Perceived self-efficacy in B-cell non-Hodgkin lymphomas: Qualitative outcomes in patient-directed education
| Autor: | Anne Roc, Alexandra Howson, Wendy Turell |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Self-efficacy
Activities of daily living business.industry Public Health Environmental and Occupational Health Self-concept Context (language use) Grounded theory 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Intervention (counseling) Medicine 030212 general & internal medicine business Qualitative research Clinical psychology Patient education |
| Zdroj: | Health Education Journal. 77:430-443 |
| ISSN: | 1748-8176 0017-8969 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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