Mental health in people living with and beyond colorectal cancer: A patient‐oriented constructivist grounded theory
Abstract Background With the burden of colorectal cancer in Canada, there is a need to address the psycho‐oncologic challenges, including mental health. This study aims to explore the lived mental health experiences in patients with CRC across the phases of the CRC care continuum. Methods We employe...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-09-01
|
| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.70203 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1825206456934203392 |
|---|---|
| author | Vicki Cheng Helen McTaggart‐Cowan Jonathan M. Loree Rachel A. Murphy Mikaela Barnes Haydn Bechthold Norman Jansen Mary A. De Vera |
| author_facet | Vicki Cheng Helen McTaggart‐Cowan Jonathan M. Loree Rachel A. Murphy Mikaela Barnes Haydn Bechthold Norman Jansen Mary A. De Vera |
| author_sort | Vicki Cheng |
| collection | DOAJ |
| description | Abstract Background With the burden of colorectal cancer in Canada, there is a need to address the psycho‐oncologic challenges, including mental health. This study aims to explore the lived mental health experiences in patients with CRC across the phases of the CRC care continuum. Methods We employed a patient‐oriented constructivist grounded theory design and recruited English speaking participants ≥18 years, diagnosed with CRC within the last 10 years, residing in Canada. We collected data through semi‐structured individual interviews using a guide co‐constructed with patient research partners. Data collection and analysis were iterative, employed theoretical sampling, and culminated in a theoretical model. Results Twenty‐eight participants diagnosed with CRC (18 females, 10 males), aged 18–63 years at time of diagnosis were interviewed, with representation across all CRC stages. There were 10 participants (36%) in treatment, 12 participants (43%) in follow‐up, and 6 participants (21%) in the beyond phase. We constructed a patient‐oriented theory illustrating the dynamic nature between one's self‐identity and their mental health experiences across the CRC care continuum. Mental health experiences encompass emotional and cognitive‐behavioral responses, expressed differently across phases. Mental health care experiences are also shaped by barriers, facilitators, and individual contextual factors, all of which influence their access to care. Conclusion Our theory provides insight into the mental health experiences of patients with CRC across phases of the CRC care continuum. Understanding patients' emotional and cognitive‐behavioral responses and care experiences can help identify opportunities to integrate mental health into CRC care. |
| format | Article |
| id | doaj-art-133ecded927a4f8687f89713f8e30c4a |
| institution | Kabale University |
| issn | 2045-7634 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj-art-133ecded927a4f8687f89713f8e30c4a2025-02-07T09:08:08ZengWileyCancer Medicine2045-76342024-09-011317n/an/a10.1002/cam4.70203Mental health in people living with and beyond colorectal cancer: A patient‐oriented constructivist grounded theoryVicki Cheng0Helen McTaggart‐Cowan1Jonathan M. Loree2Rachel A. Murphy3Mikaela Barnes4Haydn Bechthold5Norman Jansen6Mary A. De Vera7Faculty of Pharmaceutical Sciences University of British Columbia Vancouver British Columbia CanadaCancer Control Research, BC Cancer Vancouver British Columbia CanadaCancer Control Research, BC Cancer Vancouver British Columbia CanadaCancer Control Research, BC Cancer Vancouver British Columbia CanadaFaculty of Pharmaceutical Sciences University of British Columbia Vancouver British Columbia CanadaFaculty of Pharmaceutical Sciences University of British Columbia Vancouver British Columbia CanadaFaculty of Pharmaceutical Sciences University of British Columbia Vancouver British Columbia CanadaFaculty of Pharmaceutical Sciences University of British Columbia Vancouver British Columbia CanadaAbstract Background With the burden of colorectal cancer in Canada, there is a need to address the psycho‐oncologic challenges, including mental health. This study aims to explore the lived mental health experiences in patients with CRC across the phases of the CRC care continuum. Methods We employed a patient‐oriented constructivist grounded theory design and recruited English speaking participants ≥18 years, diagnosed with CRC within the last 10 years, residing in Canada. We collected data through semi‐structured individual interviews using a guide co‐constructed with patient research partners. Data collection and analysis were iterative, employed theoretical sampling, and culminated in a theoretical model. Results Twenty‐eight participants diagnosed with CRC (18 females, 10 males), aged 18–63 years at time of diagnosis were interviewed, with representation across all CRC stages. There were 10 participants (36%) in treatment, 12 participants (43%) in follow‐up, and 6 participants (21%) in the beyond phase. We constructed a patient‐oriented theory illustrating the dynamic nature between one's self‐identity and their mental health experiences across the CRC care continuum. Mental health experiences encompass emotional and cognitive‐behavioral responses, expressed differently across phases. Mental health care experiences are also shaped by barriers, facilitators, and individual contextual factors, all of which influence their access to care. Conclusion Our theory provides insight into the mental health experiences of patients with CRC across phases of the CRC care continuum. Understanding patients' emotional and cognitive‐behavioral responses and care experiences can help identify opportunities to integrate mental health into CRC care.https://doi.org/10.1002/cam4.70203colorectal cancerexperiencesmental healthpatient‐centeredqualitative research |
| spellingShingle | Vicki Cheng Helen McTaggart‐Cowan Jonathan M. Loree Rachel A. Murphy Mikaela Barnes Haydn Bechthold Norman Jansen Mary A. De Vera Mental health in people living with and beyond colorectal cancer: A patient‐oriented constructivist grounded theory Cancer Medicine colorectal cancer experiences mental health patient‐centered qualitative research |
| title | Mental health in people living with and beyond colorectal cancer: A patient‐oriented constructivist grounded theory |
| title_full | Mental health in people living with and beyond colorectal cancer: A patient‐oriented constructivist grounded theory |
| title_fullStr | Mental health in people living with and beyond colorectal cancer: A patient‐oriented constructivist grounded theory |
| title_full_unstemmed | Mental health in people living with and beyond colorectal cancer: A patient‐oriented constructivist grounded theory |
| title_short | Mental health in people living with and beyond colorectal cancer: A patient‐oriented constructivist grounded theory |
| title_sort | mental health in people living with and beyond colorectal cancer a patient oriented constructivist grounded theory |
| topic | colorectal cancer experiences mental health patient‐centered qualitative research |
| url | https://doi.org/10.1002/cam4.70203 |
| work_keys_str_mv | AT vickicheng mentalhealthinpeoplelivingwithandbeyondcolorectalcancerapatientorientedconstructivistgroundedtheory AT helenmctaggartcowan mentalhealthinpeoplelivingwithandbeyondcolorectalcancerapatientorientedconstructivistgroundedtheory AT jonathanmloree mentalhealthinpeoplelivingwithandbeyondcolorectalcancerapatientorientedconstructivistgroundedtheory AT rachelamurphy mentalhealthinpeoplelivingwithandbeyondcolorectalcancerapatientorientedconstructivistgroundedtheory AT mikaelabarnes mentalhealthinpeoplelivingwithandbeyondcolorectalcancerapatientorientedconstructivistgroundedtheory AT haydnbechthold mentalhealthinpeoplelivingwithandbeyondcolorectalcancerapatientorientedconstructivistgroundedtheory AT normanjansen mentalhealthinpeoplelivingwithandbeyondcolorectalcancerapatientorientedconstructivistgroundedtheory AT maryadevera mentalhealthinpeoplelivingwithandbeyondcolorectalcancerapatientorientedconstructivistgroundedtheory |