4.6 Article

Hobson's choice or a horned dilemma: a grounded theory on adherence to adjuvant endocrine therapy verified with breast cancer survivors

期刊

SUPPORTIVE CARE IN CANCER
卷 30, 期 12, 页码 10127-10136

出版社

SPRINGER
DOI: 10.1007/s00520-022-07435-2

关键词

Grounded theory; Adherence; Medication; Breast cancer; Hormone therapy; Qualitative research

资金

  1. Shaqra University

向作者/读者索取更多资源

The study developed a grounded theory based on a literature review and meta-synthesis of qualitative research to explain the difficulties faced by breast cancer survivors in making the initial decision to accept long-term endocrine therapy and the challenges of continuing or stopping treatment. The findings indicated that some women changed their minds about treatment due to medication side effects over time.
Purpose A literature review and meta-synthesis of qualitative research had enabled us to develop a grounded theory explaining the difficulties breast cancer survivors face with the initial decision to accept long-term endocrine therapy, and the everyday challenges of continuing or deciding to stop treatment early. Our objective was to interview a cohort of women in a UK setting to corroborate and complete the grounded theory with the end users' primary involvement. Methods A semi-structured interview schedule was written based on the existing grounded theory. Fourteen women with a history of hormone-positive breast cancer were recruited and interviewed. The audio-recorded interviews were transcribed and analysed against the existing grounded theory. Results The findings were compatible with the core theory 'Hobson's choice or a horned dilemma' and its constituent categories previously developed, with additional concepts identified and added to our paradigm models. Importantly, we found that some women who started with a strong sense of commitment to their treatment changed their mind as they experienced the medication side effects over time, impacting on their persistence with long-term endocrine therapy. Conclusion The findings indicate an opportunity for health providers to intervene and influence women's waning perceptions of the necessity of their treatment, for example upon experiencing the side effects. Interventions could involve the provision of side effect management strategies via accessible resources.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据