{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:46:40Z","timestamp":1792090000824,"version":"4.4.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>For people living with and beyond cancer, access to clear, accurate, relevant information is crucial for meaningful participation in shared decision-making and is associated with better quality-of-life. Many cancer patients who undergo pelvic radiation experience chronic bowel symptoms, decreasing quality-of-life. We aimed to explore information access among survivors with experience of chronic bowel symptoms and develop a framework to guide future information provision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted cross-sectional, semi-structured interviews with 28 cancer survivors (14 prostate, 10 gynecological, 4 anal\/rectal) with experience of chronic bowel symptoms after pelvic radiotherapy, and 19 health professionals who provide treatment and care for survivors with these symptoms. Participants were recruited through UK cancer charities and National Health Service hospitals. Data were analyzed thematically. Findings informed a framework to guide improvements to information provision, developed with a patient panel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data were organized to reflect survivor experiences with information access and provision at different points along their cancer journey:\n                      <jats:italic>Pre-treatment; Recognizing Symptoms; Managing<\/jats:italic>\n                      S\n                      <jats:italic>ymptoms;<\/jats:italic>\n                      and two cross-cutting categories of\n                      <jats:italic>Information Sources<\/jats:italic>\n                      and\n                      <jats:italic>Challenges in Information Provision.<\/jats:italic>\n                      The framework encompasses information purpose and channels, survivors\u2019 information needs at different time points and challenges and considerations for implementation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Access to timely, relevant, accurate information was an issue across the cancer pathway for this survivor group. Participants reported disparate information needs which could not have been fully known at treatment outset, and which changed over time. Our framework offers a potential starting point for efforts to improve information access and provision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-11040-y","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:34:12Z","timestamp":1790058852000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A qualitative exploration of information access and provision for cancer survivors experiencing chronic bowel symptoms after pelvic radiotherapy: informing a framework to guide improvements to information provision"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0702-2109","authenticated-orcid":false,"given":"Adam","family":"Biran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3056-9877","authenticated-orcid":false,"given":"Christina","family":"Dobson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Maybury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3050-8473","authenticated-orcid":false,"given":"Colin J.","family":"Rees","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7822-5037","authenticated-orcid":false,"given":"Rachel","family":"Brooks-Pearson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Cunliffe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8203-6650","authenticated-orcid":false,"given":"Lisa","family":"Durrant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Hancock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Jane","family":"Neilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3546-932X","authenticated-orcid":false,"given":"Ana","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9515-1722","authenticated-orcid":false,"given":"Linda","family":"Sharp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"issue":"1","key":"11040_CR1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12892","volume":"28","author":"S Christen","year":"2019","unstructured":"Christen S, Weishaupt E, Vetsch J, Rueegg CS, Mader