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Determinants of supportive care experiences for women living with breast cancer in rural communities of British Columbia
Abstract
Background: Enabling women with breast cancer to actively participate in their care requires a better understanding of the interplay between contextual factors and mediators. This research explored the determinants of supportive care experiences for women living with breast cancer in rural communities of British Columbia.
Methods: The study used a quantitative, descriptive, cross-sectional design. A survey regarding demographic, health, decision support, and breast cancer supportive care experiences was administered to 100 participants.
Results: The combination of being less than 40 years old, having an undergraduate education, and being three to five years post-diagnosis is associated with higher (more positive) total survey scores. A linear combination of undergraduate school and health problems post-treatment showed higher medical treatment scores, with R2 = 23%.
Conclusion: The findings emphasize the growing need for psychosocial and emotional supportive care for cancer survivors. The results highlight the potential benefits of informed decision-support tools to fortify supportive care, emphasizing the need to facilitate better supportive care services for women battling breast cancer.
Recommendation: Supportive care plays a crucial role in guiding individuals’ experiences with cancer through the healthcare system. Increasing supportive care centres, especially in rural areas, could improve patient-reported outcomes, and experiences, and ensure timely access to care.
Keywords: oncology, cancer, breast, women, adult, patient, healthcare, supportive care, navigation, survivorship, reported outcome
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Altherr, A., Bolliger, C., Kaufmann, M., Dyntar, D., Scheinemann, K., Michel, G., Mader, L., & Roser, K. (2023). Education, employment, and financial outcomes in adolescent and young adult cancer survivors – A systematic review. Current oncology (Toronto, Ont.), 30(10), 8720–8762. https://doi.org/10.3390/curroncol30100631
BC Cancer Registry (2022). Statistics by cancer type – breast. Cancer surveillance and outcomes. BC Cancer Provincial Health Services Authority.
BC Cancer Registry (2022). Cancer surveillance and outcomes, data and analytics, BC Cancer. Number of prevalent cancer cases for 1, 5, 10 and 20-year limited duration, British Columbia, by Cancer Type and Sex, 2021 Index Year. https://bccandataanalytics.shinyapps.io/PrevalenceCounts/
Brenner, D. R., Gillis, J., Demers, A. A., Ellison, L. F., Billette, J. M., Zhang, S. X., ... & Turner, D. (2024). Projected estimates of cancer in Canada in 2024. CMAJ, 196(18), E615–E623. https://doi.org/10.1503/cmaj.240095
Canadian Cancer Society. (2024). Canadian Cancer Statistics 2024. https://cancer.ca/en/research/cancer-statistics
Canadian Cancer Statistics Advisory Committee. (2023). Canadian Cancer Statistics 2023. Canadian Cancer Society. https://cancer.ca/en/research/cancer-statistics
D’Souza, M. S., & Leslie, P. (2022). Cultural considerations at the beginning of life (the perinatal period). The Health Care Professional’s Guide to Cultural Competence-E-Book, 287.
D’Souza, M. S., & Mirza, N. A. (2022). Towards equitable health care access: community participatory research exploring unmet health care needs of homeless individuals. Canadian Journal of Nursing Research, 54(4), 451–463. https://doi.org/10.1177/08445621211032136
D’Souza, M. S., O’Mahony, J., & Karkada, S. N. (2021). Effectiveness and meaningfulness of breast cancer survivorship and peer support for improving the quality of life of immigrant women: A mixed methods systematic review protocol. Clinical Epidemiology and Global Health, 10(2), 100678. https://doi.org/10.1016/j.cegh.2020.100678
D’Souza, M. S., O’Mahony, J., & Achoba, A. (2022). Exploring foot care conditions for people experiencing homelessness: A community participatory approach. Journal of Primary Care & Community Health, 13, 21501319211065247. https://doi.org/10.1177/21501319211065247
