Living with mesothelioma: A systematic review of patient and caregiver psychosocial support needs

Document Type

Journal Article

Publication Title

Patient Education and Counseling

Volume

105

Issue

7

First Page

1904

Last Page

1916

PubMed ID

35260259

Publisher

Elsevier

School

School of Medical and Health Science / Exercise Medicine Research Institute

RAS ID

44762

Funders

Dust Diseases Board iCare Discovery Research Grant

Comments

Breen, L. J., Huseini, T., Same, A., Peddle-McIntyre, C. J., & Lee, Y. G. (2022). Living with mesothelioma: A systematic review of patient and caregiver psychosocial support needs. Patient Education and Counseling, 105(7), p.1904-1916. https://doi.org/10.1016/j.pec.2022.02.017

Abstract

Objective: Practice guidelines emphasize the importance of investigating psychosocial distress in mesothelioma patients and family caregivers. We aimed to synthesize research on the psychosocial support needs of mesothelioma patients and their family caregivers. Methods: We conducted a systematic review with a narrative synthesis and quality assessment. The review process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: MEDLINE, EMBASE, Scopus, PsychArticles, and PsycINFO were searched until December 2020 and 37 studies in English met inclusion criteria. Most (n = 24) included mesothelioma patients as a very small proportion of their cancer samples. A narrative synthesis was conducted on the 13 studies including only mesothelioma patients (n = 297) and/or caregivers (n = 82). Patients and caregivers want improvements in the diagnosis delivery and access to palliative care. Patients want emotional support, patient-centered treatment, improved information about illness progression and death, and to meet others with mesothelioma. Caregivers want one-on-one practical and emotional support. Study quality varied. Conclusions: Few studies focus on the psychosocial support needs relevant to mesothelioma. Mesothelioma patients and family caregivers highlight targeted psychosocial care as an unmet need. Practice Implications: Efforts are required to design and test psychosocial interventions for this vulnerable and overlooked group. Protocol Registration: PROSPERO (registration number CRD42020167852).

DOI

10.1016/j.pec.2022.02.017

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