After Childhood Cancer: a Qualitative Study of Family Physician, Parent/Guardian, and Survivor Information Needs and Perspectives on Long-Term Follow-up and Survivorship Care Plans

J Cancer Educ. 2019 Aug;34(4):638-646. doi: 10.1007/s13187-018-1349-1.

Abstract

Despite support for the provision of a survivorship care plan (SCP) to every cancer survivor, there is a lack of understanding of the needs and preferences of key stakeholders. We examined perspectives of a novel personalized SCP for childhood cancer survivors (CCS), their family, and family physicians (FP). We conducted semi-structured telephone interviews with a purposefully selected sample of CCS, parents/guardians, and FPs. Data included responses to stakeholder cancer care information needs, concerns with or gaps in communication, the perceived role of the FP in the long-term management of CCS care, utility of the SCP, preferred format, and suggestions for improvement. A deductive content analysis was conducted. Twenty-four participants including 8 CCS, 10 parents/guardians, and 6 FPs completed an interview. Four main and several sub-categories emerged. Core categories were coded as (1) informative reference, (2) coordination of follow-up, (3) barriers to follow-up care, and (4) suggestions for improvement and future implementation. The majority of participants preferred an electronic- or web-based format. Overall, the SCP was seen as an informative and concise resource. The SCP was thought to be a valuable tool to foster communication and empower CCSs to become more fully engaged in their own cancer-related health care. FPs viewed the SCP as a useful resource to facilitate and guide the long-term management of the CCS. In addition to the treatment summary, a comprehensive follow-up timeline, personalized lifestyle information, and details on how to access additional psychosocial support were highlighted as important components.

Keywords: Childhood cancer; Needs; Surveillance; Survivorship care plan.

MeSH terms

  • Adolescent
  • Adult
  • Cancer Survivors / psychology*
  • Child
  • Child, Preschool
  • Communication
  • Continuity of Patient Care / standards*
  • Family Practice / standards
  • Female
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Needs Assessment*
  • Neoplasms / psychology
  • Neoplasms / rehabilitation*
  • Neoplasms / therapy
  • Parent-Child Relations
  • Parents / psychology*
  • Patient Care Planning / standards*
  • Physician-Patient Relations
  • Physicians / psychology*
  • Qualitative Research
  • Survivorship
  • Young Adult