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..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Supportive care in cancer - 29(2021), 6 vom: 06. Jan., Seite 3389-3398

Sprache:

Englisch

Beteiligte Personen:

Galica, Jacqueline [VerfasserIn]
Liu, Ziwei [VerfasserIn]
Kain, Danielle [VerfasserIn]
Merchant, Shaila [VerfasserIn]
Booth, Christopher [VerfasserIn]
Koven, Rachel [VerfasserIn]
Brundage, Michael [VerfasserIn]
Haase, Kristen R. [VerfasserIn]

Links:

Volltext [kostenfrei]

BKL:

44.81

Themen:

Cancer
Coping behaviors
Coping skills
Mixed methods
Older adults
Qualitative

Anmerkungen:

© The Author(s) 2021. corrected publication 2021

doi:

10.1007/s00520-020-05929-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR043832563