Conceptual framework for living with and beyond cancer: A systematic review and narrative synthesis
Author(s)
Type
Journal Article
Abstract
Objective
The concept of living with and beyond cancer is now emerging in policy and literature. Rather than viewing this notion simply as a linear timeline, developing an agreed understanding of the lived experience of people affected by cancer will aid the development of person‐centred models of care.
Methods
A systematic review was conducted. The review question was “What does the term ‘living with and beyond cancer’ mean to people affected by cancer?” The protocol for the review was preregistered in the PROSPERO database (PROSPERO CRD42017059860). All included studies were qualitative, so narrative synthesis was used to integrate descriptions and definitions of living with and beyond cancer into an empirically based conceptual framework.
Results
Out of 2345 papers that were identified and 180 that were reviewed, a total of 73 papers were included. The synthesis yielded three interlinked themes: Adversity (realising cancer), Restoration (readjusting life with cancer), and Compatibility (reconciling cancer), resulting in the ARC framework.
Conclusions
Three themes describe the experience of living with and beyond cancer: adversity, restoration, and compatibility. The ARC framework provides an empirically informed grounding for future research and practice in supportive cancer care for this population.
The concept of living with and beyond cancer is now emerging in policy and literature. Rather than viewing this notion simply as a linear timeline, developing an agreed understanding of the lived experience of people affected by cancer will aid the development of person‐centred models of care.
Methods
A systematic review was conducted. The review question was “What does the term ‘living with and beyond cancer’ mean to people affected by cancer?” The protocol for the review was preregistered in the PROSPERO database (PROSPERO CRD42017059860). All included studies were qualitative, so narrative synthesis was used to integrate descriptions and definitions of living with and beyond cancer into an empirically based conceptual framework.
Results
Out of 2345 papers that were identified and 180 that were reviewed, a total of 73 papers were included. The synthesis yielded three interlinked themes: Adversity (realising cancer), Restoration (readjusting life with cancer), and Compatibility (reconciling cancer), resulting in the ARC framework.
Conclusions
Three themes describe the experience of living with and beyond cancer: adversity, restoration, and compatibility. The ARC framework provides an empirically informed grounding for future research and practice in supportive cancer care for this population.
Date Issued
2019-05-01
Date Acceptance
2019-02-25
Citation
Psycho-Oncology, 2019, 28 (5), pp.948-959
ISSN
1057-9249
Publisher
Wiley
Start Page
948
End Page
959
Journal / Book Title
Psycho-Oncology
Volume
28
Issue
5
Copyright Statement
© 2019 The Authors. Psycho‐Oncology Published by John Wiley & Sons Ltd.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Subjects
Science & Technology
Social Sciences
Life Sciences & Biomedicine
Oncology
Psychology
Psychology, Multidisciplinary
Social Sciences, Biomedical
Biomedical Social Sciences
cancer
conceptual framework
living with and beyond
oncology
patient experience
systematic review
DIAGNOSED BREAST-CANCER
BIOGRAPHICAL DISRUPTION
PROSTATE-CANCER
LIVED EXPERIENCE
ADULT PATIENTS
ACUTE-LEUKEMIA
10 WOMEN
ILLNESS
CARE
SURVIVORS
cancer
conceptual framework
living with and beyond
oncology
patient experience
systematic review
1112 Oncology and Carcinogenesis
1701 Psychology
1103 Clinical Sciences
Oncology & Carcinogenesis
Publication Status
Published
Date Publish Online
2019-02-27