D’Souza, M., Mirza, N. A., & Nairy Karkada, S. (2021). Development of a foot care model to determine the risk of foot problems among homeless adults in Canada. Health & Social Care in the Community, 29(5), e214–e223. https://doi.org/10.1111/hsc.13271. Epub ahead of print. PMID: 33491824
Deshwal, P., & Bhuyan, P. (2018). Cancer patient service experience and satisfaction. International Journal of Healthcare Management, 11(2), 88–95. https://doi.org/10.1080/20479700.2016.1238601
Devine, K. A., Christen, S., Mulder, R. L., Brown, M. C., Ingerski, L. M., Mader, L., Potter, E. J., Sleurs, C., Viola, A. S., Waern, S., Constine, L. S., Hudson, M. M., Kremer, L. C. M., Skinner, R., Michel, G., Gilleland Marchak, J., Schulte, F. S. M., & International Guidelines Harmonization Group Psychological Late Effects Group (2022). Recommendations for the surveillance of education and employment outcomes in survivors of childhood, adolescent, and young adult cancer: A report from the International Late Effects of Childhood Cancer Guideline Harmonization Group. Cancer, 128(13), 2405–2419. https://doi.org/10.1002/cncr.34215
Dibble, K. E., Baumgartner, R. N., Boone, S. D., Baumgartner, K. B., & Connor, A. E. (2023). Treatment-related side effects among Hispanic and non-Hispanic white long-term breast cancer survivors by tamoxifen use and duration. Breast Cancer Research and Treatment, 199(1), 155– 172. https://doi.org/10.1007/s10549-023-06900-8
D’Souza, M. S., Fehr, F. C., Smith, M. L., & Marshall, M. C. (2023). Mediators of psychosocial well-being for immigrant women living with breast cancer in Canada: A critical ethnography. Journal of Psychosocial Oncology Research and Practice, 5(4), 00. https://doi.org/10.1097/or9.0000000000000119
D’Souza, M. S., Latif, E., McCarthy, A., & Karkada, S. N. (2022). Experiences and perspectives of ethnocultural breast cancer survivors in the interior region of British Columbia: A descriptive cross-sectional approach. Clinical Epidemiology and Global Health, 16, 101095. https://doi.org/10.1016/j.cegh.2022.101095
Echeverri, M., Anderson, D., Nápoles, A. M., Haas, J. M., Johnson, M. E., & Serrano, F. S. A. (2018). Cancer health literacy and willingness to participate in cancer research and donate bio-specimens. International Journal of Environmental Research and Public Health, 15(10), 2091. https://doi.org/10.3390/ijerph15102091
Etindele Sosso, F. A., Kreidlmayer, M., Pearson, D., & Bendaoud, I. (2022). Towards a socioeconomic model of sleep health among the Canadian population: A systematic review of the relationship between age, income, employment, education, social class, socioeconomic status and sleep disparities. European Journal of Investigation in Health, Psychology and Education, 12(8), 1143–1167. https://doi.org/10.3390/ejihpe12080080
HealthLink BC (2021). Search results: Breast cancer. https://www.healthlinkbc.ca/illnesses-conditions/cancer/breast-cancer
Hemingway, B., Arvey, S. R., Rechis, R., Squiers, L., Eargle, E., & Treiman, K. (2015). Self-efficacy through survivorship: Results from the LIVESTRONG Cancer Navigation Study. https://doi.org/10.1200/jco.2015.33.15_suppl.9577
Herbert, S. L., Wöckel, A., Kreienberg, R., Kühn, T., Flock, F., Felberbaum, R., ... & BRENDA Study Group. (2021). To which extent do breast cancer survivors feel well informed about disease and treatment five years after diagnosis? Breast Cancer Research and Treatment, 185, 677–684. https://doi.org/10.1007/s10549-020-05974-y
Htay, M. N. N., Donnelly, M., Schliemann, D., Loh, S. Y., Dahlui, M., Ibrahim Tamin, N. S. B., Somasundaram, S., & Su, T. T. (2020). Translation and validation of the Breast Cancer Awareness Measurement Tool in Malaysia (B-CAM-M). Asian Pacific Journal of Cancer Prevention: APJCP, 21(1), 217–223. https://doi.org/10.31557/APJCP.2020.21.1.217
Hwee, J., & Bougie, E. (2021). Do cancer incidence and mortality rates differ among ethnicities in Canada? Health Reports, 32(8), 3–17.
