Barriers and facilitators to cancer treatment adherence for older Rural African Americans: Understanding the experience from the view of patients and their caregivers

IF 0.9 Q3 SOCIAL WORK

Journal of Family Social Work Pub Date : 2020-01-01 DOI:10.1080/10522158.2019.1658250

A. Schwartz, C. Jenkins

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引用次数: 4

Abstract

ABSTRACT The purpose of the present study was to understand the barriers that a particularly vulnerable sub-population of older adults experience in adhering to cancer treatments in rural eastern North Carolina. Qualitative descriptive interviews were completed with 16 individuals (8 cancer patients and their caregivers) about the challenges they face in adhering to cancer treatments. Three themes emerged based on the analysis which included transportation and financial barriers, and assistance that facilitated patients to adhere to treatment protocols. Transportation barriers were those associated with both the formal and informal systems. Financial barriers were related to costs associated with treatment. Participants also reported on ways in which adherence was facilitated via both formal and informal means. Our findings support those of previous research on treatment adherence and add information on the actions patients take in response to barriers that can negatively impact their disease trajectory. The knowledge gained can inform service providers about the issues in treatment adherence and help identify interventions that could support caregivers and patients to circumvent such challenges.

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老年农村非洲裔美国人癌症治疗依从性的障碍和促进因素:从患者及其护理人员的角度理解经验

摘要本研究的目的是了解在北卡罗来纳州东部农村地区，特别脆弱的老年亚人群在坚持癌症治疗方面遇到的障碍。对16名患者（8名癌症患者及其护理人员）进行了定性描述性访谈，了解他们在坚持癌症治疗方面面临的挑战。根据分析，出现了三个主题，其中包括交通和财务障碍，以及帮助患者遵守治疗方案。运输障碍是指与正式和非正式系统有关的障碍。财务障碍与治疗相关的费用有关。与会者还报告了通过正式和非正式手段促进遵守的方式。我们的发现支持了之前关于治疗依从性的研究，并增加了患者对可能对其疾病轨迹产生负面影响的障碍所采取的行动的信息。所获得的知识可以让服务提供者了解治疗依从性方面的问题，并有助于确定可以支持护理人员和患者规避此类挑战的干预措施。

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来源期刊

Journal of Family Social Work SOCIAL WORK-

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： Each issue of the Journal of Family Social Work contains peer reviewed research articles, conceptual and practice articles, creative works, letters to the editor, and book reviews devoted to innovative family theory and practice subjects. In celebrating social workers" tradition of working with couples and families in their life context, the Journal of Family Social Work features articles which advance the capacity of practitioners to integrate research, theory building, and practice wisdom into their services to families. It is a journal of policy, clinical practice, and research directed to the needs of social workers working with couples and families.