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Supporting patient preparedness for self-care in allo-HCT using a Swedish dialogue tool : A mixed methods interventional study

Holmberg, Katarina ; Bergkvist, Karin ; Winterling, Jeanette LU ; Kisch, Annika Malmborg LU orcid ; Wengström, Yvonne and Hagelin, Carina Lundh LU (2026) In European Journal of Oncology Nursing 82.
Abstract

Objectives To investigate how patients undergoing allo-HCT experience preparedness for self-care and the transition to post-hospital recovery, after using the Assessment of Rehabilitation Needs Checklist (ARNC) in combination with a conversation in a nurse-led intervention. Methods Patients were recruited between March and September 2023, at two allo-HCT centres in Sweden. A convergent parallel mixed-methods design with quantitative (The Self-Care of Chronic Illness Inventory-4 and the Care Transitions Measure) and qualitative data (individual interviews, 6-8 weeks post allo-HCT), were collected in parallel for integrated analysis. Descriptive statistics and a deductive content analysis, guided by the Middle Range Theory of Self-Care of... (More)

Objectives To investigate how patients undergoing allo-HCT experience preparedness for self-care and the transition to post-hospital recovery, after using the Assessment of Rehabilitation Needs Checklist (ARNC) in combination with a conversation in a nurse-led intervention. Methods Patients were recruited between March and September 2023, at two allo-HCT centres in Sweden. A convergent parallel mixed-methods design with quantitative (The Self-Care of Chronic Illness Inventory-4 and the Care Transitions Measure) and qualitative data (individual interviews, 6-8 weeks post allo-HCT), were collected in parallel for integrated analysis. Descriptive statistics and a deductive content analysis, guided by the Middle Range Theory of Self-Care of Chronic Illness, were used. Result Self-care scores for the 12 patients were generally high and stable over time, with a slight decrease in self-care management at follow-up. However, some reported low scores for self-care. Patients experienced the ARNC enhancing motivation, being a reminder, and improved self-care habits. Support from family and caregivers and access to care facilitated self-care, although patients expressed a desire for earlier dialogue. Preparedness for the care transition was highly scored, and patients reported that using the ARNC and conversation contributed to their preparedness. Conclusion This study provides initial exploration of patients’ preparedness for self-care behaviours and perceived self-efficacy. Self-care, particularly self-care management, appeared challenging, highlighting the need for individualised education and support. Patients felt prepared for the transition from hospital to home and indicated that the structured ARNC, and conversation with a nurse were important factors in supporting their preparedness for self-care.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Allogeneic hematopoietic cell transplantation, Nursing care, Patients, Preparedness, Self-care, Self-efficacy
in
European Journal of Oncology Nursing
volume
82
article number
103187
publisher
Churchill Livingstone
external identifiers
  • scopus:105035104206
  • pmid:41955761
ISSN
1462-3889
DOI
10.1016/j.ejon.2026.103187
language
English
LU publication?
yes
additional info
Publisher Copyright: Copyright © 2026. Published by Elsevier Ltd.
id
0c5db474-f72d-42c9-90fd-934a24211ebd
date added to LUP
2026-06-18 10:05:38
date last changed
2026-07-03 17:04:39
@article{0c5db474-f72d-42c9-90fd-934a24211ebd,
  abstract     = {{<p>Objectives To investigate how patients undergoing allo-HCT experience preparedness for self-care and the transition to post-hospital recovery, after using the Assessment of Rehabilitation Needs Checklist (ARNC) in combination with a conversation in a nurse-led intervention. Methods Patients were recruited between March and September 2023, at two allo-HCT centres in Sweden. A convergent parallel mixed-methods design with quantitative (The Self-Care of Chronic Illness Inventory-4 and the Care Transitions Measure) and qualitative data (individual interviews, 6-8 weeks post allo-HCT), were collected in parallel for integrated analysis. Descriptive statistics and a deductive content analysis, guided by the Middle Range Theory of Self-Care of Chronic Illness, were used. Result Self-care scores for the 12 patients were generally high and stable over time, with a slight decrease in self-care management at follow-up. However, some reported low scores for self-care. Patients experienced the ARNC enhancing motivation, being a reminder, and improved self-care habits. Support from family and caregivers and access to care facilitated self-care, although patients expressed a desire for earlier dialogue. Preparedness for the care transition was highly scored, and patients reported that using the ARNC and conversation contributed to their preparedness. Conclusion This study provides initial exploration of patients’ preparedness for self-care behaviours and perceived self-efficacy. Self-care, particularly self-care management, appeared challenging, highlighting the need for individualised education and support. Patients felt prepared for the transition from hospital to home and indicated that the structured ARNC, and conversation with a nurse were important factors in supporting their preparedness for self-care.</p>}},
  author       = {{Holmberg, Katarina and Bergkvist, Karin and Winterling, Jeanette and Kisch, Annika Malmborg and Wengström, Yvonne and Hagelin, Carina Lundh}},
  issn         = {{1462-3889}},
  keywords     = {{Allogeneic hematopoietic cell transplantation; Nursing care; Patients; Preparedness; Self-care; Self-efficacy}},
  language     = {{eng}},
  publisher    = {{Churchill Livingstone}},
  series       = {{European Journal of Oncology Nursing}},
  title        = {{Supporting patient preparedness for self-care in allo-HCT using a Swedish dialogue tool : A mixed methods interventional study}},
  url          = {{http://dx.doi.org/10.1016/j.ejon.2026.103187}},
  doi          = {{10.1016/j.ejon.2026.103187}},
  volume       = {{82}},
  year         = {{2026}},
}