4.6 Article

Exploring the experiences and priorities of women with a diagnosis of ovarian cancer

Journal

SUPPORTIVE CARE IN CANCER
Volume 31, Issue 7, Pages -

Publisher

SPRINGER
DOI: 10.1007/s00520-023-07903-3

Keywords

support resources; care resources; priority ranking; support services

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This study explores the experiences and priorities of women with a diagnosis of ovarian cancer and whether age may influence these needs and experiences. Fear of cancer recurrence was identified as the most challenging aspect of having ovarian cancer, and age did not affect the participants' priorities. Younger participants were more inclined to use a mobile app to enhance resilience and expressed more interest in using a fertility preservation decision aid.
PurposeOvarian cancer is the third most common gynaecological cancer among women, yet remains under-researched. Past studies suggest that women who present with ovarian cancer have more supportive care needs compared to women experiencing other gynaecological cancers. This study explores the experiences and priorities of women with a diagnosis of ovarian cancer and whether age may influence these needs and experiences.MethodsParticipants were recruited by a community organization, Ovarian Cancer Australia (OCA), via a social media campaign promoted on Facebook. Participants were asked to rank priorities around living with ovarian cancer, and to endorse which supports and resources they had used to address those priorities. Distributions of priority rankings and resource use were compared by age (19-49 vs. 50+ years).ResultsTwo hundred and eighty-eight people completed the consumer survey and most respondents were 60-69 years (33.7%). Priorities did not vary by age. Fear of cancer recurrence was identified by 51% respondents as the most challenging aspect of having ovarian cancer. Compared with older respondents, a higher proportion of young participants were more inclined to use a mobile app version of the OCA resilience kit (25.8% vs 45.1%, p=0.002) and expressed interest in using a fertility preservation decision aid (2.4% vs 25%, p<0.001).ConclusionFear of recurrence was participants' primary concern, presenting an opportunity to develop interventions. Information delivery needs to consider age-specific preferences to better reach the target audience. Fertility is more important to younger women and a fertility preservation decision aid may address this need.

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