ArticlePsycho-oncology2022
A rural-urban comparison of self-management in people living with cancer following primary treatment: A mixed methods study.
Article in Psycho-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review on the qualitative experiences of people living with lung cancer in rural areas.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Pooled it
- A Rapid Systematic Review on the Experiences of Cancer Survivors Residing in Rural Areas during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Pooled it
- Factors influencing patient activation among patients with cancer: A scoping review.Asia-Pacific journal of oncology nursing · 2026Review
- Rural mental health strengths and social connectedness: Findings from the Australian National Study of Mental Health and Wellbeing.The Australian and New Zealand journal of psychiatry · 2026Article
- Barriers and facilitators to implementing the European code of cancer practice in a rural and coastal setting: a qualitative study.Cancer causes & control : CCC · 2026Article
- Mediation analysis of adherence to pelvic floor muscle training and weekly self-monitoring on urinary symptoms in men with localized prostate cancer A secondary analysis of the Prostate Cancer-Patient Empowerment Program (PC-PEP) randomized controlled trial.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026Article
- Integrating Artificial Intelligence into Clinical Care: A Cross-Sectional Study to Advance Healthcare in Saudi Arabia.Journal of multidisciplinary healthcare · 2026Article
- Mapping the landscape of rural cancer research: a global bibliometric analysis.Cancer causes & control : CCC · 2025Review
- Gender differences in self-management activation among patients with multiple chronic diseases: a qualitative study.Archives of public health = Archives belges de sante publique · 2025Article
- Supportive oncology development in a major metropolitan area: regional services.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- At-home Breast Oncology care Delivered with EHealth solutions (ABODE) study protocol: a randomised controlled trial.BMJ open · 2025Article
- The relationship of health activation with risk of future cardiovascular disease among rural family caregivers of patients with chronic illnesses.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
- Cancer survivorship in urban people living with cancer following primary treatment: A secondary analysis of qualitative interview data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Mental health professionals and telehealth in a rural setting: a cross sectional survey.BMC health services research · 2023Article
- Health-Promoting Behaviours following Primary Treatment for Cancer: A Rural-Urban Comparison from a Cross-Sectional Study.Current oncology (Toronto, Ont.) · 2023Article
- A rural-urban comparison of self-management in people living with cancer following primary treatment: A mixed methods study.Psycho-oncology · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate and compare self-management in people living with cancer following treatment, from rural and urban areas in the United Kingdom where there is a significant evidence gap.
methodsA cross-sectional explanatory sequential mixed methods design. This involved a self-completion questionnaire that collected data on demographics, self-management using the PAM-13 and rural-urban residence and 34 in-depth interviews that aimed to explore and compare the barriers and facilitators to self-management in rural and urban settings.
results227 participants completed the questionnaire: mean age 66.86 (±11.22). Fifty-two percent (n = 119) were female and 48% (n = 108) were male. Fifty-three percent (n = 120) resided in urban areas and 45 % (n = 103) in rural areas. Participants had a range of different types of cancer but the three most common were breast (n = 73), urological (n = 53), upper and lower gastrointestinal (n = 41). Rural respondents (63.31 ± 13.66) were significantly (p < 0.05) more activated than those in urban areas (59.59 ± 12.75). The barriers and facilitators to self-management identified in the interviews were prevalent in both rural and urban settings but some barriers were more explicit in rural settings. For example, there was a lack of bespoke support in rural areas and participants acknowledged how travelling long distances to urban centres for support groups was problematic. Equally, there were barriers and facilitators that were not necessarily unique to either geographic setting.
conclusionWhilst the active treatment phase can present considerable challenges for people living with cancer in rural areas the findings suggest that the rural environment has the potential to increase engagement with self-management in the transition to survivorship. The rigorous mixed methods design has led to different and complementary conclusions that would not have been possible had either quantitative or qualitative methods been used in isolation.
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