The psychosocial needs of underserved breast cancer survivors and perspectives of their clinicians and support providers

• Published in: Supportive care in cancer Vol. 30; no. 1; pp. 105 - 116
• Main Authors: Wells, Kristen J., Drizin, Julia H., Ustjanauskas, Amy E., Vázquez-Otero, Coralia, Pan-Weisz, Tonya M., Ung, Danielle, Carrizosa, Claudia, Laronga, Christine, Roetzheim, Richard G., Johnson, Kenneth, Norton, Marilyn, Aguilar, Rosa Cobian, Quinn, Gwendolyn P.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-01-2022; Springer; Springer Nature B.V
• Subjects: Analysis; Anxiety; Breast cancer; Breast Neoplasms - therapy; Cancer; Cancer Survivors; Content analysis; Female; Health care industry; Health psychology; Humans; Medical care; Medicine; Medicine & Public Health; Mental depression; Mental health; Neoplasm Recurrence, Local; Nursing; Nursing Research; Oncology; Oncology, Experimental; Original Article; Pain Medicine; Psychological aspects; Qualitative research; Quality management; Rehabilitation Medicine; Social aspects; Stress (Psychology); Survivor; Survivors; Cancer survivors; Depression; Breast neoplasms; Health personnel; Body image; Fear of cancer recurrence
• ISSN: 0941-4355; 1433-7339
• DOI: 10.1007/s00520-021-06286-7

Purpose
Breast cancer survivors (BrCS) experience many psychosocial difficulties following treatment, leading to an increased risk of psychological distress compared to the general population. This is especially true for underserved BrCS whose unmet supportive care needs can result in worse physical and mental health outcomes. This qualitative study compared healthcare and support providers’ perceptions of BrCS’ needs to survivors’ perceptions of their own needs.
Methods
Semi-structured in-depth interviews were conducted with 25 underserved BrCS and 20 cancer survivorship stakeholders identified using purposeful sampling. Using the constant comparison method and content analysis, data were analyzed via an iterative process of coding and discussion. Data were summarized according to three intermediate and proximal themes mentioned by both stakeholders and survivors: (1) psychosocial needs of cancer survivors, (2) support, and (3) benefit finding/positive feelings about cancer. Demographic data were analyzed by calculating descriptive statistics.
Results
There was consistency in providers’ and survivors’ perceptions of post-treatment mood changes, financial burden, familial stress, and physical changes. Providers and survivors differed in perceptions of BrCS’ preferred sources of care and support, effects of cancer treatment on body image, the effects of fear of cancer recurrence on follow-up care, and benefit finding.
Conclusions
This study provides valuable insight into areas in which healthcare and support providers’ perceptions may differ from underserved BrCS’ lived experiences. Results from this study can be used to develop interventions and inform healthcare and support providers on how to provide high-quality care to underserved BrCS.