title: Follow-up care for childhood cancer survivors: a focus group analysis.
abstract: Follow-up of survivors of childhood cancer is recommended to improve detection of late-effects, and provide individuals with information and advice. This study aimed to follow-up survivors of childhood cancer and report on their attitudes to current follow-up methods. Twenty-six survivors (13-25 years) of childhood cancer and their parent(s) attended focus groups (n = 7) to discuss views about follow-up care. Transcripts were analysed using interpretative phenomenological analysis (IPA). Three themes were identified: strategies to achieve a normal life (through playing down possibility of late-effects or careful monitoring of health); expectations about follow-up (facts and information, advice about self-care, everyday living, and psychosocial consequences) and preferences for different models of care. Given that some families had reservations about the benefits of follow-up, it is important that services address survivors' interests and meet their expectations. Changes to service delivery must take account of individual needs and expectations. Possible limitations of focus group methods (recruitment, bias reduction, methods of analysis and influence of other participants' views) are discussed.
authors.affiliation: Department of Psychology, University of Sheffield, Child and Family Research Group, Sheffield S10 2TP, United Kingdom.
authors.forename: Emily A
authors.initials: EA
authors.lastname: Earle
authors.forename: Helena
authors.initials: H
authors.lastname: Davies
authors.forename: Diana
authors.initials: D
authors.lastname: Greenfield
authors.forename: Richard
authors.initials: R
authors.lastname: Ross
authors.forename: Christine
authors.initials: C
authors.lastname: Eiser
mesh_terms: D000293:Adolescent; D000328:Adult; D002675:Child, Preschool; D003695:Delivery of Health Care; D005260:Female; D017144:Focus Groups; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000523:psychology / Q000628:therapy*; D017060:Patient Satisfaction; D017741:Survivors / Q000523:psychology*