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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Gynecologic Cancer, Symptoms and Signs, Aged

Intervention / Treatment
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* Other: Semi-structured face to face interviews.


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Semi-structured face to face interviews.|Patients will be interviewed by open-ended questions face to face concerning their past experiences. The recorded interview will be transcribed and analyzed by psychodynamic and semio-pragmatic approach.|

What is the study measuring?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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qualitative research, semiopragmatic analysis, psychodynamic analysis, gynecology, cancer, aged, delay, help-seeking behavior