L, Dehler S, Michel G (2019) Perceived information provision and information needs in adolescent and young adult cancer survivors. Eur J Cancer Care 28(1):e12892. https:\/\/doi.org\/10.1111\/ecc.12892","journal-title":"Eur J Cancer Care"},{"issue":"6","key":"11040_CR2","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1097\/ncc.0b013e318236565a","volume":"35","author":"BJ Davison","year":"2012","unstructured":"Davison BJ, Breckon EN (2012) Impact of health information-seeking behavior and personal factors on preferred role in treatment decision making in men with newly diagnosed prostate cancer. Cancer Nurs 35(6):411\u2013418. https:\/\/doi.org\/10.1097\/ncc.0b013e318236565a","journal-title":"Cancer Nurs"},{"issue":"2","key":"11040_CR3","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13381","volume":"30","author":"EA Johnston","year":"2021","unstructured":"Johnston EA, van der Pols JC, Ekberg S (2021) Needs, preferences, and experiences of adult cancer survivors in accessing dietary information post\u2010treatment: a scoping review. Eur J Cancer Care 30(2):e13381. https:\/\/doi.org\/10.1111\/ecc.13381","journal-title":"Eur J Cancer Care"},{"issue":"1","key":"11040_CR4","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-01901-z","volume":"22","author":"EM Sparidaens","year":"2022","unstructured":"Sparidaens EM, Beerendonk CC, Fleischer K, Nelen WL, Braat DD, Hermens RP (2022) Exploration of fertility and early menopause related information needs and development of online information for young breast cancer survivors. BMC Womens Health 22(1):p.329. https:\/\/doi.org\/10.1186\/s12905-022-01901-z","journal-title":"BMC Womens Health"},{"issue":"8","key":"11040_CR5","doi-asserted-by":"publisher","first-page":"1117","DOI":"10.1007\/s00520-009-0615-5","volume":"17","author":"JD Harrison","year":"2009","unstructured":"Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ (2009) What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer 17(8):1117\u20131128. https:\/\/doi.org\/10.1007\/s00520-009-0615-5","journal-title":"Support Care Cancer"},{"issue":"6","key":"11040_CR6","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13730","volume":"31","author":"B Le\u00f3n\u2010Salas","year":"2022","unstructured":"Le\u00f3n\u2010Salas B, \u00c1lvarez\u2010P\u00e9rez Y, Ramos\u2010Garc\u00eda V, del Mar Trujillo\u2010Mart\u00edn M, de Pascual Y Medina AM, Esteva M, Brito\u2010Garc\u00eda N, Gonz\u00e1lez\u2010Hern\u00e1ndez N, Bohn\u2010Sarmiento U, Biurrun\u2010Mart\u00ednez MC, Serrano\u2010Aguilar P (2022) Information needs and research priorities in long\u2010term survivorship of breast cancer: patients and health professionals\u2019 perspectives. Eur J Cancer Care 31(6):e13730. https:\/\/doi.org\/10.1111\/ecc.13730","journal-title":"Eur J Cancer Care"},{"issue":"8","key":"11040_CR7","doi-asserted-by":"publisher","first-page":"1606","DOI":"10.1016\/j.pec.2020.02.034","volume":"103","author":"NR Palmer","year":"2020","unstructured":"Palmer NR, Avis NE, Fino NF, Tooze JA, Weaver KE (2020) Rural cancer survivors\u2019 health information needs post-treatment. Patient Educ Couns 103(8):1606\u20131614. https:\/\/doi.org\/10.1016\/j.pec.2020.02.034","journal-title":"Patient Educ Couns"},{"issue":"1","key":"11040_CR8","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03509-x","volume":"25","author":"J Chen","year":"2025","unstructured":"Chen J, Duan Y, Xia H, Xiao R, Cai T, Yuan C (2025) Online health information seeking behavior among breast cancer patients and survivors: a scoping review. BMC Womens Health 25(1):1. https:\/\/doi.org\/10.1186\/s12905-024-03509-x","journal-title":"BMC Womens Health"},{"issue":"3","key":"11040_CR9","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1016\/j.pec.2004.06.006","volume":"57","author":"LJF Rutten","year":"2005","unstructured":"Rutten LJF, Arora NK, Bakos AD, Aziz N, Rowland J (2005) Information needs and sources of information among cancer patients: a systematic review of research (1980\u20132003). Patient Educ Couns 57(3):250\u2013261. https:\/\/doi.org\/10.1016\/j.pec.2004.06.006","journal-title":"Patient Educ Couns"},{"key":"11040_CR10","doi-asserted-by":"publisher","first-page":"40933","DOI":"10.2340\/1651-226x.2024.40933","volume":"63","author":"M