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Obstacles et facteurs favorables à l’utilisation du plan de soins de survie par les survivants de cancers du sein et colorectaux
Abstract
Contexte : Les plans de soins de survie (PSS) sont recommandés aux survivants d’un cancer à faible risque comme outils de transition après le traitement, mais la recherche sur leur efficacité n’est pas concluante. La présente étude vise à identifier les obstacles et les facteurs favorables à l’utilisation des PSS par les survivants du cancer.
Méthodologie : Des survivants de cancers du sein et colorectaux (n = 30) du centre de cancérologie aux soins primaires ont été interviewés sur la base de guides d’entrevue élaborés conformément au cadre des domaines théoriques. L’analyse des données a fait appel à un contenu déductif et à des approches thématiques inductives.
Résultats : Les facteurs facilitant l’utilisation des PSS proviennent notamment du fait que les survivants : 1) considèrent les PSS sont comme une ressource rassurante qui contient des renseignements pertinents pour guider les soins de suivi; 2) discutent de leur PSS avec leurs fournisseurs de soins primaires; 3) reconnaissent qu’ils sont responsables de leurs soins de suivi; et 4) comprennent les objectifs de leur PSS. Les obstacles comprennent : 1) le fait d’égarer leur PSS; 2) la difficulté à accepter la transition vers les soins primaires; et 3) le souhait de continuer à être suivi par des spécialistes en oncologie.
Conclusions : Les survivants ont besoin d’information sur leur rôle dans la gestion active de leurs soins, sur ce à quoi ils doivent s’attendre pour leurs soins de suivi et sur l’objectif et l’utilisation des PSS.
Mots-clés : plans de soins de survie, survivance au cancer, oncologie, soins infirmiers, cadre des domaines théoriques
https://doi.org/10.5737/23688076362185
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Alfano, C. M., Leach, C. R., Smith, T. G., Miller, K. D., Alcaraz, K. I., Cannady, R. S., Wender, R. C. & Brawley, O. W. (2019). Equitably improving outcomes for cancer survivors and supporting caregivers: A blueprint for care delivery, research, education, and policy. CA:A Cancer Journal for Clinicians, 69(1), 35–49. https://doi.org/10.3322/caac.21548
Atkins, L., Francis, J., Islam, R., O’Connor, D., Patey, A., Ivers, N., Foy, R., Duncan, E. M., Colquhoun, H., Grimshaw, J. M., Lawton, R., & Michie, S. (2017). A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation Science, 12(1), 77. https://doi.org/10.1186/s13012-017-0605-9
Babiker, D., Giguère, L., Garcia Mairena, P. M., Mutsaers, B., Langmuir, T., MacDonald-Liska, C., Presseau, J., Laroque, G., Harris, C., Thavorn, K., Chomienne, M. H., & Lebel, S. (2025). Survivorship care plan (SCP) use by cancer survivors living in rural vs urban settings: A qualitative analysis. Canadian Oncology Nursing Journal. (in press).
Biddell, C. B., Spees, L. P., Mayer, D. K., Wheeler, S. B., Trogdon, J. G., Rotter, J., & Birken, S. A. (2021). Developing personalized survivorship care pathways in the United States: Existing resources and remaining challenges. Cancer, 127(7), 997–1004. https://doi.org/10.1002/cncr.33355
Cancer Care Ontario. (2019). Follow-up models of care for cancer survivors: Recommendations for the delivery of follow-up care for cancer survivors in Ontario. https://www.cancercareontario.ca/en/guidelines-advice/types-of- cancer/58736
Cancer Journey Survivorship Expert Panel, Howell, D., Hack, T. F., Oliver, T. K., Chulak, T., Mayo, S., Aubin, M., Chasen, M., Earle, C. C., Friedman, A. J., Green, E., Jones, G. W., Jones, J. M., Parkinson, M., Payeur, N., Sabiston, C. M., & Green, E. (2011). Survivorship services for adult cancer populations: A pan-Canadian guideline. Current Oncology, 18, e265–e281. https://doi.org/10.3747/co.v18i6.956
Cane, J., O’Connor, D., & Michie, S. (2012). Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science, 7, 1–17. https://doi.org/10.1186/1748-5908-7-37
Chen, M., Gong, J., & Li, Q. (2022). The application of eHealth in cancer survivorship care: A review of web-based dyadic interventions for post-treatment cancer survivors and caregivers. Asia-Pacific Journal of Oncology Nursing, 9(10), 100109. https://doi.org/10.1016/j.apjon.2022.100109
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry & research design: Choosing among five approaches (4th ed.). SAGE.
