Qualitative assessment of information and decision support needs for managing menopausal symptoms after breast cancer.
Purpose: For breast cancer (BrCa) survivors, premature menopause can result from conventional cancer treatment. Due to limited treatment options, survivors often turn to complementary therapies (CTs), but struggle to make informed decisions. In this study, we identified BrCa survivors' CT and genera...
| Publicado en: | Supportive Care in Cancer Vol. 24; no. 11; pp. 4567 - 4576 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Nov2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118247913&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118247913 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Nov2016 vid: 24 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 118247913 118247913 NLM27278271 118247913 10.1007/s00520-016-3296-x NLM27278271 118247913 ppf: 4567 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Qualitative assessment of information and decision support needs for managing menopausal symptoms after breast cancer. aug: au: Balneaves, Lynda Panagiotoglou, Dimitra Brazier, Alison Lambert, Leah Porcino, Antony Forbes, Margaret Patten, Cheri Truant, Tracy Seely, Dugald Stacey, Dawn Balneaves, Lynda G Brazier, Alison S A Lambert, Leah K Van Patten, Cheri Truant, Tracy L O affil: School of Nursing , University of British Columbia , Vancouver Canada sug: subj: Alternative Therapies Methods Menopause Physiology Breast Neoplasms Complications Middle Age Breast Neoplasms Therapy Decision Making Evaluation Research Focus Groups Adult Female Funding Source Middle Aged: 45-64 years Adult: 19-44 years Female ab: Purpose: For breast cancer (BrCa) survivors, premature menopause can result from conventional cancer treatment. Due to limited treatment options, survivors often turn to complementary therapies (CTs), but struggle to make informed decisions. In this study, we identified BrCa survivors' CT and general information and decision-making needs related to menopausal symptoms.Methods: The needs assessment was informed by interpretive descriptive methodology. Focus groups with survivors (n = 22) and interviews with conventional (n = 12) and CT (n = 5) healthcare professionals (HCPs) were conducted at two Canadian urban cancer centers. Thematic, inductive analysis was conducted on the data.Results: Menopausal symptoms have significant negative impact on BrCa survivors. Close to 70 % of the sample were currently using CTs, including mind-body therapies (45.5 %), natural health products (NHPs) and dietary therapies (31.8 %), and lifestyle interventions (36.4 %). However, BrCa survivors reported inadequate access to information on the safety and efficacy of CT options. Survivors also struggled in their efforts to discuss CT with HCPs, who had limited time and information to support women in their CT decisions. Concise and credible information about CTs was required by BrCa survivors to support them in making informed and safe decisions about using CTs for menopausal symptom management.Conclusions: High quality research is needed on the efficacy and safety of CTs in managing menopausal symptoms following BrCa treatment. Decision support strategies, such as patient decision aids (DAs), may help synthesize and translate evidence on CTs and promote shared decision-making between BrCa survivors and HCPs about the role of CTs in coping with menopause following cancer treatment. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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