Experiences of a web-based psycho-educational intervention targeting sexual dysfunction and fertility distress in young adults with cancer-A self-determination theory perspective.

Autor: Micaux Obol C; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden., Lampic C; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden., Wettergren L; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden., Ljungman L; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden., Eriksson LE; Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.; School of Health Sciences, City, University of London, London, United Kingdom.; Department of Infectious Diseases, Karolinska University Hospital, Huddinge, Sweden.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2020 Jul 22; Vol. 15 (7), pp. e0236180. Date of Electronic Publication: 2020 Jul 22 (Print Publication: 2020).
DOI: 10.1371/journal.pone.0236180
Abstrakt: Introduction: Sexual and reproductive health are significant aspects of quality of life. Healthcare often fails to provide adequate support for young cancer survivors in this area, hence the need to develop more effective interventions. The present study aimed to describe experiences of participating in a web-based psycho-educational intervention focusing on sexual dysfunction and fertility distress after cancer, and to explore these experiences within the theoretical frame of the basic psychological needs for competence, relatedness and autonomy according to self-determination theory.
Methods: Individual semi-structured interviews with 24 women and 4 men, age 19-40, were abductively analyzed using the Framework approach for qualitative content analysis.
Results: Participant experiences corresponded well with the three main deductive themes competence, relatedness and autonomy, divided into a total of nine subthemes illustrating varying degrees of basic need satisfaction with considerable nuance but not without ambiguity. While satisfaction of the need for competence could be linked to the amount of information in relation to participants' cognitive capacity, satisfaction of the need for relatedness seemed to be of special importance for these young adults with cancer experience. Invitation to the program meant a chance at alleviating loneliness and normalizing problems, symptoms and concerns. Participants' descriptions of perceived autonomy support were more challenging and ambiguous, because of the many contradictions in participants' responses to their variable situations.
Conclusion: Basic psychological needs were confirmed as flexible positions along a continuum rather than discrete and mutually exclusive qualities. Understanding the variety of basic need satisfaction may enhance the design of future web-based interventions to be even more inclusive, tailorable and autonomy-supportive. Further research is warranted to determine the role of basic need satisfaction as a possible mediator for web-based psychoeducational interventions in cancer survivorship care.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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