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. 2015 Jul 29;10(7):e0133837. doi: 10.1371/journal.pone.0133837

Table 4. Stages of framework analysis for HCPs’ views on psychosocial during cancer.

Initial framework based on a priori issues Revised framework based on indexing Themes Sub-themes
Challenges couples face following a cancer diagnosis (emotional impact, change in relationship, financial impact, career impact, interruption to future plans, caring for patients, impact on family, impact on social life) Major challenges faced by couples (increased burden on partner, partner as a caregiver, change in partner’s role, partner distress) ‘The Partner’s Place in Cancer Care’ Adapting to new roles; Partner as a negative influence on patient and care; Partner as ally to HCP and PT
HCPs’ role in assisting couples manage distress (providing cancer information, emotional support, involvement in couples issues, providing support to patient, providing support to partner, use of available services and resources) HCPs’ role in assisting couples manage distress (provision of appropriate psychological support, dealing with issues not trained for, information provision) ‘Psychosocial care for one or two?’ HCPs’ Approach to Supporting Couples; Who should receive psychosocial support?; What kind of support do people need?, The Value of Psychosocial Care
Improving health services for couples (improving referrals, acknowledging couples’ issues, screening for distress, providing couple-based psychosocial therapies, improving all HCPs ability to provide support) Improving health services (opportunities for counselling, identifying distressed couples, improving distress screening practices, resources in rural areas, acknowledging partner distres, HCP communication) ‘Issues in Distress Screening for Couples’ Who should be screened; What should we use to screen (instrument vs. experience); When should screen—once vs. multiple time points; Why should we screen at all (e.g. to tailor for interventions)
‘The quest for adequate psychosocial care’ Barriers to adequate psychosocial care; Improving psychosocial care