TY - JOUR
T1 - A holistic profile for cancer-related fatigue for women with breast cancer–a qualitative study
AU - Wijlens, Kim A.E.
AU - Beenhakker, Lian
AU - Witteveen, Annemieke
AU - Siemerink, Ester J.M.
AU - Jansen, Liesbeth
AU - Gernaat, Christine
AU - Schellekens, Melanie P.J.
AU - Siesling, Sabine
AU - Vollenbroek-Hutten, Miriam M.R.
AU - Bode, Christina
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023/12/18
Y1 - 2023/12/18
N2 - Objective: Cancer- related fatigue (CRF) is one of the most reported long-term effects after breast cancer and severely impacts quality of life. To come towards optimal treatment of multidimensional CRF, the first step is to use a holistic approach to develop a holistic patient profile including the patient’s experience and impact of CRF on their life.Methods and measures: Four semi- structured focus groups with twenty- seven breast cancer patients and fourteen interviews with healthcare professionals (HCPs) were held. Reflexive thematic analysis was used to define (sub)themes for the holistic patient profile. The themes of the interviews and focus groups were compared for validity.Results: Breast cancer patients and HCPs described the same five major themes, consisting of experience of CRF, impact and consequences, coping, personality, and CRF treatment. Experience of CRF consists of cognitive, emotional, and physical aspects. Impact and consequences include work, family, partner relation, social contact and hobbies, body, and misrecognition. Coping consists of twelve (mal)adaptive strategies. Personality and CRF treatment were summarised as themes.Conclusions: A first holistic patient profile was introduced for CRF for breast cancer. This profile can be conceptualized into a questionnaire to collect information for personalized treatment recommendations and monitoring of CRF over time.
AB - Objective: Cancer- related fatigue (CRF) is one of the most reported long-term effects after breast cancer and severely impacts quality of life. To come towards optimal treatment of multidimensional CRF, the first step is to use a holistic approach to develop a holistic patient profile including the patient’s experience and impact of CRF on their life.Methods and measures: Four semi- structured focus groups with twenty- seven breast cancer patients and fourteen interviews with healthcare professionals (HCPs) were held. Reflexive thematic analysis was used to define (sub)themes for the holistic patient profile. The themes of the interviews and focus groups were compared for validity.Results: Breast cancer patients and HCPs described the same five major themes, consisting of experience of CRF, impact and consequences, coping, personality, and CRF treatment. Experience of CRF consists of cognitive, emotional, and physical aspects. Impact and consequences include work, family, partner relation, social contact and hobbies, body, and misrecognition. Coping consists of twelve (mal)adaptive strategies. Personality and CRF treatment were summarised as themes.Conclusions: A first holistic patient profile was introduced for CRF for breast cancer. This profile can be conceptualized into a questionnaire to collect information for personalized treatment recommendations and monitoring of CRF over time.
KW - UT-Hybrid-D
KW - Holistic patient profile
KW - Monitoring
KW - Cancer-related fatigue
UR - http://www.scopus.com/inward/record.url?scp=85179953197&partnerID=8YFLogxK
U2 - 10.1080/08870446.2023.2289457
DO - 10.1080/08870446.2023.2289457
M3 - Article
AN - SCOPUS:85179953197
SN - 0887-0446
JO - Psychology and Health
JF - Psychology and Health
ER -
