{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T16:37:23Z","timestamp":1784133443019,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:00:00Z","timestamp":1716508800000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003246","name":"Nederlandse Organisatie voor Wetenschappelijk Onderzoek","doi-asserted-by":"publisher","award":["91717386"],"award-info":[{"award-number":["91717386"]}],"id":[{"id":"10.13039\/501100003246","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To obtain insight into adaptation processes of redefining normality and its influencing factors in relatives of patients with advanced cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An exploratory qualitative study among relatives of patients with advanced cancer was conducted. Participants were purposively recruited. Ten in\u2010depth individual (relative only) and 16 dyad (relative and patient together) interviews were conducted, transcribed verbatim, and analyzed by means of thematic analysis, drawing on elements of grounded theory, combining both inductive and deductive elements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two adaptation processes of (redefining) normality were identified: assimilation and accommodation. The latter was found to be the main way of adapting to new events. Assimilative coping strategies entailed \u201ccontinuing to do the same activities as done before the disease,\u201d \u201cdifficulty accepting the situation,\u201d \u201cavoiding to think about the disease,\u201d and \u201cliving in the short term.\u201d Accommodative strategies involved \u201carranging practical matters,\u201d \u201cthinking about the future,\u201d \u201cdoing what is feasible,\u201d \u201cengaging in new activities,\u201d \u201caccepting the situation,\u201d \u201cseeking distraction,\u201d \u201cliving in the short term,\u201d and \u201cfocusing on what truly matters in life.\u201d The interplay between the diagnosis and treatment of cancer, a deteriorating disease status, and the accompanying uncertainty about the future was of influence on the relatives' coping strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When the new situation is too divergent to assimilate, accommodation may be necessary for relatives to cope with the growing complexity of the consequences of their loved one's illness. Accommodative coping then involves accepting the changing reality and actively making the necessary adjustments to build resilience and cope with the new circumstances.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.7211","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T10:25:40Z","timestamp":1716546340000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A qualitative study on redefining normality in relatives of patients with advanced cancer"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8521-5980","authenticated-orcid":false,"given":"Helen P. 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