Downloads

Abstract

Purpose

The purpose of this study was to explore rural families’ functioning following a parental cancer diagnosis.

Method

Ten families in which a parent of dependent children had received a cancer diagnosis were purposively sampled using two questionnaires based upon the Resiliency Model of Family Adjustment and Adaptation (RMFAA): the Family Crisis Oriented Personal Evaluation Scales (F-COPES) and the Family Attachment Changeability Index 8 (FACI8). The total participant number was 34, which comprised the involvement of 17 parents and 17 children. The use of questionnaires ensured representation from both high and low functioning families. Qualitative data were gathered via semi-structured family interviews, and thematic analysis was used.

Results

Families identified three key challenges that are not accounted for by the RMFAA and may be unique to the rural cancer patient experience: frequent travel, increased work/financial demands and family separation. Families also described a number of protective factors that enabled them to cope with the demands of the cancer diagnosis, some of which were specific to rural families, while others may apply to Australian families more broadly. Many of these protective factors aligned with the RMFAA framework.

Conclusion

The findings suggest that rural families’ ability and willingness to access external resources, including informal community support and formal support services, are influenced by the strength of their internal protective factors. This result has practical implications for the development of interventions that accommodate the specific supportive care needs of rural families affected by cancer.

Keywords

Cancer Family functioning Rural Psychosocial 

Notes

Compliance with ethical standards

Funding

None

Conflict of interest

The authors declare that they have no conflicts of interest. The authors have full control of all primary data and agree for Supportive Care in Cancer to review the data if desired.

