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Article in Journal ()

Supportive care needs of women with breast cancer in rural Scotland

Citation
Hubbard G, Venning C, Walker A, Scanlon K & Kyle RG (2015) Supportive care needs of women with breast cancer in rural Scotland, Supportive Care in Cancer, 23 (6), pp. 1523-1532.

Abstract

PURPOSE The aim of this study was to identify the supportive care needs and unmet needs of women with breast cancer (BC) in rural Scotland.

METHODS In 2013, a survey of supportive care needs of rural women with BC was conducted using the short-form Supportive Care Needs Survey (SCNS-SF34). Semi-structured interviews were subsequently conducted with a purpose sample of questionnaire respondents.

RESULTS Forty-four women with BC completed the survey and ten were interviewed. Over half of participants reported at least one moderate to high unmet need (56.8 %, n = 25), a tenth reported low needs (11.4 %, n = 5), and around a third reported no unmet needs for all 34 items (31.8 %, n = 14). The most prevalent moderate to high needs were 'being informed about cancer in remission' (31.8 %, n = 14), 'fears about the cancer spreading' (27.3 %, n = 12), 'being adequately informed about the benefits and side-effects of treatment' and 'concerns about the worries of those close to you' (both 25.0 %, n = 11). Interviews highlighted the following unmet needs: information about treatment and side effects, overview of care, fear of recurrence, impact on family and distance from support.

CONCLUSIONS Rural women with BC report similar unmet needs to their urban counterparts. Fear of recurrence is a key unmet need that should be addressed for all women with BC. However, they also report unique unmet needs because of rural location. Thus, it is critical that cancer services address the additional unmet needs of rural women with BC and, in particular, needs relating to distance from services.

Keywords
Rural; Breast cancer; Supportive care needs; Unmet needs

StatusPublished
AuthorsHubbard Gill, Venning Christine, Walker Alison, Scanlon Karen, Kyle Richard G
Publication date06/2015
Publication date online14/11/2014
Date accepted by journal24/10/2014
PublisherSpringer
ISSN 0941-4355
LanguageEnglish

Journal
Supportive Care in Cancer: Volume 23, Issue 6 (2014-Nov-14)

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