Evidence map›Paper›PMID 39567939›Full record

ArticleBMC cancer2024

The complexity of needs and roles of family members during breast cancer rehabilitation: a qualitative study.

Marlene Malmström, Annette Holst-Hansson, Ulrika Olsson Möller

Registry-linked trialAbstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03434717 (Optimized Rehabilitation Following Primary Breast Cancer Surgery - Systematic Screening as a Tool for Individualised Rehabilitation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03434717 naunknown statusnot on this map

Optimized Rehabilitation Following Primary Breast Cancer Surgery - Systematic Screening as a Tool for Individualised Rehabilitation: Study Protocol for the RE-SCREEN Randomized Controlled Trial

TypeinterventionalSponsorLund UniversityRan2018 to 2025Enrolled643ConditionsRehabilitation, Breast Neoplasms, Psychological DistressArmsIndividualised rehabilitation, Care as usual
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Marlene MalmströmDepartment of Health Sciences, Lund University, Lund, Sweden. marlene.malmstrom@med.lu.se.
Annette Holst-HanssonDepartment of Health Sciences, Lund University, Lund, Sweden.
Ulrika Olsson MöllerDepartment of Health Sciences, Lund University, Lund, Sweden.

Funding

FORTE 2020-00105Insamlingsstiftelsen Cancer- och Allergifonden 220Swedish National Health Service 200-Projekt0190The Swedish Cancer Society 230656FE
6 · The paper itself

Abstract

backgroundFamily members play a crucial role in supporting women with breast cancer during their recovery. In the complex situation of being an informal caregiver, their own health and ability to support the patient needs to be acknowledged. The aim was to explore the experiences, needs and roles of family members throughout the rehabilitation process of women with breast cancer.

methodsA qualitative study was conducted, involving semi-structured individual telephone interviews with 20 purposefully selected family members of women with breast cancer (13 men aged 24-79 years, 7 women aged 19-76 years). Data analysis utilized conventional content analysis and used "casing" as the analysis technique. The study is part of the ReScreen randomized controlled trial and all participants gave informed consent.

resultsThe interviews revealed significant variation among family members, leading to the emergence of different typologies based on their reactions and specific preconditions. These typologies included: 1) The case of the assertive and confident team leader, 2) The case of the frustrated but persistent guardian, 3) The case of the reassured bystander, and 4) The case of the neglected outsider. While not mutually exclusive, the cases demonstrated clear similarities and differences in whether individuals felt secure or insecure in the rehabilitation process and their level of involvement in this process. Some described feelings of being involved and active in the process while others experienced not being involved and described feelings of abandonment. However, regardless of their role, family members reported that their own health was seldom considered by healthcare professionals.

conclusionsThis study sheds light on the concept of "we-disease," where the role of a family member is interrelated with factors such as their health literacy, supporting role, level of involvement, relationship, and identity during the patient's rehabilitation process. This highlights significant divergence in whether family members perceive the rehabilitation process as a collaborative effort or an individual challenge. These perceptions greatly impact their own well-being and ability to support women with breast cancer, underscoring the importance of recognizing family members as informal caregivers and offering tailored support from healthcare professionals when needed.

trial registrationClinicalTrials.gov NCT03434717. Registered February 15, 2018.

Indexed as

Breast NeoplasmsCaregiversFamilyQualitative ResearchAdultAgedFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicSocial SupportYoung AdultBreast cancerContent analysisExperiencesFamily membersRehabilitationTypology

Identifiers

PMID39567939
PMCPMC11580357

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.