References

  1. 1.
    Thastum M, Johansen MB, Gubba L, Olesen LB, Romer G (2008) Coping, social relations, and communication: a qualitative exploratory study of children of parents with cancer. Clin Child Psychol Psychiatry 13(1):123–138. doi: 10.1177/1359104507086345 CrossRefPubMedGoogle Scholar
  2. 2.
    Patterson JM, Holm KE, Gurney JG (2004) The impact of childhood cancer on the family: a qualitative analysis of strains, resources, and coping behaviors. Psychooncology 13(6):390–407. doi: 10.1002/pon.761 CrossRefPubMedGoogle Scholar
  3. 3.
    Grabiak BR, Bender CM, Puskar KR (2007) The impact of parental cancer on the adolescent: an analysis of the literature. Psychooncology 16(2):127–137. doi: 10.1002/pon.1083 CrossRefPubMedGoogle Scholar
  4. 4.
    Visser A, Huizinga GA, Hoekstra HJ, van der Graaf WT, Klip EC, Pras E, Hoekstra-Weebers JE (2005) Emotional and behavioural functioning of children of a parent diagnosed with cancer: a cross-informant perspective. Psychooncology 14(9):746–758. doi: 10.1002/pon.902 CrossRefPubMedGoogle Scholar
  5. 5.
    Folkner RA, Davey M (2002) Children and adolescents of cancer patients: the impact of cancer on the family. Am J Fam Ther 30:63–72CrossRefGoogle Scholar
  6. 6.
    Thastum M, Munch-Hansen A, Wiel A, Romer G (2006) Evaluation of a focused short-term preventive counselling project for families with a parent with cancer. Clin Child Psychol Psychiatry 11(4):529–542. doi: 10.1177/1359104506067875 CrossRefPubMedGoogle Scholar
  7. 7.
    Gunn K, Turnbull D, McWha JL, Davies M, Olver I (2013) Psychosocial service use: a qualitative exploration from the perspective of rural Australian cancer patients. Support Care Cancer 21(9):2547–2555. doi: 10.1007/s00520-013-1812-9 CrossRefGoogle Scholar
  8. 8.
    Bettencourt BA, Schlegel RJ, Talley AE, Molix LA (2007) The breast cancer experience of rural women: a literature review. Psychooncology 16(10):875–887. doi: 10.1002/pon.1235 CrossRefPubMedGoogle Scholar
  9. 9.
    Baldwin AE, Usher K (2008) Going the distance—experiences of women with gynaecological cancer residing in rural remote north Queensland. Int J Nurs Pract 14(4):322–328CrossRefGoogle Scholar
  10. 10.
    Corboy D, McLaren S, McDonald J (2011) Predictors of support service use by rural and regional men with cancer. Aust J Rural Health 19(4):185–190. doi: 10.1111/j.1440-1584.2011.01210.x CrossRefPubMedGoogle Scholar
  11. 11.
    Zabora J, Brintzenhofeszoc K, Curbow B, Hooker C, Piantadosi S (2001) The prevalence of psychological distress by cancer site. Psychooncology 10:19–28CrossRefGoogle Scholar
  12. 12.
    Henry CS, Sheffield Morris A, Harrist AW (2015) Family resilience: moving into the third wave. Fam Relat 64(1):22–43. doi: 10.1111/fare.12106 CrossRefGoogle Scholar
  13. 13.
    Greeff AP, Du Toit C (2009) Resilience in remarried families. Am J Fam Ther 37(2):114–126. doi: 10.1080/01926180802151919 CrossRefGoogle Scholar
  14. 14.
    McCubbin HI, Thompson AI, McCubbin MA (1996) Family assessment: resiliency, coping and adaptation—inventories for research and practice. University of Wisconsin Publishers, WisconsinGoogle Scholar
  15. 15.
    Australian Institute of Health and Welfare (2004) Rural, regional and remote health: a guide to remoteness classifications. Retrieved from http://www.aihw.gov.au/publication-detail/?id=6442467589
  16. 16.
    Bloor M, Frankland J, Thomas M, Robson K (2001) Focus groups in social research. Sage Publications, LondonCrossRefGoogle Scholar
  17. 17.
    Hayes N (1997) Theory-led thematic analysis: social identification in small companies. In: Doing qualitative analysis in psychology. Psychology Press, Hove, UKGoogle Scholar
  18. 18.
    Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3(2):77–101CrossRefGoogle Scholar
  19. 19.
    Järkestig Berggren U, Hanson E (2015) Children as next of kin: a scoping review of support interventions for children who have a parent with a serious physical illness. Child Care Pract 1–19. doi: 10.1080/13575279.2015.1102125 CrossRefGoogle Scholar
  20. 20.
    Bekteshi V, Kayser K (2013) When a mother has cancer: pathways to relational growth for mothers and daughters coping with cancer. Psychooncology 22(10):2379–2385. doi: 10.1002/pon.3299 CrossRefPubMedGoogle Scholar
  21. 21.
    Dehlin L, Reg LM (2009) Adolescents’ experiences of a parent’s serious illness and death. Palliat Support Care 7(1):13–25. doi: 10.1017/S1478951509000042 CrossRefPubMedGoogle Scholar
  22. 22.
    Forrest G, Plumb C, Ziebland S, Stein A (2009) Breast cancer in young families: a qualitative interview study of fathers and their role and communication with their children following the diagnosis of maternal breast cancer. Psychooncology 18(1):96–103. doi: 10.1002/pon.1387 CrossRefPubMedGoogle Scholar
  23. 23.
    Rainville F, Dumont S, Simard S, Savard MH (2012) Psychological distress among adolescents living with a parent with advanced cancer. J Psychosoc Oncol 30(5):519–534. doi: 10.1080/07347332.2012.703765 CrossRefPubMedGoogle Scholar
  24. 24.
    Edwards B, Clarke V (2004) The psychological impact of a cancer diagnosis on families: the influence of family functioning and patients’ illness characteristics on depression and anxiety. Psychooncology 13(8):562–576. doi: 10.1002/pon.773 CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    McGrath P (2001) Returning home after specialist treatment for hematological malignancies: an Australian study. Fam Community Health 24(2):36–48CrossRefGoogle Scholar
  26. 26.
    McGrath P, Patterson C, Yates P, Treloar S, Oldenburg B, Loos C (1999) A study of postdiagnosis breast cancer concerns for women living in rural and remote Queensland. Part II: support issues. Aust J Rural Health 7(1):43–52CrossRefGoogle Scholar
  27. 27.
    Beesley V, Eakin E, Steginga S, Aitken J, Dunn J, Battistutta D (2008) Unmet needs of gynaecological cancer survivors: implications for developing community support services. Psycho-Oncology 17(4):392–400. doi: 10.1002/pon.1249 CrossRefPubMedGoogle Scholar
  28. 28.
    Davis C, Williams P, Redman S, White K, King E (2008) Assessing the practical and psychosocial needs of rural women with early breast cancer in Australia. Soc Work Health Care 36(3):25–36. doi: 10.1300/J010v36n03_02 CrossRefGoogle Scholar
  29. 29.
    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(8):1117–1128. doi: 10.1007/s00520-009-0615-5 CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Weber JG (2010) The typology model of family adjustment and adaptation. In: Individual and family stress and crises. SAGE, Thousand Oaks, pp 145–171Google Scholar

Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.School of PsychologyThe University of AdelaideAdelaideAustralia
  2. 2.Sansom Institute for Health Research, Division of Health SciencesUniversity of South AustraliaAdelaideAustralia
  3. 3.Flinders Centre for Innovation in Cancer, School of MedicineFlinders UniversityBedford ParkAustralia
  4. 4.Cancer Council SAEastwoodAustralia
  5. 5.Olivia Newton-John Cancer Wellness and Research CentreHeidelbergAustralia
  6. 6.School of Psychology and Public HealthLa Trobe UniversityMelbourneAustralia

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