The development of a web-based resource to provide information and psychosocial support to informal cancer carers in hospitals in Vietnam.

Publisher: Wiley Country of Publication: England NLM ID: 9214524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1611 (Electronic) Linking ISSN: 10579249 NLM ISO Abbreviation: Psychooncology Subsets: MEDLINE

Original Publication: Chichester, W. Sussex, England : Wiley, c1992-

Attitude to Health* ; Professional-Family Relations*; Caregivers/*psychology ; Health Promotion/*methods ; Neoplasms/*psychology; Adult ; Computer-Assisted Instruction/methods ; Female ; Focus Groups ; Humans ; Internet ; Male ; Middle Aged ; Neoplasms/rehabilitation ; Social Support ; Vietnam

Objective: Vietnam, like many low/middle income countries, lacks the infrastructure to provide information and psychosocial support to cancer patients and their carers. We undertook a codesign process to develop a web resource to inform and support carers.
Methods: Cancer carers and health care professionals' perspectives regarding information and support needs and the content and delivery of web-based supports, were explored via five focus groups (n = 39) and semistructured interviews (n = 4) in Vietnam in 2018. Focus groups and interviews were transcribed verbatim and analyzed using thematic analysis. Resource components were verified at two joint stakeholder workshops attended by 40 participants.
Results: The development of a web-based resource was identified as an urgent need. A web-based resource was viewed as a suitable interface to provide support across regions in a sustainable way. The structure of the resource should include peer-led videoed advice, signposting to services and include official endorsement. The potential resource components identified includes (a) cancer causes and consequences; (b) hospital administration, treatment processes, and prices; (c) daily living; (d) emotional and supportive information; (e) skills training; and (f) nutrition and traditional medicine.
Conclusion: The development of a web-based resource to deliver information and psychosocial supports to cancer carers and by-proxy patients is an urgent requirement in Vietnam. Next steps will include resource development and testing the resources ability to address the unmet needs of cancer carers and patients. A web-based resource to support cancer carers has the potential for application to other developing countries.
(© 2020 John Wiley & Sons, Ltd.)

Pham T, Bui L, Kim G, Hoang D, Tran T, Hoang M. Cancers in Vietnam-burden and control efforts: a narrative scoping review. Cancer Control. 2019;26(1):1073274819863802.
Van Thuan T, Tuan Anh P, Van Tu D, Thi Thanh Huong T. Cancer control in Vietnam: where are we? Cancer Control. 2016; http://www.cancercontrol.info/cc2016/cancer-control-in-vietnam-where-we-are/. Accessed June 10, 2019.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424.
International Agency for Research on Cancer (IARC). Global Cancer Observatory-Vietnam population fact sheets. http://gco.iarc.fr/today/data/factsheets/populations/704-viet-nam-fact-sheets.pdf. Accessed September 1, 2019.
Hoang VM, Pham CP, Vu QM, et al. Household financial burden and poverty impacts of cancer treatment in Vietnam. Biomed Res Int. 2017;2017:1-8.
Sullivan R, Alatise OI, Anderson BO, et al. Global cancer surgery: delivering safe, affordable, and timely cancer surgery. Lancet Oncol. 2015;16(11):1193-1224.
ACTION Study Group. Financial catastrophe, treatment discontinuation and death associated with surgically operable cancer in South-East Asia: results from the ACTION study. Surgery. 2015;157(6):971-982.
Stenberg U, Ruland CM, Miaskowski C. Review of the literature on the effects of caring for a patient with cancer. Psychooncology. 2010;19(10):1013-1025.
Girgis A, Lambert S, Johnson C, Waller A, Currow D. Physical, psychosocial, relationship, and economic burden of caring for people with cancer: a review. J Oncol Pract. 2012;9(4):197-202.
Goren A, Gilloteau I, Lees M, da Costa Di Bonaventura M. Quantifying the burden of informal caregiving for patients with cancer in Europe. Support Care Cancer. 2014;22(6):1637-1646.
Santin O, Treanor C, Mills M, Donnelly M. The health status and health service needs of primary caregivers of cancer survivors: a mixed methods approach. Eur J Cancer Care. 2014;23(3):333-339.
Hodges LJ, Humphris GM, Macfarlane G. A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Soc Sci Med. 2005;60(1):1-2.
Bevans M, Sternberg EM. Caregiving burden, stress, and health effects among family caregivers of adult cancer patients. JAMA. 2012;307(4):398-403.
Pham N, Hoang LT, Oanh NK, Liem NK, Van Minh H. Demands and factors associated to psychosocial support of cancer patients at Vietnam National Cancer Hospital. Asian Soc Work J. 2019;4(3):35-46.
Treanor C, Santin O, Prue G, et al. Psychosocial interventions for informal caregivers of people living with cancer. Cochrane Database Syst Rev. 2019.
Santin O, McShane T, Hudson P, Prue G. Using a six-step co-design model to develop and test a peer-led web-based resource (PLWR) to support informal carers of cancer patients. Psychooncology. 2019;28(3):518-524.
Ploeg J, Markle-Reid M, Valaitis R, et al. Web-based interventions to improve mental health, general caregiving outcomes, and general health for informal caregivers of adults with chronic conditions living in the community: rapid evidence review. J Med Internet Res. 2017;19(7).
Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. Thousand Oaks, CA: Sage Publications, Inc.; 1994.
Statista: Number of internet users in Vietnam from 2017 to 2023. https://www.statista.com/statistics/369732/internet-users-vietnam/.
O'Brien N, Heaven B, Teal G, et al. Integrating evidence from systematic reviews, qualitative research, and expert knowledge using co-design techniques to develop a web-based intervention for people in the retirement transition. J Med Internet Res. 2016;18(8):e210.
Oliver SR, Rees RW, Clarke-Jones L, et al. A multidimensional conceptual framework for analysing public involvement in health services research. Health Expect. 2008;11(1):72-84.

Keywords: Vietnam; cancer; caregiver; carer; hospitals; informal care; intervention; oncology; resource; web-based

Date Created: 20200227 Date Completed: 20201116 Latest Revision: 20201116

20221213

10.1002/pon.5368

32100364