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Journal of Cancer Survivorship

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Open Access 01-04-2021

Identifying and exploring the self-management strategies used by childhood cancer survivors

Authors: Morven C. Brown, Anna Haste, Vera Araújo-Soares, Roderick Skinner, Linda Sharp

Published in: Journal of Cancer Survivorship | Issue 2/2021

Abstract

Purpose

Childhood cancer survivors (CCSs) are at increased risk of chronic health problems. Effective self-management could help CCSs cope with the challenges that accompany survivorship and reduce their risk of developing further health problems. There is little evidence about the extent to which CCSs engage with self-management and the specific strategies they use. This study aimed to identify and explore the strategies that CCSs use to manage the consequences of cancer.

Methods

Twenty-four CCSs were recruited via follow-up clinics. Participants completed a semi-structured interview which was audio-recorded and transcribed. Directed content analysis was used to identify self-reported self-management strategies and categorise them into main self-management types.

Results

CCSs reported 118 specific self-management strategies which fell under 20 main self-management strategy types. All CCSs reported using several main self-management strategy types and specific self-management strategies. Main strategy types used by all CCSs were “adopting a healthy lifestyle”, “self-motivating”, “using support”, “reasoned decision-making” and “creating a healthy environment”. The most common specific self-management strategies were “receiving family support” (n = 20) and “attending follow-up and screening appointments” (n = 20).

Conclusions

This is the first study which has enabled CCSs to self-report the numerous strategies they employ to look after their health and well-being, contributing to a more comprehensive picture of self-management in CCSs.

Implications for Cancer Survivors

These findings may increase healthcare professionals’ awareness of the many ways in which CCSs manage their health and is a valuable first step in the development of a supported self-management intervention for CCSs in follow-up care.

Available only for authorised users

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Title: Identifying and exploring the self-management strategies used by childhood cancer survivors
Authors: Morven C. Brown
Anna Haste
Vera Araújo-Soares
Roderick Skinner
Linda Sharp
Publication date: 01-04-2021
Publisher: Springer US
Published in: Journal of Cancer Survivorship / Issue 2/2021
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-020-00935-2

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Abstract

Purpose

Methods

Results

Conclusions

Implications for Cancer Survivors

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