Helping adolescents and young adults (AYA) with cancer manage identity distress: Enhancing clinician-AYA patient communication to promote identity development.

Autor: Bagautdinova D; Department of Advertising, University of Florida, Gainesville, USA. Electronic address: bagautdinovad@karmanos.org., Bylund CL; Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, USA. Electronic address: carma.bylund@ufl.edu., Forthun LF; Department of Family, Youth and Community Sciences, University of Florida, Gainesville, USA. Electronic address: lforthun@ufl.edu., Miller CA; Department of Public Relations, University of Florida, Gainesville, USA. Electronic address: carrie.a.miller@vcuhealth.org., Hamel LM; Department of Oncology, Wayne State University/ Karmanos Cancer Institute, Detroit, USA. Electronic address: hamell@karmanos.org., Fisher CL; Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, USA. Electronic address: carlalfisher@ufl.edu.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Nov; Vol. 128, pp. 108372. Date of Electronic Publication: 2024 Jul 07.
DOI: 10.1016/j.pec.2024.108372
Abstrakt: Objective: A cancer diagnosis during adolescence and young adulthood (AYA) disrupts AYAs' identity formation, a critical task for healthy development, and contributes to psychological distress called identity distress. Clinical communication is central to promoting AYAs' healthy identity development. We sought to identify aspects of clinician-diagnosed AYA communication that can promote AYAs' identity development and potentially buffer them from distress.
Methods: In-depth, semi-structured interviews were conducted with two groups (AYA oncology clinicians and diagnosed AYAs). Transcripts were thematically analyzed to capture communication that clinicians and AYAs perceive promotes AYAs' identity development and buffers related distress.
Results: Fourteen diagnosed AYAs and 7 clinicians identified three clinician- or AYA-led communication approaches and associated strategies that they perceive can buffer identity distress and promote identity development: 1) clinicians' using person-centered communication (e.g., empathic communication); 2) promoting AYAs' control/self-management of care (e.g., not dictating AYAs' behavior); and 3) prioritizing/seeing the person behind the patient (e.g., knowing the AYA as a person).
Conclusion/practice Implications: Both AYA oncology clinicians and diagnosed AYAs can communicate in ways that protect AYAs' identity development and related psychological well-being. Findings can be implemented into targeted communication skills interventions to teach health-promoting behavior and augment AYAs' psychosocial oncology care.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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