Dawes, A. J., Hemmelgarn, M., Nguyen, D. K., Sacks, G. D., Clayton, S. M., Cope, J. R., Ganz, P. A., & Maggard-Gibbons, M. (2015). Are primary care providers prepared to care for survivors of breast cancer in the safety net? Cancer, 121, 1249–1256. https://doi.org/10.1002/cncr.29201
Fitch, M. I. (2018). Transition to survivorship: Can there be improvement? Current Opinion in Supportive and Palliative Care, 12(1), 74–79. https://doi.org/10.1097/SPC.0000000000000319
Francis, J. J., Johnston, M., Robertson, C., Glidewell, L., Entwistle, V., Eccles, M. P., & Grimshaw, J. M. (2010). What is an adequate sample size? Operationalising data saturation for theory-based interview studies. Psychology and Health, 25(10), 1229–1245. https://doi.org/10.1080/08870440903194015
Giguère, L., Mutsaers, B., Babiker, D., Garcia, P., Langmuir, T., MacDonald-Liska, C., Presseau, J., Larocque, G., Harris, C., Chomienne, M.-H., Thavorn, K., & Lebel, S. (2025). Cancer survivors’ experience with transition to primary care provider follow-up care: A qualitative study on cancer type and sex. Canadian Oncology Nursing Journal, 35(3), 463–481. https://doi.org/10.5737/23688076353463. eCollection 2025.
Grant, M., De Rossi, S., & Sussman, J. (2015). Supporting models to transition breast cancer survivors to primary care: Formative evaluation of a Cancer Care Ontario initiative. Journal of Oncology Practice, 11, e288–e295. https://doi.org/10.1200/JOP.2015.003822
Hart, N. H., Nekhlyudov, L., Smith, T. J., Yee, J., Fitch, M. I., Crawford, G. B., Koczwara, B., Ashbury, F. D., Lustberg, M. B., Mollica, M., Smith, A. L., Jefford, M., Chino, F., Zon, R., Agar, M. R., & Chan, R. J. (2024). Survivorship care for people affected by advanced or metastatic cancer: MASCC-ASCO standards and practice recommendations. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 32(5), 313. https://doi.org/10.1007/s00520-024-08465-8
Hill, R. E., Wakefield, C. E., Cohn, R. J., Fardell, J. E., Brierley, M. E. E., Kothe, E., Jacobsen, P. B., Hetherington, K., & Mercieca-Bebber, R. (2020). Survivorship care plans in cancer: A meta-analysis and systematic review of care plan outcomes. The Oncologist, 25(2), e351–e372. https://doi.org/10.1634/theoncologist.2019-0184
Howell, D., Mayer, D. K., Fielding, R., Eicher, M., Verdonck-de Leeuw, I. M., Johansen, C., Soto-Perez-de-Celis, E., Foster, C., Chan, R., Alfano, C. M., Hudson, S. V., Jefford, M., Lam, W. W. T., Loerzel, V., Pravettoni, G., Rammant, E., Schapira, L., Stein, K. D., Koczwara, B., & Global Partners for Self-Management in Cancer. (2020). Management of cancer and health after the clinic visit: A call to action for self-management in cancer care. JNCI: Journal of the National Cancer Institute, 113(5), 523–531. https://doi.org/10.1093/jnci/djaa083
Jabson, J. M. (2015). Follow-up care instructions, treatment summaries, and cancer survivors’ receipt of follow-up health care and late/long term effects. Supportive Care in
Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 23, 1851–1856. https://doi.org/10.1007/s00520-014-2532-5
Jacobsen, P. B., DeRosa, A. P., Henderson, T. O., Mayer, D. K., Moskowitz, C. S., Paskett, E. D., & Rowland, J. H. (2018). Systematic review of the impact of cancer survivorship care plans on health outcomes and health care delivery. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 36(20), 2088–2100. https://doi.org/10.1200/JCO.2018.77.7482
Jefford, M., Howell, D., Li, Q., Lisy, K., Maher, J., Alfano, C. M., Rynderman, M., & Emery, J. (2022). Improved models of care for cancer survivors. The Lancet, 399(10334), 1551–1560. https://doi.org/10.1016/S0140-6736(22)00306-3
Jeppesen, M. M., Ezendam, N. P., Pijnenborg, J. M., Vos, M. C., Boll, D., Kruitwagen, R. F. P. M., Jensen, P. T., van de Poll-Franse, L. V. (2018). The impact of the survivorship care plan on health care use: 2-year follow-up results of the ROGY care trial. Journal of Cancer Survivorship, 12, 18–27. https://doi.org/10.1007/s11764-017-0639-7
Luctkar-Flude, M., Aiken, A., McColl, M. A., & Tranmer, J. (2018). What do primary care providers think about implementing breast cancer survivorship care? Current Oncology, 25(3), 196–205. https://doi.org/10.3747/co.25.3826
Mayer, D. K., & Alfano, C. M. (2019). Personalized risk-stratified cancer follow-up care: Its potential for healthier survivors, happier clinicians, and lower costs. JNCI: Journal of the National Cancer Institute, 111(5), 442–448. https://doi.org/10.1093/jnci/djy232
McHugh, M. L. (2012). Interrater reliability: The kappa statistic. Biochemia Medica, 22(3), 276–282.
