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dc.contributor.authorHulbert-Williams, Nicholas J.
dc.contributor.authorLeslie, Monica
dc.contributor.authorHulbert-Williams, Lee
dc.contributor.authorSmith, Eilidh
dc.contributor.authorHowells, Lesley
dc.contributor.authorPinato, David J
dc.date.accessioned2021-03-09T14:57:12Z
dc.date.available2021-03-09T14:57:12Z
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/624329/COVID%20Unmet%20needs.pdf?sequence=1
dc.identifier.citationHulbert-Williams, N. J., Leslie, M., Hulbert-Williams, L., Smith, E., Howells, L., & Pinato, D.J. (2021). Evaluating the impact of COVID-19 on supportive care needs, psychological distress and 3 quality of life in UK cancer survivors and their support network.. European Journal of Cancer Care (epub ahead of print). https://https://doi.org/10.1111/ecc.13442en_US
dc.identifier.issn0961-5423
dc.identifier.doi10.1111/ecc.13442
dc.identifier.urihttp://hdl.handle.net/10034/624329
dc.descriptionThis is the peer reviewed version of the following article: Hulbert-Williams, N. J., Leslie, M., Hulbert-Williams, L., Smith, E., Howells, L., & Pinato, D.J. (2021). Evaluating the impact of COVID-19 on supportive care needs, psychological distress and 3 quality of life in UK cancer survivors and their support network.. European Journal of Cancer Care., which has been published in final form at https://doi.org/10.1111/ecc.13442. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.en_US
dc.description.abstractObjectives: The COVID-19 pandemic is having considerable impact on cancer care, including restricted access to hospital-based care, treatment and psychosocial support. We investigated the impact on unmet needs and psychosocial wellbeing. Methods: 144 participants (77% female), including people with cancer and their support networks, were recruited. The most prevalent diagnosis was breast cancer. Forty-one participants recruited pre-pandemic were compared with 103 participants recruited during the COVID-19 pandemic. We measured participants’ unmet supportive care needs, psychological distress and quality of life. Results: Half of our patient respondents reported unexpected changes to treatment following pandemic onset, with widespread confusion about their longer-term consequences. Although overall need levels have not increased, specific needs have changed in prominence. People with cancer reported significantly reduced anxiety (p=.049) and improved quality of life (p=.032) following pandemic onset, but support network participants reported reduced quality of life (p=.009), and non-significantly elevated anxiety, stress and depression. Conclusion: Psychological wellbeing of people with cancer has not been detrimentally affected by pandemic onset. Reliance on home-based support to compensate for the lost availability of structured healthcare pathways may, however, explain significant and detrimental effects on the wellbeing and quality of life of people in their support and informal care networks.en_US
dc.publisherWileyen_US
dc.relation.urlhttps://onlinelibrary.wiley.com/doi/full/10.1111/ecc.13442en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.subjectCOVID-19en_US
dc.subjectcancer careen_US
dc.subjectsupportive care needsen_US
dc.subjectcancer survivorsen_US
dc.subjectquality of lifeen_US
dc.titleEvaluating the impact of COVID-19 on supportive care needs, psychological distress and 3 quality of life in UK cancer survivors and their support network.en_US
dc.typeArticleen_US
dc.identifier.eissn1365-2354en_US
dc.contributor.departmentUniversity of Chester; Maggie's Cancer Centres; Imperial College Londonen_US
dc.identifier.journalEuropean Journal of Cancer Careen_US
or.grant.openaccessYesen_US
rioxxterms.funderUnfundeden_US
rioxxterms.identifier.projectUnfundeden_US
rioxxterms.versionAMen_US
rioxxterms.licenseref.startdate2022-03-25
dcterms.dateAccepted2021-03-03
rioxxterms.publicationdate2021-03-25
dc.indentifier.issn0961-5423en_US


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