title: Care needs after primary breast cancer treatment. Survivors' associated sociodemographic and medical characteristics.
abstract: BACKGROUND
  This study examines the care needs of rehabilitating breast cancer survivors and determines what sociodemographic and medical characteristics are associated with these care needs.
  
  
  METHODS
  A large-scale cross-sectional study (n = 465, response rate = 65%) was conducted among survivors who had ended primary treatment less than 6 months previously. Questionnaires were completed regarding participants' care needs, how these needs were met and the time and manner preferred for receiving information and support. Care needs regarding seven specific rehabilitation topics were assessed separately: (1) physical functioning, (2) psychological functioning, (3) self and body image, (4) sexuality, (5) relationship with partner, (6) relationship with others, and (7) work, return to work and social security.
  
  
  RESULTS
  High unmet needs were reported across all topics. The time preferred for receiving information and support across most topics was the period of breast cancer treatment. The most popular sources of information and support were informative brochures, consultation with a psychologist, information sessions and an informative website. Younger age and lower income were associated with care needs after treatment.
  
  
  CONCLUSIONS
  A valuable contribution is made to the literature on post-treatment care needs by comprehensively mapping unmet needs and the preferred time and source for meeting those needs. This study leads to greater awareness of the struggle facing breast cancer survivors and should guide those developing post-treatment interventions. As optimal tailoring to the needs of the target group is a prerequisite for success, preparatory needs assessment should be essential to the development of supportive interventions.
authors.affiliation: Faculty of Medicine and Health Sciences, Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium. Evelyn.Pauwels@ugent.be
authors.forename: Evelyn E J
authors.initials: EE
authors.lastname: Pauwels
authors.forename: Caroline
authors.initials: C
authors.lastname: Charlier
authors.forename: Ilse
authors.initials: I
authors.lastname: De Bourdeaudhuij
authors.forename: Lilian
authors.initials: L
authors.lastname: Lechner
authors.forename: Elke
authors.initials: E
authors.lastname: Van Hoof
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology* / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D020380:Needs Assessment; D009426:Netherlands; D011788:Quality of Life / Q000523:psychology*; D012044:Regression Analysis; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D055815:Young Adult