title: Facilitators of Survivorship Care Among Underserved Breast Cancer Survivors: a Qualitative Study.
abstract: Research investigating facilitators of survivorship care among underserved breast cancer survivors (BCS) is sparse. This study aimed to explore facilitators of survivorship care among underserved BCS within the first 5 years following chemotherapy, radiation, or surgery for breast cancer. In-depth interviews were conducted, using a semi-structured interview guide, with underserved BCS exploring survivorship care experiences. Content analysis of the verbatim transcripts was applied, and results were summarized according to themes related to facilitators of breast cancer survivorship care. Interviews were conducted with 25 BCS. Eight main themes were identified: coordination of care; positive perceptions of health care providers; communication between patient and health care providers; financial and insurance facilitators; information, classes, and programs provided; assistance provided by organizations and health care professionals; transportation facilitators; and job flexibility. This study provides a comprehensive look at facilitators of survivorship care among underserved BCS. BCS endorsed several facilitators of their survivorship care, mainly at the interpersonal, organizational, and societal level. This study adds to the research literature on catalysts of care among underserved BCS. Results from this study are currently being used to inform a patient navigation intervention to facilitate care among this population.
authors.affiliation: SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Ct., Suite 103, San Diego, CA, 92120-4913, USA.|UC San Diego Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA, 92093-1503, USA.
authors.forename: Amy E
authors.initials: AE
authors.lastname: Ustjanauskas
authors.affiliation: Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.|University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.
authors.forename: Gwendolyn P
authors.initials: GP
authors.lastname: Quinn
authors.affiliation: SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Ct., Suite 103, San Diego, CA, 92120-4913, USA.|UC San Diego Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA, 92093-1503, USA.
authors.forename: Tonya M
authors.initials: TM
authors.lastname: Pan
authors.affiliation: Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.|University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Rivera
authors.affiliation: University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.
authors.forename: Coralia
authors.initials: C
authors.lastname: Vázquez-Otero
authors.affiliation: University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.
authors.forename: Danielle
authors.initials: D
authors.lastname: Ung
authors.affiliation: Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.|University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.
authors.forename: Richard G
authors.initials: RG
authors.lastname: Roetzheim
authors.affiliation: Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.|University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Laronga
authors.affiliation: South County Oncology and Hematology, 769 Medical Center Ct., Suite 202, Chula Vista, CA, 91911-6602, USA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Johnson
authors.affiliation: South County Oncology and Hematology, 769 Medical Center Ct., Suite 202, Chula Vista, CA, 91911-6602, USA.
authors.forename: Marilyn
authors.initials: M
authors.lastname: Norton
authors.affiliation: SDSU Research Foundation, 6363 Alvarado Court, Suite 250, San Diego, CA, 92120-4913, USA.
authors.forename: Claudia
authors.initials: C
authors.lastname: Carrizosa
authors.affiliation: SDSU Research Foundation, 6363 Alvarado Court, Suite 250, San Diego, CA, 92120-4913, USA.
authors.forename: Dariana
authors.initials: D
authors.lastname: Muñoz
authors.affiliation: Department of Psychology, San Diego State University, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120-4913, USA.
authors.forename: Marissa
authors.initials: M
authors.lastname: Goldenstein
authors.affiliation: Emory University, 36 Eagle Row, Atlanta, GA, 30322, USA.
authors.forename: Sumayah
authors.initials: S
authors.lastname: Nuhaily
authors.affiliation: SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Ct., Suite 103, San Diego, CA, 92120-4913, USA. kwells@mail.sdsu.edu.|UC San Diego Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA, 92093-1503, USA. kwells@mail.sdsu.edu.|Department of Psychology, San Diego State University, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120-4913, USA. kwells@mail.sdsu.edu.
authors.forename: Kristen J
authors.initials: KJ
authors.lastname: Wells
mesh_terms: D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000401:mortality / Q000473:pathology; D000073116:Cancer Survivors / Q000706:statistics & numerical data*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D006282:Health Personnel / Q000458:organization & administration* / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D036301:Qualitative Research; D035862:Vulnerable Populations / Q000706:statistics & numerical data*
chemical_list: D018931:Antineoplastic Agents, Hormonal
keywords: Breast cancer; Cancer survivorship; Facilitators; Interviews; Survivorship care; Underserved populations