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挑战与机遇:一项关于澳大利亚头颈癌支持小组现状的混合方法研究。

Challenges and opportunities: a mixed-methods study on the current status of head and neck cancer support groups in Australia.

作者信息

Zhou Xiaojing, Sharman Ashleigh R, Venchiarutti Rebecca L

机构信息

Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, 2050, Australia.

Department of Head and Neck Surgery, Chris O'Brien Lifehouse, 119-143 Missenden Road, Camperdown, NSW, 2050, Australia.

出版信息

Support Care Cancer. 2025 Jul 11;33(8):684. doi: 10.1007/s00520-025-09752-8.

Abstract

PURPOSE

Head and neck cancer (HNC) support groups provide valuable emotional support and practical guidance, helping to improve patients' quality of life. This study aimed to understand the current practices of HNC support groups in Australia, focusing on their establishment, implementation, and facilitation, and identifying gaps in resources, guidelines, and training for facilitators.

METHODS

This study recruited facilitators of active HNC support groups in Australia. A mixed-methods approach was used, combining quantitative and qualitative analyses. Quantitative data were collected through an online questionnaire and descriptively analyzed. The qualitative data were analyzed using inductive content analysis of open-ended questionnaire responses.

RESULTS

Nineteen participants completed the survey. One-third of HNC support groups are in rural areas, two-thirds in urban areas. Nearly half of the groups operate in hospitals, with only one online support group in remote areas. Key challenges identified were administration, content, and location. About 32% of participants received guidelines, and 42% received training, with most finding these resources useful. The need for more online support groups and collaboration with professional bodies was highlighted.

CONCLUSIONS

HNC support groups face significant administrative and logistical challenges. Support groups in rural areas also encounter greater access issues, making online formats potentially more sustainable. Future efforts should focus on improving administrative support, funding, and comprehensive training for facilitators to ensure the long-term sustainability of HNC support groups in Australia.

摘要

目的

头颈癌(HNC)支持小组提供了宝贵的情感支持和实用指导,有助于提高患者的生活质量。本研究旨在了解澳大利亚头颈癌支持小组的当前做法,重点关注其建立、实施和促进情况,并找出资源、指南以及对小组负责人培训方面的差距。

方法

本研究招募了澳大利亚活跃的头颈癌支持小组的负责人。采用了混合方法,将定量分析和定性分析相结合。通过在线问卷收集定量数据并进行描述性分析。使用开放式问卷回复的归纳性内容分析法对定性数据进行分析。

结果

19名参与者完成了调查。三分之一的头颈癌支持小组位于农村地区,三分之二位于城市地区。近一半的小组在医院开展活动,偏远地区只有一个在线支持小组。确定的主要挑战包括管理、内容和地点。约32%的参与者收到了指南,42%的参与者接受了培训,大多数人认为这些资源很有用。强调了对更多在线支持小组的需求以及与专业机构的合作。

结论

头颈癌支持小组面临重大的管理和后勤挑战。农村地区的支持小组也面临更大的获取问题,这使得在线形式可能更具可持续性。未来的努力应集中在改善管理支持、资金以及为小组负责人提供全面培训,以确保澳大利亚头颈癌支持小组的长期可持续性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff90/12254088/a03b128aa97e/520_2025_9752_Fig1_HTML.jpg

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