Murnaghan, S., Kendell, C., Sussman, J., Porter, G. A., Howell, D., Grunfeld, E., & Urquhart, R. (2021). Stakeholder-identified interventions to address cancer survivors’ psychosocial needs after completing treatment. Current Oncology, 28(6), 4961–4971. https://doi.org/10.3390/curroncol28060416
Mutsaers, B., Langmuir, T., MacDonald-Liska, C., Presseau, J., Larocque, G., Harris, C., Chomienne, M.-H., Giguère, L., Garcia Mairena, P. M., Babiker, D., Thavorn, K., & Lebel, S. (2024). Applying implementation science to identify primary care providers’ enablers and barriers to using survivorship care plans. Current Oncology, 31(6), 3278–3290. https://doi.org/10.3390/curroncol31060249
Patey, A. M., Islam, R., Francis, J. J., Bryson, G. L., Grimshaw, J. M., & The Canada PRIME Plus Team. (2012). Anesthesiologists’ and surgeons’ perceptions about routine pre-operative testing in low-risk patients: Application of the theoretical domains framework (TDF) to identify factors that influence physicians’ decisions to order pre-operative tests. Implementation Science, 7, 52. https://doi.org/10.1186/1748-5908-7-52
Powel, L. L., & Seibert, S. M. (2017). Cancer survivorship, models, and care plans: A status update. Nursing Clinics, 52, 193–209. https://doi.org/10.1016/j.cnur.2016.11.002
Runowicz, C. D., Leach, C. R., Henry, N. L., Henry, K. S., Mackey, H. T., Cowens-Alvarado, R. L., Cannady, R. S., Pratt-Chapman, M. L., Edge, S. B., Jacobs, L. A., Hurria, A., Marks, L. B., LaMonte, S. J., Warner, E., Lyman, G. H., & Ganz, P. A. (2016). American Cancer Society/American Society of Clinical Oncology breast cancer survivorship care guideline. Journal of Clinical Oncology, 6, 611–635. https://doi.org/10.3322/caac.21319
Rushton, M., Morash, R., Larocque, G., Liska, C., Stoica, L., DeGrasse, C., & Segal, R. (2015). Wellness beyond cancer program: Building an effective survivorship program. Current Oncology, 22(6), 419–434. https://doi.org/10.3747/co.22.2786
Rutkowski, N., MacDonald-Liska, C., Baines, K. A., Samuel, V., Harris, C., & Lebel, S. (2021). Standardized versus personalized survivorship care plans for breast cancer survivors: A program evaluation. Canadian Oncology Nursing Journal, 31(4), 451–456. https://doi.org/10.5737/23688076314451456
Sussman, J., Grunfeld, E., & Earle, C. C. (2018). Quality care. In M. Feuerstein, & L. Nekhlyudov (Eds.), Handbook of cancer survivorship (2nd ed, pp. 49–69). Springer International Publishing.
Sussman, J., Souter, L. H., Grunfeld, E., Howell, D., Gage, C., Keller-Olaman, S., & Brouwers, M. (2017). Models of care for cancer survivorship. Retrieved from https://www.cancercareontario.ca/en/guidelines-advice/types-of-cancer/246
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