School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Belfast, UK.
Centre for Public Health, Institute of Clinical Sciences, Royal Victoria Hospital, Belfast, UK.
Psychooncology. 2020 May;29(5):920-926. doi: 10.1002/pon.5368. Epub 2020 Mar 16.
Vietnam, like many low/middle income countries, lacks the infrastructure to provide information and psychosocial support to cancer patients and their carers. We undertook a codesign process to develop a web resource to inform and support carers.
Cancer carers and health care professionals' perspectives regarding information and support needs and the content and delivery of web-based supports, were explored via five focus groups (n = 39) and semistructured interviews (n = 4) in Vietnam in 2018. Focus groups and interviews were transcribed verbatim and analyzed using thematic analysis. Resource components were verified at two joint stakeholder workshops attended by 40 participants.
The development of a web-based resource was identified as an urgent need. A web-based resource was viewed as a suitable interface to provide support across regions in a sustainable way. The structure of the resource should include peer-led videoed advice, signposting to services and include official endorsement. The potential resource components identified includes (a) cancer causes and consequences; (b) hospital administration, treatment processes, and prices; (c) daily living; (d) emotional and supportive information; (e) skills training; and (f) nutrition and traditional medicine.
The development of a web-based resource to deliver information and psychosocial supports to cancer carers and by-proxy patients is an urgent requirement in Vietnam. Next steps will include resource development and testing the resources ability to address the unmet needs of cancer carers and patients. A web-based resource to support cancer carers has the potential for application to other developing countries.
与许多中低收入国家一样,越南缺乏提供信息和心理社会支持给癌症患者及其照顾者的基础设施。我们进行了一次共同设计过程,以开发一个网络资源来为照顾者提供信息和支持。
2018 年在越南通过 5 个焦点小组(n = 39)和半结构化访谈(n = 4)探讨了癌症照顾者和医疗保健专业人员对信息和支持需求的看法,以及基于网络的支持的内容和提供方式。焦点小组和访谈的文字记录进行了逐字逐句的分析,并使用主题分析进行了分析。资源组件在由 40 名参与者参加的两次联合利益相关者研讨会上进行了验证。
确定了开发基于网络的资源是一个紧迫的需求。基于网络的资源被视为以可持续的方式在各个地区提供支持的合适界面。资源的结构应包括由同行领导的视频建议,服务的指示以及包括官方认可。确定的潜在资源组件包括:(a)癌症的原因和后果;(b)医院管理、治疗过程和价格;(c)日常生活;(d)情感和支持性信息;(e)技能培训;以及(f)营养和传统医学。
在越南,开发一个为癌症照顾者提供信息和心理社会支持的基于网络的资源是一个紧迫的需求。下一步将包括资源的开发和测试资源满足癌症照顾者和患者未满足需求的能力。一个支持癌症照顾者的基于网络的资源有可能应用于其他发展中国家。