Experiencing and responding to chronic cancer-related fatigue

A meta-ethnography of qualitative research

Tom I Bootsma, Melanie P J Schellekens, Rosalie A M van Woezik, Marije L van der Lee, Jenny Slatman

Research output: Contribution to journalReview articleScientificpeer-review

Abstract

OBJECTIVE: One of the most prevalent and disrupting symptoms experienced by cancer patients is chronic cancer-related fatigue (CCRF). A better understanding of the chronic nature of CCRF can provide valuable insights for theory and practice. The purpose of this meta-ethnography was to derive an overarching interpretative narrative on patients' experiences and responses to CCRF.

METHODS: We conducted a comprehensive systematic literature search in five databases (05-03-2018). In addition, papers from reference lists were retrieved. Two researchers independently screened the papers for eligibility and appraised quality (CASP-criteria). We followed the seven phases of meta-ethnography to extract, translate, and synthesise first-order constructs (ie, patients' views) and second-order constructs (ie, authors' views) from the selected studies into third-order constructs (ie, new interpretations).

RESULTS: Of the 1178 collected articles, 16 articles were included. Through synthesis, a new figure of six interrelated third-order constructs was developed: (1) embodied experience entails the dominating presence of the body; (2) (mis)recognition includes lack of recognition of CCRF by patients, relatives, and health providers; (3) small horizon describes a resultant narrowed world; (4) role change encompasses adopting other life roles; (5) loss of self refers to the impact on one's identity; and (6) regaining one's footing describes the struggle against CCRF, adaptation to CCRF and finally acceptance of a "new normal with CCRF."

CONCLUSION: A new embodiment figure of CCRF with social (eg, (mis)recognition), spatial (eg, small horizon) and temporal dimensions (eg, regaining one's footing) was developed. This figure can help professionals to recognise CCRF, inform patients, and personalise treatment.

Original languageEnglish
Number of pages10
JournalPsycho-Oncology
Early online date23 Aug 2019
DOIs
Publication statusPublished - 10 Sep 2019

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Keywords

  • BREAST-CANCER
  • FOLLOW-UP
  • MANAGEMENT
  • MODEL
  • NEEDS
  • OF-LIFE
  • STRATEGIES
  • SURVIVORS
  • WOMEN
  • cancer
  • chronic cancer-related fatigue
  • experience
  • meta-ethnography
  • oncology
  • qualitative research

Cite this

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title = "Experiencing and responding to chronic cancer-related fatigue: A meta-ethnography of qualitative research",
abstract = "OBJECTIVE: One of the most prevalent and disrupting symptoms experienced by cancer patients is chronic cancer-related fatigue (CCRF). A better understanding of the chronic nature of CCRF can provide valuable insights for theory and practice. The purpose of this meta-ethnography was to derive an overarching interpretative narrative on patients' experiences and responses to CCRF.METHODS: We conducted a comprehensive systematic literature search in five databases (05-03-2018). In addition, papers from reference lists were retrieved. Two researchers independently screened the papers for eligibility and appraised quality (CASP-criteria). We followed the seven phases of meta-ethnography to extract, translate, and synthesise first-order constructs (ie, patients' views) and second-order constructs (ie, authors' views) from the selected studies into third-order constructs (ie, new interpretations).RESULTS: Of the 1178 collected articles, 16 articles were included. Through synthesis, a new figure of six interrelated third-order constructs was developed: (1) embodied experience entails the dominating presence of the body; (2) (mis)recognition includes lack of recognition of CCRF by patients, relatives, and health providers; (3) small horizon describes a resultant narrowed world; (4) role change encompasses adopting other life roles; (5) loss of self refers to the impact on one's identity; and (6) regaining one's footing describes the struggle against CCRF, adaptation to CCRF and finally acceptance of a {"}new normal with CCRF.{"}CONCLUSION: A new embodiment figure of CCRF with social (eg, (mis)recognition), spatial (eg, small horizon) and temporal dimensions (eg, regaining one's footing) was developed. This figure can help professionals to recognise CCRF, inform patients, and personalise treatment.",
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author = "Bootsma, {Tom I} and Schellekens, {Melanie P J} and {van Woezik}, {Rosalie A M} and {van der Lee}, {Marije L} and Jenny Slatman",
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Experiencing and responding to chronic cancer-related fatigue : A meta-ethnography of qualitative research. / Bootsma, Tom I; Schellekens, Melanie P J; van Woezik, Rosalie A M; van der Lee, Marije L; Slatman, Jenny.

