What is known about the role of rural-urban residency in relation to self-management in people affected by cancer who have completed primary treatment? A scoping review.

Nelson, David, Mcgonagle, Ian, Jackson, Christine and Kane, Ros (2020) What is known about the role of rural-urban residency in relation to self-management in people affected by cancer who have completed primary treatment? A scoping review. Supportive Care in Cancer . ISSN 0941-4355

Full content URL: https://doi.org/10.1007/s00520-020-05645-0

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What is known about the role of rural-urban residency in relation to self-management in people affected by cancer who have completed primary treatment? A scoping review.
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What is known about the role of rural-urban residency in relation to self-management in people affected by cancer who have completed primary treatment? A scoping review.
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Abstract

Purpose
Despite wide acknowledgement of differences in levels of support and health outcomes between urban and rural areas there is a lack of research that explicitly examines these differences in relation to self-management in people affected by cancer following treatment. This scoping review aimed to map the existing literature that examines self-management in people affected by cancer who were post-treatment from rural and urban areas.

Methods
Arksey and O’Malley’s framework for conducting a scoping review was utilised. Keyword searches were performed in: Academic Search Complete, CINAHL, MEDLINE, PsycINFO, Scopus and Web of Science. Supplementary searching activities were also conducted.

Results

438 articles were initially retrieved and 249 duplicates removed leaving 192 articles that were screened by title, abstract and full text. 9 met the eligibility criteria and were included in the review. They were published from 2011-2018 and conducted in the USA (n=6), Australia (n=2) and Canada (n=1). None of the studies offered insight into self-managing cancer within a rural-urban context in the UK. Studies used qualitative (n=4), mixed methods (n=4) and quantitative designs (n=1).

Conclusion

If rural and urban populations define their health in different ways as some of the extant literature suggests then efforts to support self-management in both populations will need to be better informed by robust evidence given the increasing focus on patient centred care. It is important to consider if residency can be a predictor of as well as, a barrier or facilitator to self-management.

Additional Information:21/07/20 CJ Update on pub, 12m embargo Accepted - not yet published
Keywords:Cancer, Survivorship, self-management, Urban, Rural
Subjects:B Subjects allied to Medicine > B790 Nursing not elsewhere classified
Divisions:College of Social Science > School of Health & Social Care
ID Code:41552
Deposited On:21 Jul 2020 13:39

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