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. 2024 Apr 2;32(4):261. doi: 10.1007/s00520-024-08464-9

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