title: Who helps the leaders? Difficulties experienced by cancer support group leaders.
abstract: OBJECTIVE
  Cancer support groups are an important source of support for cancer patients, yet little is known about the challenges and training needs of both professionally trained and untrained leaders. The aim of this study was to discover the difficulties experienced and training desired by cancer support group leaders.
  
  
  METHODS
  Twenty-seven leaders of 34 cancer support groups participated in focus groups or individual interviews. Groups were purposively selected as representative of 173 support groups identified in New South Wales which were for adults with cancer and/or their adult carers and were not therapeutic or education-only groups.
  
  
  RESULTS
  Difficulties identified included dealing with people's different communication styles and needs; dealing with recurrence, metastases and death; practical issues, including resources, setting the programme and funding security; maintaining personal balance and preventing burn out; establishing group credibility; dealing with group cycles; and leading groups in rural areas. Leaders also identified benefits and rewards from group leadership such as contributing to others' well-being, self-development and insight into others' lives. Non-professionally trained leaders experienced more difficulties, particularly in dealing with group process and practical issues.
  
  
  CONCLUSIONS
  Difficulties identified were related both to working with a cancer population specifically and to working with groups in general. While some issues were common to both health professionals and non-health professionals, non-health professionals reported greater supportive needs. Clear guidelines, targeted training and development of better methods of support to reduce the stress and burn out experienced by group leaders are needed.
authors.affiliation: Medical Psychology Research Unit, School of Psychology, Brennan/MacCallum Building (A18), University of Sydney, New South Wales, 2006, Australia. phyllisb@psych.usyd.edu.au
authors.forename: Laura
authors.initials: L
authors.lastname: Kirsten
authors.forename: Phyllis
authors.initials: P
authors.lastname: Butow
authors.forename: Melanie
authors.initials: M
authors.lastname: Price
authors.forename: Kim
authors.initials: K
authors.lastname: Hobbs
authors.forename: Kendra
authors.initials: K
authors.lastname: Sunquist
mesh_terms: D000328:Adult; D000368:Aged; D003142:Communication; D005260:Female; D017144:Focus Groups; D006126:Group Processes; D006282:Health Personnel; D006301:Health Services Needs and Demand; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009369:Neoplasms / Q000523:psychology / Q000628:therapy; D009517:New South Wales; D012201:Reward; D012657:Self-Help Groups