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"That's All Anyone Needs Really, Support": A Content Analysis of Retinoblastoma Survivors' Psychosocial Support Needs
Nicola O'Donnell1, Debra Howell1, Jessica E Morgan2
1Department of Health Sciences, Faculty of Sciences, University of York, York, UK.
Insights
Retinoblastoma (Rb) survivors need tailored support for lifelong psychosocial challenges. This study highlights a demand for interventions addressing appearance, mental health, and relationships, with a preference for peer support.
Area of Science:
- Oncology
- Psychology
- Survivorship Research
Background:
- Retinoblastoma (Rb) is a rare childhood eye cancer with lifelong implications for survivors.
- Psychosocial challenges faced by Rb survivors are increasingly recognized but lack evidence-based interventions.
- Support gaps are particularly evident during the critical transition from childhood to young adulthood.
Purpose of the Study:
- To identify the specific psychosocial needs of Retinoblastoma survivors.
- To explore preferred support modalities and barriers to accessing care.
- To inform the development of tailored, lifespan-oriented interventions for Rb survivors.
Main Methods:
- Retrospective content analysis of data from previous focus groups with teenagers and interviews with young adults.
- Recruitment of 32 participants from two UK Rb treatment centers and the Childhood Eye Cancer Trust.
- Thematic analysis of participant experiences concerning physical appearance, mental health, relationships, and reproductive health.
Main Results:
- Key themes identified include concerns about physical appearance, mental health, relationships, and reproductive issues.
- Survivors expressed a strong demand for tailored interventions and accessible psychological support.
- Peer support and workshops were favored, with participants noting barriers like isolation and perceived severity disparities.
Conclusions:
- There is a significant need for evidence-based, psychosocial support interventions for Retinoblastoma survivors across their lifespan.
- Accessible, tailored support, particularly peer-led initiatives, can enhance quality of life and resilience.
- Early intervention and support programs initiated in younger years are crucial for developing coping skills before adolescence.
Abstract:
Retinoblastoma (Rb) is a rare intraocular malignancy that affects one in 23,000 children born in the UK each year. This cancer can impact survivors across their lifetime, with the specific psychosocial challenges affecting this group becoming increasingly understood. Despite this, there is no current evidence-based intervention to support their needs across the lifespan, particularly during the transition from childhood to young adulthood. A retrospective content analysis was conducted using data collected in our previous work, drawing on focus groups with teenagers and interviews with young adults. 32 participants were recruited via the two UK Rb treatment centers and the Childhood Eye Cancer Trust. Key themes included concerns about physical appearance, mental health, relationships, and reproductive issues. Findings highlighted a significant demand for tailored interventions that address these specific areas, emphasizing the importance of accessible psychological support to enhance the quality of life for this unique group. Participants expressed a strong preference for peer support and workshops, indicating that shared experiences can foster resilience and coping strategies. Findings also highlighted the barriers to accessing support, such as feelings of isolation and the perception that others have more severe challenges. Ultimately, the study underscores young peoples' views on the necessity for early intervention, suggesting that support programs should be initiated at a younger age to build essential coping skills before the onset of adolescence.
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