The self-management of uncertainty among men undertaking active surveillance for low-risk prostate cancer

Oliffe, John L., Davison, B. Joyce, Pickles, Tom and Mróz, Larence (2009) The self-management of uncertainty among men undertaking active surveillance for low-risk prostate cancer. Qualitative Health Research, 19 4: 432-443. doi:10.1177/1049732309332692


Author Oliffe, John L.
Davison, B. Joyce
Pickles, Tom
Mróz, Larence
Title The self-management of uncertainty among men undertaking active surveillance for low-risk prostate cancer
Journal name Qualitative Health Research   Check publisher's open access policy
ISSN 1049-7323
1552-7557
Publication date 2009-04-01
Sub-type Article (original research)
DOI 10.1177/1049732309332692
Volume 19
Issue 4
Start page 432
End page 443
Total pages 12
Place of publication Thousand Oaks, CA, United States
Publisher Sage
Language eng
Abstract Asymptomatic men with low-risk, early-stage prostate cancer are eligible for active surveillance (AS), which offers a means to monitor the cancer while delaying treatment. However, AS operates within a unique set of circumstances that advocate monitoring, rather than immediate treatment, and men's health practices are central to coping with the inherent uncertainty of living with an untreated cancer. A qualitative study was completed to describe the range of men's self-management strategies used to overcome AS-related uncertainty. The study findings reveal two strategies. First, positioning prostate cancer as benign through stoicism and solitary discourses were common to men intent on "living a normal life." Second, men committed to "doing something extra" complemented AS protocols, and often collaborated with their wives to focus on diet as an adjunct therapy. Although most participants exhibited typical men's health practices, it is clear that tailored AS psychosocial interventions will benefit men and their families.
Keyword Behavior
Cancer
Health behavior
Men's health
Psychosocial issues
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 41 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 45 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 05 Aug 2014, 21:58:31 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work