Table 2.
Explanation of subcategories within theoretical framework and example quotes
| Factor | Subcategory | Explanation | Quote and/or example data |
|---|---|---|---|
| Problematic events | Cancer diagnosis |
Being informed about the diagnosis of cancer and any challenges that arose due to it |
“I went to the GP who referred me to the clinic, I got an appointment through. So I went to the doctors on the 1st April, got my appointment through on the 14th April at the breast care. And they told me there and then that it was cancer.” Female, 49 |
| Cancer prognosis |
Explanation of the course cancer could take |
“So, you know he [consultant] assured me, he said reducing it, we would reduce the chances of getting cancer in that breast by fifty percent” Female, 57 |
|
| Cancer treatment |
Experience with primary cancer treatment and any challenges following |
“So, I sailed through radiotherapy. I had no problems at all with it. Other than tiredness and breathlessness I sailed through it.” Female, 49 |
|
| Pre-existing factors | Age | Age when interview was conducted and the influence it has had on their health | “As I say, I’m 75… Most people can’t believe that I am the sort of age that I am and I’m still cutting around and doing things” Male, 75 |
| Gender |
Influence of gender on their cancer experience |
“Being a woman and going through what I did, to have the first lot of surgery and to sort of come out with half a body, or part of a body makes you feel just like, horrendous.” Female, 54 |
|
| Chronic conditions |
Any other long-term medical conditions as well as cancer |
“I’d had treatment for high blood pressure for a while, but apart from that I was pretty well.” Male, 73 |
|
| Employment |
Where participants currently/ previously worked and related experiences post cancer |
“I had three years on and off. I tried to go back [to work] after my chemotherapy but then I had to do the radiotherapy, so I was off again.” Female, 49 |
|
| Finances |
Financial situation prior to and post cancer diagnosis |
“I’m 76…had a good life, was earning six figures for years so I’ve got no money worries or anything like that.” Male, 76 |
|
| Deprivation | As classified by the UK Office for National Statistics Index of Multiple Deprivation decile classification (1 = 10% most deprived to 10 = 10% least deprived.) | Least deprived 10% (Decile 10) | |
| Relationship status |
Partner, married/divorced etc. and influence of cancer on relationship |
“I’m 76, married for 52 years to a wonderful wife and mother so what have I got to moan about.” Male 76 | |
| Urban life |
Experience of living in an urban area, as classified by the ONS and reported on by the participants |
“We are not in the middle of the urban mass; but on the edge.” Male, 65 | |
| Environmental factors | Health provider usage |
Use of health services prior/post treatment, including compliance and follow-up care |
“Our doctor is just down the road; but if something is wrong we can call the duty manager. They have some basic health training.” Male, 73 |
| Social support | Help from family, friends, and colleagues | “The big positive was the support I had; the family coming close around.” Male 68 | |
| Community support | Help available from those in their local community, e.g. neighbours, local support groups |
“So in that sense, there would be much less support from the community, or you being known.” Male 65 |
|
| Travel | Distance and methods used to travel to amenities | “Here, there is a bus if I ever needed it.” Female, 71 | |
| Personal factors | Personality | Personal characteristics or individual-level traits possessed by participants | “I pretty much keep myself to myself, I talk to people if I see them, you know, out and about.” Female, 44 |
| General self-efficacy | Participants confidence in being able to perform daily activities and self-manage their health and healthcare |
“I don’t think the fact that I go to Zumba is linked to the cancer as such, it’s just a more general looking after myself sort of thing.” Female, 44 |
|
| Responsibilities |
Factors that participants felt accountable towards, as well as protective factors |
“I’ve got three sons and five grandchildren.” Female, 71 | |
| Mentality | The attitude of participants |
“…it is nothing compared with if I hadn’t had radiotherapy. I wouldn’t have had any pain; but I wouldn’t be here.” Male, 76 |
|
| Resilience | The ability to try to overcome hardship |
“I wasn’t prepared to sit back and just feel sorry for myself.” Female, 54 |
|
| Life events | Events which may have had an influence on individual circumstances | “My wife had breast cancer and they cured it” Male, 71 | |
| Healthcare factors | Cancer type | The specific type of cancer diagnosed | “Stage 3 cancer: a malignant melanoma” Male, 68 |
| Treatment type | Type of primary cancer treatment undertaken |
“I had a full mastectomy on the right side. I then had chemotherapy, I then had the removal of the lymph nodes, I then had radiotherapy, and tamoxifen.” Female, 49 |
|
| Rapport with clinicians | Nature of relationship between survivors and clinicians |
“Especially the radio [radiotherapy] people they were excellent like you know.” Male, 76 |
|
| Health literacy | Understanding of health-related information | “I don’t ask questions, I don’t know enough about it anyway, you know, I just do as I’m told and that’s it.” Male, 75 | |
| Health resources | Tools available/used by participants to manage their health and how well informed they felt during the process | “And I knew I could ask anything as well.” Female, 71 |