title: 'Being a Part of Treatment': the meaning of self-monitoring for rural cancer patients.
abstract: BACKGROUND
  The diagnosis and treatment of cancer entail managing vast amounts of information in order for patients to participate effectively in disease self-management. Information management includes patients' responses to acquire, manage, and use external and internal information, such as through self-monitoring practices.
  
  
  OBJECTIVE
  The study objective was to examine the meaning of self-monitoring practices within the context of rural patients' responses to internal and external information.
  
  
  METHODS
  An empirical phenomenological approach was used. Participants were adults 18 years or older, who were once diagnosed with cancer, who agreed to discuss health monitoring behavior in relation to their cancer experience, and who used services at a small, rural cancer center. Data were collected using semistructured interviews.
  
  
  RESULTS
  Findings revealed a self-directed pursuit of self-monitoring that was shaped by 4 factors, that is, cognitive, affective, interpersonal, and symptomatic. Quotations from participants illustrate these factors. "I'd ask the questions …" represents the cognitive factor. "Are the horse stories about cancer treatments true?" represents the affective factor. The interpersonal factor is represented as "My nurse was there for me!" The symptomatic factor is represented as "Chemotherapy blocks out your memory." Informed by these factors, participants' self-monitoring practices fostered participants' sense of control and self-advocacy efforts.
  
  
  CONCLUSIONS
  Nurses are in a strategic position to engage in supportive care practices through the facilitation of self-monitoring.
  
  
  CONCLUSIONS
  Assessment questions grounded in study findings are suggested for use by nurses to develop patient-centered education that facilitates self-monitoring practices.
authors.affiliation: Fay W. Whitney School of Nursing, University of Wyoming, Laramie, WY 82071, USA. mpurtzer@uwyo.edu
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Purtzer
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Hermansen-Kobulnicky
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001932:Brain Neoplasms / Q000451:nursing; D001943:Breast Neoplasms / Q000451:nursing; D005260:Female; D006689:Hodgkin Disease / Q000451:nursing; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000451:nursing; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing* / Q000628:therapy; D011471:Prostatic Neoplasms / Q000451:nursing; D012424:Rural Population; D012648:Self Care / Q000523:psychology; D011795:Surveys and Questionnaires; D014594:Uterine Neoplasms / Q000451:nursing; D014959:Wyoming