Priorities for Rural Lymphoma Survivors: A Qualitative Study

• Published in: Clinical lymphoma, myeloma and leukemia Vol. 20; no. 1; pp. 47 - 52.e3
• Main Authors: Chen, Lillian, Payne, Jackelyn B., Dance, Kaylin V., Imbody, Conner B., Ho, Cathy D., Ayers, Amy A., Flowers, Christopher R.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.01.2020
• Subjects: Adult; Disparity; Female; Humans; Lymphoma; Lymphoma - epidemiology; Lymphoma - mortality; Male; Qualitative; Qualitative Research; Rural; Rural Population; Survivors; Survivorship; Rural; Disparity; Qualitative; Survivorship; Lymphoma
• ISSN: 2152-2650; 2152-2669
• DOI: 10.1016/j.clml.2019.09.599

We gathered rural patient perspectives on lymphoma care and unmet needs throughout the treatment course to better understand their attitudes toward treatment and their barriers to participating in clinical research studies. We conducted 12 individual semi-structured telephone interviews in the spring of 2018 with lymphoma survivors from rural counties in Georgia. Patients were identified by a residential address in counties classified as rural according to the Rural-Urban Commuting Areas codes. Participants were recruited from regional patient education conferences and from current research participants at a university research hospital in Georgia. The interviews were recorded and transcribed verbatim. Thematic analysis and MAXQDA, version 18.0.8, were used to facilitate a constant comparative coding process during theme development. The greatest barrier to care was the travel distance. The participants described difficulty navigating between local clinics and larger cancer centers. The lack of communication between the local and specialized clinics complicated the process, and participants had difficulty contacting or seeking advice from the team at the larger cancer centers. Seeking treatment from specialized clinics farther away introduced additional barriers. Most participants agreed that the use of technology was important for improved communication. Participants described lymphoma etiology, subtype-specific studies, alternative therapies, and quality of life as key research priorities. These findings suggest that targeted research and interventions are necessary to address the specific needs of rural patients with and survivors of lymphoma. To address the disparity in health outcomes within rural populations, healthcare professionals and investigators can use these data to engage rural patients in treatment decision-making and research planning. A qualitative study of lymphoma survivors living in rural Georgia was conducted using 12 individual semi-structured telephone interviews. The travel distance was the greatest barrier to care, with other issues including communication and navigating between local clinics and larger cancer centers. The participants saw technology as an important solution and detailed their research priorities.