Faculty of Social Sciences, School of Psychology, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Mary A. Rackham Institute, University of Michigan, Ann Arbor, MI 48104, USA.
Curr Oncol. 2024 Jul 30;31(8):4357-4368. doi: 10.3390/curroncol31080325.
Patients consistently rate cancer-related fatigue (CrF) as the most prevalent and debilitating symptom. CrF is an important but often neglected patient concern, partly due to barriers to implementing evidence-based interventions. This study explored what an ideal intervention for CrF would look like from the perspectives of different stakeholders and the barriers to its implementation. Three participant populations were recruited: healthcare providers (HCPs; = 32), community support providers (CSPs; = 14), and cancer patients ( = 16). Data were collected via nine focus groups and four semi-structured interviews. Data were coded into themes using content analysis. Two main themes emerged around addressing CrF: "It takes a village" and "This will not be easy". Participants discussed an intervention for CrF could be anywhere, offered by anyone and everyone, and provided early and frequently throughout the cancer experience and could include peer support, psychoeducation, physical activity, mind-body interventions, and interdisciplinary care. Patients, HCPs, and CSPs described several potential barriers to implementation, including patient barriers (i.e., patient variability, accessibility, online literacy, and overload of information) and systems barriers (i.e., costs, lack of HCP knowledge, system insufficiency, and time). As CrF is a common post-treatment symptom, it is imperative to offer patients adequate support to manage CrF. This study lays the groundwork for the implementation of a patient-centered intervention for CrF in Canada and possibly elsewhere.
患者一直将癌症相关疲劳（CrF）评为最普遍和最具致残性的症状。CrF 是一个重要但常被忽视的患者关注点，部分原因是实施基于证据的干预措施存在障碍。本研究从不同利益相关者的角度探讨了理想的 CrF 干预措施应该是什么样子，以及实施该干预措施的障碍。招募了三个参与者群体：医疗保健提供者（HCPs；n = 32）、社区支持提供者（CSPs；n = 14）和癌症患者（n = 16）。通过九次焦点小组和四次半结构化访谈收集数据。使用内容分析法将数据编码为主题。围绕治疗 CrF 出现了两个主要主题：“需要一个团队”和“这并不容易”。参与者讨论了针对 CrF 的干预措施可以无处不在，由任何人提供，并且可以在癌症经历的早期和频繁提供，包括同伴支持、心理教育、体育活动、身心干预和跨学科护理。患者、HCPs 和 CSPs 描述了实施的几个潜在障碍，包括患者障碍（即患者变异性、可及性、在线读写能力和信息过载）和系统障碍（即成本、HCP 知识缺乏、系统不足和时间）。由于 CrF 是一种常见的治疗后症状，因此为患者提供充分的支持以管理 CrF 至关重要。本研究为在加拿大乃至其他地方实施以患者为中心的 CrF 干预措施奠定了基础。
