What Survivorship Means to Liver Transplant Recipients : Qualitative Groundwork for a Survivorship Conceptual Model
Copyright © 2021 by the American Association for the Study of Liver Diseases..
Survivorship is a well-established concept in the cancer care continuum with a focus on disease recurrence, quality of life, and the minimization of competing risks for mortality; however, survivorship has not been well studied in liver transplantation (LT). We investigated what survivorship means to LT patients and identified motivations and coping strategies for overcoming challenges after LT. A total of 20 in-depth home interviews were conducted among adults 3 to 6 months after LT. Interviews were conducted by trained qualitative research experts and coded and analyzed using an inductive approach. A majority of LT recipients (75%) identified themselves as survivors. Integral to the definition of survivorship was overcoming hardship (including experiences on the waiting list) and the unique experience of being given a "second chance" at life. Motivations to survive included a new chance at life (55%), family (40%), spirituality/faith (30%), and fear of rejection (15%). LT recipients and caregivers identified multiple strategies to cope with post-LT challenges, including relying on a large network of community, spiritual, and virtual support. These findings informed a conceptual model of LT survivorship based on socioecological theory, which identified the following variables influencing survivorship: (1) pretransplant experiences, (2) individual attributes and challenges, (3) interpersonal relationships with caregivers and other social support, (4) community relationships, and (5) large-scale factors including neighborhood and financial issues. LT recipients identified themselves as survivors, and post-LT identities were greatly influenced by pre-LT experiences. These perspectives informed an in-depth conceptual model of survivorship after transplantation. We identified sources of motivation and coping strategies used in LT recovery that could be targets of survivorship interventions aimed at improving post-LT outcomes.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
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| Enthalten in: |
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society - 27(2021), 10 vom: 02. Okt., Seite 1454-1467 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lieber, Sarah R [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 02.11.2021 Date Revised 17.10.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/lt.26088 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM324954956 |
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| 245 | 1 | 0 | |a What Survivorship Means to Liver Transplant Recipients |b Qualitative Groundwork for a Survivorship Conceptual Model |
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| 520 | |a Copyright © 2021 by the American Association for the Study of Liver Diseases. | ||
| 520 | |a Survivorship is a well-established concept in the cancer care continuum with a focus on disease recurrence, quality of life, and the minimization of competing risks for mortality; however, survivorship has not been well studied in liver transplantation (LT). We investigated what survivorship means to LT patients and identified motivations and coping strategies for overcoming challenges after LT. A total of 20 in-depth home interviews were conducted among adults 3 to 6 months after LT. Interviews were conducted by trained qualitative research experts and coded and analyzed using an inductive approach. A majority of LT recipients (75%) identified themselves as survivors. Integral to the definition of survivorship was overcoming hardship (including experiences on the waiting list) and the unique experience of being given a "second chance" at life. Motivations to survive included a new chance at life (55%), family (40%), spirituality/faith (30%), and fear of rejection (15%). LT recipients and caregivers identified multiple strategies to cope with post-LT challenges, including relying on a large network of community, spiritual, and virtual support. These findings informed a conceptual model of LT survivorship based on socioecological theory, which identified the following variables influencing survivorship: (1) pretransplant experiences, (2) individual attributes and challenges, (3) interpersonal relationships with caregivers and other social support, (4) community relationships, and (5) large-scale factors including neighborhood and financial issues. LT recipients identified themselves as survivors, and post-LT identities were greatly influenced by pre-LT experiences. These perspectives informed an in-depth conceptual model of survivorship after transplantation. We identified sources of motivation and coping strategies used in LT recovery that could be targets of survivorship interventions aimed at improving post-LT outcomes | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Kim, Hannah P |e verfasserin |4 aut | |
| 700 | 1 | |a Baldelli, Luke |e verfasserin |4 aut | |
| 700 | 1 | |a Nash, Rebekah |e verfasserin |4 aut | |
| 700 | 1 | |a Teal, Randall |e verfasserin |4 aut | |
| 700 | 1 | |a Magee, Gabrielle |e verfasserin |4 aut | |
| 700 | 1 | |a Loiselle, Marci M |e verfasserin |4 aut | |
| 700 | 1 | |a Desai, Chirag S |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Simon C |e verfasserin |4 aut | |
| 700 | 1 | |a Singal, Amit G |e verfasserin |4 aut | |
| 700 | 1 | |a Marrero, Jorge A |e verfasserin |4 aut | |
| 700 | 1 | |a Barritt, A Sidney |c 4th |e verfasserin |4 aut | |
| 700 | 1 | |a Evon, Donna M |e verfasserin |4 aut | |
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