Understanding the psychosocial impact of cancer in adolescence and young adulthood: a mixed-methods assessment of the perspectives of patients, survivors, and healthcare professionals

Abstract

The goal was to assess the perceived ability of healthcare professionals to discuss adolescent and young adult oncology (AYAO) specific issues, and the use of a documentary film as awareness and teaching tool. Healthcare professionals and students (n = 81) were recruited during training sessions at three Canadian cancer centres and invited to complete a brief questionnaire before and after viewing a documentary film depicting an outdoor expedition for AYA cancer patients. Demographics, work experience, and self-perceived AYAO knowledge was assessed pre-film. Understanding of AYAO needs, emotions, and life issues was queried using a 5-pt ordinal scale and using open-ended questions both pre- and post-film. Post-film, respondents were asked to reflect on whether they had learned anything new (yes/no). Medical staff and students reported a statistically significant increase in understanding of AYAO emotions, needs, and life issues from pre- to post-film, with 96% of the sample reporting they learned something new from viewing the film. Qualitative data support an increased post-film recognition of isolation as a key emotion and decreased emphasis on the treatment-related concerns as key life issues. Notably, the need for support was well recognized both pre- and post-film. This research provides preliminary support for the use of film as a teaching tool. Further research is warranted to explore short and long-term benefits from the patient and professional standpoint.