Understanding Low Gynecological Cancer Delay and Help-seeking Behavior in Older Patients. (CODEGY65)

Understanding Low Gynecological Cancer Delay and Help-seeking Behavior in Older Patients. Qualitative Approach

Systematic screening for cervical cancer stops in France at 65 years old. The incidence of certain types of gynecological neoplasia increases with age (endometrium, vulva). Diagnosis delay of 8 months has been described for uterine cancer and longer delays for vulvar cancer.

The aim of our study is to understand help-seeking behavior and its delay for this type of cancer among patients older than 65.

Study Overview

• Status: Completed
• Conditions: Gynecologic Cancer; Aged; Symptoms and Signs
• Intervention / Treatment: Other: Semi-structured face to face interviews.

Detailed Description

Our study assess the reasons for which the patient took time to go to the doctor despite of their symptoms. We use a qualitative methodology. Our study categorizes lived experiences, recorded in semistructured interview transcripts. We use psychodynamic and semiopragmatic analyses of the discourse to obtain hypotheses about possible reasons of the delay in the help-seeking process."

• Study Type: Observational
• Enrollment (Actual): 12

Contacts and Locations

Study Locations

• France
  • Vandœuvre-lès-Nancy, France
    • Institut de Cancérologie de Lorraine (ICL)

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 65 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Non-Probability Sample

Study Population

Women of 65 years or more treated or followed at Lorraine Institute of Oncology Diagnosed after 65 years or later of a low gynecological cancer

Description

Inclusion Criteria:

• Women of 65 years or more treated or followed at Lorraine Institute of Oncology
• Diagnosed after 65 years or later of a low gynecological cancer
• Without diagnosis of dementia
• Retained ability to express by herself without assistance
• Affiliated to public health system
• Informed and having expressed her non-opposition

Exclusion Criteria:

• Women under 65 or diagnosed before being 65 of a low gynecological cancer
• Diagnosed of dementia
• No longer to express herself
• Patient deprived of freedom

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Experience of help-seeking period for low gynecological cancers.	Qualitative interview performed at one occasion where the patient describes the experience of the help seeking period she has passed through.	1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Motivators and barriers to help-seeking for low gynecological cancers.	qualitative methodology using verbal data analysis of semi-structured interview.	1 day

Collaborators and Investigators

• Sponsor: Institut de Cancérologie de Lorraine
• Investigators: Principal Investigator: MARCHAL FREDERIC, MD, Institut de Cancerologie de Lorraine

Study record dates

Study Major Dates

• Study Start (Actual): October 30, 2017
• Primary Completion (Actual): March 12, 2018
• Study Completion (Actual): July 27, 2018

Study Registration Dates

• First Submitted: October 19, 2017
• First Submitted That Met QC Criteria: November 7, 2017
• First Posted (Actual): November 8, 2017

Study Record Updates

• Last Update Posted (Actual): August 8, 2018
• Last Update Submitted That Met QC Criteria: August 7, 2018
• Last Verified: August 1, 2018

More Information

Terms related to this study

• Keywords: cancer; aged; gynecology; delay; qualitative research; help-seeking behavior; semiopragmatic analysis; psychodynamic analysis
• Other Study ID Numbers: 2017-A01574-49

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No