Coping during COVID-19 : a mixed methods study of older cancer survivors
PURPOSE: Older cancer survivors are among the most vulnerable to the negative effects of COVID-19 and may need specific survivorship supports that are unavailable/restricted during the pandemic. The objective of this study was to explore how older adults (≥ 60 years) who were recently (≤ 12 months) discharged from the care of their cancer team were coping during the pandemic.
METHODS: We used a convergent mixed method design (QUAL+quan). Quantitative data were collected using the Brief-COPE questionnaire. Qualitative data were collected using telephone interviews to explore experiences and strategies for coping with cancer-related concerns.
RESULTS: The mean sample age (n = 30) was 72.1 years (SD 5.8, range 63-83) of whom 57% identified as female. Participants' Brief-COPE responses indicated that they commonly used acceptance (n = 29, 96.7%), self-distraction (n = 28, 93.3%), and taking action (n = 28, 93.3%) coping strategies. Through our descriptive thematic analysis, we identified three themes: (1) drawing on lived experiences, (2) redeploying coping strategies, and (3) complications of cancer survivorship in a pandemic. Participants' coping strategies were rooted in experiences with cancer, other illnesses, life, and work. Using these strategies during the pandemic was not new-they were redeployed and repurposed-although using them during the pandemic was sometimes complicated. These data were converged to maximize interpretation of the findings.
CONCLUSIONS: Study findings may inform the development or enhancement of cancer and non-cancer resources to support coping, particularly using remote delivery methods within and beyond the pandemic. Clinicians can engage a strengths-based approach to support older cancer survivors as they draw from their experiences, which contain a repository of potential coping skills.
| Errataetall: |
ErratumIn: Support Care Cancer. 2021 Jan 22;:. - PMID 33479796 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
|---|---|
| Enthalten in: |
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer - 29(2021), 6 vom: 06. Juni, Seite 3389-3398 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Galica, Jacqueline [VerfasserIn] |
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| Links: |
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| Themen: |
Cancer |
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| Anmerkungen: |
Date Completed 10.05.2021 Date Revised 11.11.2023 published: Print-Electronic ErratumIn: Support Care Cancer. 2021 Jan 22;:. - PMID 33479796 Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00520-020-05929-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM319686078 |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a ErratumIn: Support Care Cancer. 2021 Jan 22;:. - PMID 33479796 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a PURPOSE: Older cancer survivors are among the most vulnerable to the negative effects of COVID-19 and may need specific survivorship supports that are unavailable/restricted during the pandemic. The objective of this study was to explore how older adults (≥ 60 years) who were recently (≤ 12 months) discharged from the care of their cancer team were coping during the pandemic | ||
| 520 | |a METHODS: We used a convergent mixed method design (QUAL+quan). Quantitative data were collected using the Brief-COPE questionnaire. Qualitative data were collected using telephone interviews to explore experiences and strategies for coping with cancer-related concerns | ||
| 520 | |a RESULTS: The mean sample age (n = 30) was 72.1 years (SD 5.8, range 63-83) of whom 57% identified as female. Participants' Brief-COPE responses indicated that they commonly used acceptance (n = 29, 96.7%), self-distraction (n = 28, 93.3%), and taking action (n = 28, 93.3%) coping strategies. Through our descriptive thematic analysis, we identified three themes: (1) drawing on lived experiences, (2) redeploying coping strategies, and (3) complications of cancer survivorship in a pandemic. Participants' coping strategies were rooted in experiences with cancer, other illnesses, life, and work. Using these strategies during the pandemic was not new-they were redeployed and repurposed-although using them during the pandemic was sometimes complicated. These data were converged to maximize interpretation of the findings | ||
| 520 | |a CONCLUSIONS: Study findings may inform the development or enhancement of cancer and non-cancer resources to support coping, particularly using remote delivery methods within and beyond the pandemic. Clinicians can engage a strengths-based approach to support older cancer survivors as they draw from their experiences, which contain a repository of potential coping skills | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cancer | |
| 650 | 4 | |a Coping behaviors | |
| 650 | 4 | |a Coping skills | |
| 650 | 4 | |a Mixed methods | |
| 650 | 4 | |a Older adults | |
| 650 | 4 | |a Qualitative | |
| 700 | 1 | |a Liu, Ziwei |e verfasserin |4 aut | |
| 700 | 1 | |a Kain, Danielle |e verfasserin |4 aut | |
| 700 | 1 | |a Merchant, Shaila |e verfasserin |4 aut | |
| 700 | 1 | |a Booth, Christopher |e verfasserin |4 aut | |
| 700 | 1 | |a Koven, Rachel |e verfasserin |4 aut | |
| 700 | 1 | |a Brundage, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Haase, Kristen R |e verfasserin |4 aut | |
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