title: 'They're survivors physically but we want them to survive mentally as well': health care professionals' views on providing potential late effect information.
abstract: OBJECTIVE
  The concept of providing personalised care plans for cancer survivors is receiving increasing attention; a recognised element of a care plan is to provide an indication of the risks and consequences of treatment. This paper reports health care professional (HCP) response to providing cancer survivors with information on potential late effects of their cancer treatment.
  
  
  METHODS
  Eighteen HCPs from five cancer centres and three general practices in the UK completed semi-structured interviews which were digitally recorded, transcribed and qualitatively analysed using framework analysis.
  
  
  RESULTS
  HCPs' view of health care was that it is currently focused on acute care and needs are responded to as they may arise, including those which are late effects of cancer treatments. The concept of pre-empting a discussion of potential late effects during the survivorship phase was felt to be discordant with this approach and could impact on adjustment to life after cancer treatment.
  
  
  CONCLUSIONS
  Providing cancer survivors with information on potential late effects requires further consideration. Evidence for survivor preference for late effect information and the benefit afforded to survivors who receive it could inform the practice of HCPs. If a culture of proactivity is to be encouraged regarding discussions of future potential risk, HCPs may need support in considering ways of presenting survivors with reality whilst being mindful of their need to retain hope during the survivorship phase.
authors.affiliation: Faculty of Health and Medical Sciences, University of Surrey, Duke of Kent Building, Stag Hill Campus, Guildford, Surrey GU2 7TE, UK. a.cox@surrey.ac.uk
authors.forename: Anna
authors.initials: A
authors.lastname: Cox
authors.forename: Sara
authors.initials: S
authors.lastname: Faithfull
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003695:Delivery of Health Care; D006282:Health Personnel / Q000523:psychology*; D065026:Hope; D006801:Humans; D007258:Informed Consent / Q000523:psychology; D009369:Neoplasms / Q000451:nursing / Q000523:psychology* / Q000628:therapy*; D009720:Nurse Clinicians / Q000523:psychology; D010347:Patient Care Planning; D059825:Physical Therapists / Q000523:psychology; D010820:Physicians / Q000523:psychology; D018570:Risk Assessment; D012944:Social Support; D017741:Survivors / Q000523:psychology*; D006113:United Kingdom