Abstract

Objective

Examine whether an existing conceptual framework for understanding financial hardship following a cancer diagnosis captures experiences among military adolescent and young adult (AYA) patients.

Methodological approach

Investigators conducted focus groups and key informant interviews (n = 24) with active-duty military AYA cancer patients, their spouses, cancer care providers, and commanders at a military medical center and military post.

Findings

Content analysis and thematic abstraction revealed that military AYA cancer patients’ experiences of financial hardship occur within material, psychosocial, and behavioral domains that are situated within the contextual influences of AYA development and military culture. Subsequently, investigators constructed an expanded conceptual framework for understanding the financial hardship of cancer to capture these contexts.

Conclusion

Differentiating experiences of financial hardship into material, psychosocial, and behavioral domains situated within life course development and occupational culture contexts, may inform development of interventions with aspects of financial hardship most impacted by cancer care.

中文翻译：

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捕捉军事青少年和年轻成年患者的癌症经济困难：概念框架

 抽象的

 客观的

检查现有的用于理解癌症诊断后经济困难的概念框架是否反映了军事青少年和青年 (AYA) 患者的经历。

 方法论方法

研究人员对现役军人 AYA 癌症患者、他们的配偶、癌症护理人员以及军事医疗中心和军事哨所的指挥官进行了焦点小组和关键知情人访谈 (n = 24)。

 发现

内容分析和主题抽象表明，军事 AYA 癌症患者的经济困难经历发生在物质、社会心理和行为领域，这些领域位于 AYA 发展和军事文化的背景影响范围内。随后，研究人员构建了一个扩展的概念框架来理解癌症的经济困难，以捕捉这些背景。

 结论

将经济困难经历区分为生命历程发展和职业文化背景下的物质、社会心理和行为领域，可能有助于制定针对受癌症护理影响最大的经济困难方面的干预措施。