?nan, F. ?., Yedigün, T., & Er, ?. (2023, May). Exploring the unmet supportive care needs of breast cancer survivors experiencing psychological distress: Qualitative study. In Seminars in Oncology Nursing (p. 151449). WB Saunders. https://doi.org/10.1016/j.soncn.2023.151449
Jablotschkin, M., Binkowski, L., Markovits Hoopii, R., & Weis, J. (2022). Benefits and challenges of cancer peer support groups: A systematic review of qualitative studies. European Journal of Cancer Care, 31(6), e13700. https://doi.org/10.1111/ecc.13700
Jackson, E. B., Simmons, C. E., & Chia, S. K. (2023). Current challenges and disparities in the delivery of equitable breast cancer care in Canada. Current Oncology, 30(8), 7263–7274. https://doi.org/10.3390/curroncol30080527
Lachenbruch, P. A. (1991). [Review of Sample size determination in health studies: A practical manual., by S. K. Lwanga & S. Lemeshow]. Journal of the American Statistical Association, 86(416), 1149–1149. https://doi.org/10.2307/2290547
Lluch, C., O’Mahony, J., D’Souza, M., & Hawa, R. (2023). Health literacy of healthcare providers and mental health needs of immigrant perinatal women in British Columbia: A critical ethnography. Issues in Mental Health Nursing, 44(8), 746–757. https://doi.org/10.1080/01612840.2023.2227267
Liu, N., Li, P., Wang, J., Chen, D. D., Sun, W. J., Guo, P. P., ... & Zhang, W. (2020). Psychometric properties of the Breast Cancer Awareness Measurement among Chinese women: A cross-sectional study. BMJ open, 10(3), e035911.
Mayo Clinic. (2023). Cancer survivors: late effects of cancer treatment. https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-survivor/art-20045524
Mertz, B. G., Dunn-Henriksen, A. K., Kroman, N., Johansen, C., Andersen, K. G., Andersson, M., ... & Envold Bidstrup, P. (2017). The effects of individually tailored nurse navigation for patients with newly diagnosed breast cancer: A randomized pilot study. Acta Oncologica, 56(12), 1682–1689. https://doi.org/10.1080/0284186x.2017.1358462
Okati-Aliabad, H., Kargar, S., Ansari-Moghadam, A., & Mohammadi, M. (2022). The supportive care needs of breast cancer patients and its related factors: A cross-sectional study. Journal of Kermanshah University of Medical Sciences, 26(1). https://doi.org/10.5812/jkums-121880
Racine, L., D’Souza, M. S., & Tinampay, C. (2023). Effectiveness of breast cancer screening interventions in improving screening rates and preventive activities in Muslim refugee and immigrant women: A systematic review and meta-analysis. Journal of Nursing Scholarship, 55(1), 329–344. https://doi.org/10.1111/jnu.12818
Ramirez, A. G., Choi, B. Y., Munoz, E., Perez, A., Gallion, K. J., Moreno, P. I., & Penedo, F. J. (2020). Assessing the effect of patient navigator assistance for psychosocial support services on health-related quality of life in a randomized clinical trial in Latino breast, prostate, and colorectal cancer survivors. Cancer, 126(5), 1112–1123. https://doi.org/10.1002/cncr.32626
Sherman, D., & Fessele, K. L. (2019). Financial support models: a case for use of financial navigators in the oncology setting. Clin J Oncol Nurs, 23(5), 14–18. https://doi.org/10.1188/19.cjon.s2.14-18
Signorello, L. B., Hargreaves, M. K., & Blot, W. J. (2010). The Southern Community Cohort Study: Investigating health disparities. Journal of Health Care for the Poor and Underserved, 21(1 Suppl), 26–37. https://doi.org/10.1353/hpu.0.0245
Smith, L., Bryan, S., De, P., Rahal, R., Shaw, A., & Turner, D. (2018). Canadian cancer statistics. Canadian cancer statistics advisory committee.
Smith, M. J. (2023). An evaluation of access and policy initiatives for breast cancer screening in Ontario. Canadian Health Policy. https://doi.org/10.54194/qpbg4764
Trevillion, K., Singh-Carlson, S., Wong, F., & Sherriff, C. (2015). An evaluation report of the nurse navigator services for the breast cancer support program. Canadian Oncology Nursing Journal/Revue canadienne de soins infirmiers en oncologie, 25(4), 409–414. https://doi.org/10.5737/23688076254409414
Wittal, D. M. (2018). Bridging the gap from the oncology setting to community care through a cross-Canada environmental scan. Canadian Oncology Nursing Journal, 28(1), 38. https://doi.org/10.5737/236880762813845
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