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一项定性研究,调查新诊断乳腺癌患者参与艾伯塔省超越乳腺癌(AMBER)前瞻性队列研究的体验。

A qualitative study examining newly diagnosed breast cancer patients' experiences of participating in the Alberta Moving Beyond Breast Cancer (AMBER) prospective cohort study.

机构信息

Faculty of Health Disciplines, Athabasca University, 1 University Drive, Athabasca, AB, T9S-3A3, Canada.

Department of Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, Calgary, AB, Canada.

出版信息

BMC Cancer. 2023 Jun 2;23(1):500. doi: 10.1186/s12885-023-10967-3.

Abstract

BACKGROUND

Decisions to participate in cancer trials are associated with uncertainty, distress, wanting to help find a cure, the hope for benefit, and altruism. There is a gap in the literature regarding research examining participation in prospective cohort studies. The aim of this study was to examine the experiences of newly diagnosed women with breast cancer participating in the AMBER Study to identify potential strategies to support patients' recruitment, retention, and motivation.

METHODS

Newly diagnosed breast cancer patients were recruited from the Alberta Moving Beyond Breast Cancer (AMBER) cohort study. Data were collected using semi-structured conversational interviews with 21 participants from February to May 2020. Transcripts were imported into NVivo software for management, organization, and coding. Inductive content analysis was undertaken.

RESULTS

Five main concepts associated with recruitment, retention, and motivation to participate were identified. These main concepts included: (1) personal interest in exercise and nutrition; (2) investment in individual results; (3) personal and professional interest in research; (4) burden of assessments; (5) importance of research staff.

CONCLUSIONS

Breast cancer survivors participating in this prospective cohort study had numerous reasons for participating and these reasons could be considered in future studies to enhance participant recruitment and retention. Improving recruitment and retention in prospective cancer cohort studies could result in more valid and generalizable study findings that could improve the care of cancer survivors.

摘要

背景

参与癌症试验的决策与不确定性、苦恼、帮助寻找治愈方法、受益的希望和利他主义有关。关于研究参与前瞻性队列研究的文献存在差距。本研究旨在探讨新诊断为乳腺癌的女性参与 AMBER 研究的经验,以确定支持患者招募、保留和积极性的潜在策略。

方法

从阿尔伯塔省超越乳腺癌(AMBER)队列研究中招募新诊断的乳腺癌患者。使用半结构化对话访谈从 2020 年 2 月至 5 月收集了 21 名参与者的数据。将转录本导入 NVivo 软件进行管理、组织和编码。进行了归纳内容分析。

结果

确定了与招募、保留和参与动机相关的五个主要概念。这些主要概念包括:(1)对运动和营养的个人兴趣;(2)对个人结果的投资;(3)对研究的个人和专业兴趣;(4)评估负担;(5)研究人员的重要性。

结论

参与这项前瞻性队列研究的乳腺癌幸存者有许多参与的原因,这些原因可以在未来的研究中考虑,以提高参与者的招募和保留率。提高前瞻性癌症队列研究的招募和保留率可以产生更有效和更具普遍性的研究结果,从而改善癌症幸存者的护理。

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Projected estimates of cancer in Canada in 2022.2022 年加拿大癌症预估数。
CMAJ. 2022 May 2;194(17):E601-E607. doi: 10.1503/cmaj.212097.
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Deciding to Enrol in a Cancer Trial: A Systematic Review of Qualitative Studies.决定参加癌症试验:定性研究的系统评价
J Multidiscip Healthc. 2020 Oct 27;13:1257-1281. doi: 10.2147/JMDH.S266281. eCollection 2020.

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