What is the ideal support group? Views of Australian people with cancer and their carers.
OBJECTIVE
To explore views on the ideal structure and process of support groups for cancer patients.


METHODS
From 184 cancer support groups identified in NSW, Australia, 50 were randomly selected within strata of five variations in group structure: homogenous versus heterogenous participants; urban versus rural; community versus hospital setting, leader with cancer experience or not; and with professional training or not. Four hundred and seventy-six group members completed a questionnaire.


RESULTS
Participants valued being with others like them, gaining information about cancer and having an effective leader. Groups were seen to be currently failing people from culturally and linguistically diverse backgrounds, and links with oncology health professionals were inadequate. Few clear preferences for structure were expressed, except for the non-exclusion of those with a poor prognosis. Patients tended to prefer the structure of their own group, but patients longer since diagnosis, those with better informal support and carers preferred to meet in the community setting, while men with prostate cancer preferred a medical setting.


CONCLUSIONS
Some suggestions for group structure and process can be made on the basis of these findings; however, individual variation suggests that a needs analysis should be made by individual groups.
Butow
Phyllis N
PN
Medical Psychology Research Unit, School of Psychology, University of Sydney, NSW, Australia. phyllisb@psych.usyd.edu.au
Kirsten
Laura T
LT
Ussher
Jane M
JM
Wain
Gerard V
GV
Sandoval
Mirjana
M
Hobbs
Kim M
KM
Hodgkinson
Katharine
K
Stenlake
Annie
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006126:Group Processes; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D020380:Needs Assessment; D009369:Neoplasms / Q000523:psychology*; D009517:New South Wales; D017060:Patient Satisfaction; D012657:Self-Help Groups / Q000458:organization & administration*