In: Psycho-Oncology, 10.09.2019.

Research output: Contribution to journalReview articleScientificpeer-review

TY - JOUR

T1 - Experiencing and responding to chronic cancer-related fatigue

T2 - A meta-ethnography of qualitative research

AU - Bootsma, Tom I

AU - Schellekens, Melanie P J

AU - van Woezik, Rosalie A M

AU - van der Lee, Marije L

AU - Slatman, Jenny

N1 - © 2019 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.

PY - 2019/9/10

Y1 - 2019/9/10

N2 - OBJECTIVE: One of the most prevalent and disrupting symptoms experienced by cancer patients is chronic cancer-related fatigue (CCRF). A better understanding of the chronic nature of CCRF can provide valuable insights for theory and practice. The purpose of this meta-ethnography was to derive an overarching interpretative narrative on patients' experiences and responses to CCRF.METHODS: We conducted a comprehensive systematic literature search in five databases (05-03-2018). In addition, papers from reference lists were retrieved. Two researchers independently screened the papers for eligibility and appraised quality (CASP-criteria). We followed the seven phases of meta-ethnography to extract, translate, and synthesise first-order constructs (ie, patients' views) and second-order constructs (ie, authors' views) from the selected studies into third-order constructs (ie, new interpretations).RESULTS: Of the 1178 collected articles, 16 articles were included. Through synthesis, a new figure of six interrelated third-order constructs was developed: (1) embodied experience entails the dominating presence of the body; (2) (mis)recognition includes lack of recognition of CCRF by patients, relatives, and health providers; (3) small horizon describes a resultant narrowed world; (4) role change encompasses adopting other life roles; (5) loss of self refers to the impact on one's identity; and (6) regaining one's footing describes the struggle against CCRF, adaptation to CCRF and finally acceptance of a "new normal with CCRF."CONCLUSION: A new embodiment figure of CCRF with social (eg, (mis)recognition), spatial (eg, small horizon) and temporal dimensions (eg, regaining one's footing) was developed. This figure can help professionals to recognise CCRF, inform patients, and personalise treatment.

AB - OBJECTIVE: One of the most prevalent and disrupting symptoms experienced by cancer patients is chronic cancer-related fatigue (CCRF). A better understanding of the chronic nature of CCRF can provide valuable insights for theory and practice. The purpose of this meta-ethnography was to derive an overarching interpretative narrative on patients' experiences and responses to CCRF.METHODS: We conducted a comprehensive systematic literature search in five databases (05-03-2018). In addition, papers from reference lists were retrieved. Two researchers independently screened the papers for eligibility and appraised quality (CASP-criteria). We followed the seven phases of meta-ethnography to extract, translate, and synthesise first-order constructs (ie, patients' views) and second-order constructs (ie, authors' views) from the selected studies into third-order constructs (ie, new interpretations).RESULTS: Of the 1178 collected articles, 16 articles were included. Through synthesis, a new figure of six interrelated third-order constructs was developed: (1) embodied experience entails the dominating presence of the body; (2) (mis)recognition includes lack of recognition of CCRF by patients, relatives, and health providers; (3) small horizon describes a resultant narrowed world; (4) role change encompasses adopting other life roles; (5) loss of self refers to the impact on one's identity; and (6) regaining one's footing describes the struggle against CCRF, adaptation to CCRF and finally acceptance of a "new normal with CCRF."CONCLUSION: A new embodiment figure of CCRF with social (eg, (mis)recognition), spatial (eg, small horizon) and temporal dimensions (eg, regaining one's footing) was developed. This figure can help professionals to recognise CCRF, inform patients, and personalise treatment.

KW - BREAST-CANCER

KW - FOLLOW-UP

KW - MANAGEMENT

KW - MODEL

KW - NEEDS

KW - OF-LIFE

KW - STRATEGIES

KW - SURVIVORS

KW - WOMEN

KW - cancer

KW - chronic cancer-related fatigue

KW - experience

KW - meta-ethnography

KW - oncology

KW - qualitative research

U2 - 10.1002/pon.5213

DO - 10.1002/pon.5213

M3 - Review article

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

ER -