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Abstract

Objective:

Perceived self-efficacy (PSE) is considered a foundation for effective self-care in the context of chronic disease and illness. In order to improve patient and caregiver knowledge about self-care in B-cell non-Hodgkin’s lymphoma (NHL), we designed and delivered an online, patient-focused education activity. Educational impact on PSE was evaluated using a mixed quantitative/qualitative methodology. We report here on the qualitative characteristics of self-efficacy.

Methods:

We interviewed participants using open-ended questions based on a semi-structured interview guide. Interviews were audio-recorded and transcribed verbatim, and analysed using constant comparative method with software support (NVivo for Mac 11, QSR International).

Results:

In all, 12 people diagnosed with B-cell NHL were interviewed. Descriptive analysis showed that participants were able to summarise key education messages about B-cell NHL presented in the programme. Key themes linked to self-care knowledge and practice included normalisation of self-care, learning the hard way, everyone is different and being prepared. Participants described four key strategies linked to the notion of ‘being prepared’: (1) asking questions, (2) building relationships with oncologists, (3) developing/maintaining a philosophy of life, and (4) connecting with others. These themes provide context for the experience of PSE and may also reflect beliefs that have implications for self-efficacy education.

Conclusions:

Interview data affirm PSE as a foundation of self-care and identify beliefs underpinning PSE. A dominant belief of ‘being prepared’ was sustained by four strategies that education content reinforced. Educators can use these insights to strengthen self-efficacy education interventions for patients with B-cell NHL and other types of cancer.

Keywords

B-cell non-Hodgkin’s lymphoma cancer patient education perceived self-efficacy qualitative self-care

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References

American Cancer Society ( 2016) Managing cancer as a chronic illness. Available at: https://www.cancer.org/treatment/survivorship-during-and-after-treatment/when-cancer-doesnt-go-away.html (accessed 4 January 2018).

American Cancer Society ( 2017) Non-Hodgkin lymphoma. Available at: http://www.cancer.org/cancer/non-hodgkinlymphoma/detailedguide/index (accessed 4 January 2018).

Bandura

(1986) Social Foundations of Thought and Action. Englewood Cliffs, NJ: Prentice-Hall.

Bandura

(1995) Exercise of personal and collective efficacy in changing societies. In: Bandura

(ed.) Self-Efficacy in Changing Societies. Cambridge: Cambridge University Press, pp. 1–45.

Bandura

(1997) Self-Efficacy: The Exercise of Control. New York: W. H. Freeman and Company.

Barofsky

(1978) Compliance, adherence and the therapeutic alliance: Steps in the development of self-care. Social Science & Medicine 12: 369–376.

Beaser

Turell

Howson

(2017) Strategies to improve prevention and management in diabetic retinopathy: Qualitative insights from a mixed-methods study. Diabetes Spectrum 31: 65–74.

Boehmer

Gionfriddo

Rodriguez-Gutierrez

et al . (2016) Patient capacity and constraints in the experience of chronic disease: A qualitative systematic review and thematic synthesis. BMC Family Practice 17(1): 127.

Boger

Ellis

Latter

et al . (2015) Self-management and self-management support outcomes: A systematic review and mixed research synthesis of stakeholder views. PLoS ONE 10(7): e0130990.

10.

Burke

Bird

Clark

et al . (2009) Social and cultural meanings of self-efficacy. Health Education & Behavior 36(Suppl. 5): 111S–128S.

11.

Burke

Joseph

Pasick

et al . (2009) Theorizing social context: Rethinking behavioral theory. Health Education & Behavior 36(Suppl. 5): 55s–70s.

12.

Bury

Newbould

Taylor

(2005) A Rapid Review of the Current State of Knowledge Regarding Lay-Led Self-Management of Chronic Illness: Evidence Review. London: National Institute for Health and Clinical Excellence.

13.

Corbin

Strauss

(2015) Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 4th ed. Los Angeles, CA: SAGE.

14.

Fishbein

Ajzen

(1975) Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research. New York: Addison-Wesley.

15.

Frenk

Chen

Bhutta

et al . (2010) Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. The Lancet 376(9756): 1923–1958.

16.

Hoffman

von Eye

Gift

et al . (2009) Testing a theoretical model of perceived self-efficacy for cancer-related fatigue self-management and optimal physical functional status. Nursing Research 58(1): 32–41.

17.

Kidd

Hubbard

GO’

Carroll

et al . (2009) Perceived control and involvement in self care in patients with colorectal cancer. Journal of Clinical Nursing 18(16): 2292–2300.

18.

McCorkle

Ercolano

Lazenby

et al . (2011) Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA: A Cancer Journal for Clinicians 61(1): 50–62.

19.

Mols

Aaronson

Vingerhoets

et al . (2007) Quality of life among long-term non-Hodgkin lymphoma survivors: A population-based study. Cancer 109(8): 1659–1667.

20.

Moore

Jr Green

Gallis

(2009) Achieving desired results and improved outcomes: Integrating planning and assessment throughout learning activities. Journal of Continuing Education in the Health Professions 29(1): 1–15.

21.

Oerlemans

Mols

Nijziel

et al . (2011) The impact of treatment, socio-demographic and clinical characteristics on health-related quality of life among Hodgkin’s and non-Hodgkin’s lymphoma survivors: A systematic review. Annals of Hematology 90(9): 993–1004.

22.

Peterson

(2006) Measures of perceived self-efficacy as a method of evaluating educational outcomes. CE Measure 1(1): 35–39.

23.

Porter

Keefe

Garst

et al . (2008) Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: Associations with symptoms and distress. Pain 137(2): 306–315.

24.

Prochaska

DiClemente

(1982) Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research, & Practice 19(3): 276–288.

25.

Roller

Lavrakas

(2015) Applied Qualitative Research Design: A Total Quality Framework. New York; London: The Guildford Press.

26.

Rothrock

Parada

Sims

Key

et al . (2006) The impact of intensive patient education on clinical outcome in a clinic-based migraine population. Headache 46: 726–773.

27.

Saldaña

(2013) The Coding Manual for Qualitative Researchers. 2nd ed. London: SAGE.

28.

Smith

Mayer

Zimmerman

et al . (2013) Quality of life among long-term survivors of non-Hodgkin lymphoma: A follow-up study. Journal of Clinical Oncology 31(2): 272–279.

29.

Stewart

Rakowski

Pasick

(2009) Behavioral constructs and mammography in five ethnic groups. Health Education & Behavior 36(Suppl. 5): 36s–54s.

30.

Stienen

Ottevanger

Wennekes

et al . (2014) Delivering high-quality care to patients with a non-Hodgkin’s lymphoma: Barriers perceived by patients and physicians. Netherlands Journal of Medicine 72: 41–48.

31.

Williams

Kessler

Williams

(2015) Relationship among knowledge acquisition, motivation to change, and self-efficacy in CME participants. Journal of Continuing Education in the Health Professions 35(Suppl. 1): S13–21.

32.

Zachariae

RPC

Jensen

Ehrnrooth

et al . (2003) Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease. British Journal of Cancer 88(5): 658–665.

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Perceived self-efficacy in B-cell non-Hodgkin lymphomas: Qualitative outcomes in patient-directed education

Abstract

Objective:

Methods:

Results:

Conclusions:

Keywords

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References

Supplementary Material