ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021
Consideration of sense of coherence in a structured communication approach with stage IV lung cancer patients and their informal caregivers: a qualitative interview study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Effects of an Interprofessional Communication Approach on Support Needs, Quality of Life, and Mood of Patients with Advanced Lung Cancer: A Randomized Trial.The oncologist · 2021Trial
- "You're just in such crisis mode…frantic to get through the next day": an interpretative phenomenological analysis of adjustment experiences among carers of patients with advanced oesophago-gastric cancer.BMC palliative care · 2025Article
- 'Not a panacea' - Expert perspectives on the concept of resilience and its potential for palliative care.Palliative care and social practice · 2024Article
- Relationship between sense of coherence and subjective well-being among family caregivers of breast cancer patients: a latent profile analysis.Frontiers in psychiatry · 2024Article
- Small business managers and Covid-19-The role of a sense of coherence and general resistance resources in coping with stressors.PloS one · 2022Article
- Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer.Therapeutic advances in respiratory diseaseReview
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Authors and funding
9 authors.
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Abstract
objectiveSalutogenetic aspects are valuable for consideration in patient-centred care of advanced oncological diseases with a limited life expectancy. The Milestone Communication Approach (MCA), involving physician-nurse tandems, addresses specific challenges and needs over the disease trajectory of patients with stage IV lung cancer and their informal caregivers. This study aims to explore patients' and informal caregivers' salutogenetic experiences with the MCA concept.
methodsThis qualitative study used face-to-face semi-structured interviews with patients and informal caregivers. All generated data were audio-recorded, pseudonymised and transcribed verbatim. Data were structured using Qualitative Content Analysis. The material was coded deductively into themes related to the components of sense of coherence (Aaron Antonovsky) and emerging sub-themes. All data was managed and organised in MAXQDA.
resultsIn 25 interviews, sense of coherence was referred to with all three components: "Comprehensibility" was supported by information conveyed suitably for the patients; "meaningfulness" was addressed as accepting the situation; and "manageability" led to advance care planning the patients were comfortable with. Patients and informal caregivers experienced the interprofessional tandem as an added value for patient care.
conclusionsParticipants appreciate the MCA in its support for coping with a life-limiting disease. Considering salutogenetic aspects facilitates prognostic awareness and advance care planning. Nevertheless, individual needs of patients and informal caregivers require an individualised application of the MCA.
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