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Adolescents' Perceptions, Attitudes and Experiences with Cancer in Southwestern Uganda

2025· article· en· W4413825796 on OpenAlexaff
Mercy Akambasisa, Elizabeth Kemigisha, Kendall Carpenter, Godfrey Zari Rukundo, Barnabas Atwiine

Bibliographic record

Venuenot available
Typearticle
Languageen
FieldMedicine
TopicChildhood Cancer Survivors' Quality of Life
Canadian institutionsMcMaster University
Fundersnot available
KeywordsPerceptionCancerPsychologyGeographySocioeconomicsSocial psychologyMedicineSociologyInternal medicine

Abstract

fetched live from OpenAlex

Background: Adolescents’ perceptions, attitudes, and lived experiences regarding cancer diagnosis significantly influence their quality of life and treatment adherence. To inform the formulation of tailored interventions, we explored these factors among adolescents receiving care at a sub-Saharan African health facility. Methods: We conducted a qualitative study from July 2022 to December 2022, at Mbarara Regional Referral Hospital in western Uganda. In-depth interviews were held with 30 adolescents aged 10–17 years who had been diagnosed with cancer. Using NVivo 12 software, a codebook and coding framework were developed to generate themes aligned with study objectives. Ethical approval was obtained from the Research and Ethics Committee of Mbarara University of Science and Technology. Results: Participants had a median age of 13.5 years; 19 were male. Diagnoses included leukemia (13), lymphoma (10) solid tumors (7). Initial. perceptions and attitudes towards their diagnosis were predominantly negative but improved over time as they received information and treatment. Perceptions and attitudes were poorer among those responding poorly to treatment and those who had had extremely negative experiences. Negative experiences included body disfigurement, social challenges, emotional distress, physical pain, and interrupted education. Positive experiences included improvement in symptoms and support from health workers and their families. Conclusion: Adolescents initially exhibit poor perceptions and attitudes towards their cancer diagnosis, which tend to improve with treatment and support. Their experiences are mixed, highlighting the need for specialized education and counselling services to address knowledge gaps, reduce negative attitudes, and improve overall care outcomes.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.009
Threshold uncertainty score0.017

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0020.002
Scholarly communication0.0020.001
Open science0.0000.002
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.016
GPT teacher head0.333
Teacher spread0.317 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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