Reinwalds","year":"2024","unstructured":"Reinwalds M, Larsson C, Gr\u00f6nkvist R, Angenete E (2024) Patient reported experiences of health care, quality of life and preoperative information in colon cancer. Acta Oncol 63:40933. https:\/\/doi.org\/10.2340\/1651-226x.2024.40933","journal-title":"Acta Oncol"},{"issue":"16","key":"11040_CR11","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15164037","volume":"15","author":"A Biran","year":"2023","unstructured":"Biran A, Bolnykh I, Rimmer B, Cunliffe A, Durrant L, Hancock J, Ludlow H, Pedley I, Rees C, Sharp L (2023) A systematic review of population-based studies of chronic bowel symptoms in cancer survivors following pelvic radiotherapy. Cancers 15(16):4037. https:\/\/doi.org\/10.3390\/cancers15164037","journal-title":"Cancers"},{"issue":"3","key":"11040_CR12","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.1007\/s11764-023-01527-6","volume":"19","author":"A Biran","year":"2025","unstructured":"Biran A, Dobson C, Rees C, Brooks-Pearson R, Cunliffe A, Durrant L, Hancock J, Ludlow H, Neilson L, Wilson A, Sharp L (2025) From pelvic radiation to social isolation: a qualitative study of survivors\u2019 experiences of chronic bowel symptoms after pelvic radiotherapy. J Cancer Surviv 19(3):1019\u20131027. https:\/\/doi.org\/10.1007\/s11764-023-01527-6","journal-title":"J Cancer Surviv"},{"issue":"1","key":"11040_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjqs-2021-013366","volume":"31","author":"C Foster","year":"2022","unstructured":"Foster C (2022) The need for quality self-management support in cancer care. BMJ Qual Saf 31(1):1\u20134. https:\/\/doi.org\/10.1136\/bmjqs-2021-013366","journal-title":"BMJ Qual Saf"},{"issue":"5","key":"11040_CR14","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1093\/jnci\/djaa083","volume":"113","author":"D Howell","year":"2021","unstructured":"Howell D, Mayer DK, Fielding R, Eicher M, Verdonck-de Leeuw IM, Johansen C, Soto-Perez-de-Celis E, Foster C, Chan R, Alfano CM, Hudson SV (2021) Management of cancer and health after the clinic visit: a call to action for self-management in cancer care. JNCI J Natl Cancer Inst 113(5):523\u2013531. https:\/\/doi.org\/10.1093\/jnci\/djaa083","journal-title":"JNCI J Natl Cancer Inst"},{"issue":"1","key":"11040_CR15","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1038\/bjc.2012.554","volume":"108","author":"M Jefford","year":"2013","unstructured":"Jefford M, Rowland J, Grunfeld E, Richards M, Maher J, Glaser A (2013) Implementing improved post-treatment care for cancer survivors in England, with reflections from Australia, Canada and the USA. Br J Cancer 108(1):14\u201320. https:\/\/doi.org\/10.1038\/bjc.2012.554","journal-title":"Br J Cancer"},{"issue":"1","key":"11040_CR16","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16010014","volume":"16","author":"B Rimmer","year":"2023","unstructured":"Rimmer B, Brown MC, Sotire T, Beyer F, Bolnykh I, Balla M, Richmond C, Dutton L, Williams S, Araujo-Soares V, Finch T (2023) Characteristics and components of self-management interventions for improving quality of life in cancer survivors: a systematic review. Cancers 16(1):14. https:\/\/doi.org\/10.3390\/cancers16010014","journal-title":"Cancers"},{"issue":"4","key":"11040_CR17","doi-asserted-by":"publisher","first-page":"389","DOI":"10.3109\/00365521.2010.545832","volume":"46","author":"HJN Andreyev","year":"2011","unstructured":"Andreyev HJN, Wotherspoon A, Denham JW, Hauer-Jensen M (2011) \u201cPelvic radiation disease\u201d: new understanding and new solutions for a new disease in the era of cancer survivorship. Scand J Gastroenterol 46(4):389\u2013397. https:\/\/doi.org\/10.3109\/00365521.2010.545832","journal-title":"Scand J Gastroenterol"},{"key":"11040_CR18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2025.102895","volume":"76","author":"A Biran","year":"2025","unstructured":"Biran A, Dobson C, Rees CJ, Brooks-Pearson R, Cunliffe A, Durrant LA, Ludlow H, Hancock J, Pedley I, Neilson LJ, Wilson A (2025) Healthcare provision for cancer survivors with chronic bowel symptoms post pelvic radiotherapy.\u201c\u2026 and then you\u2019re kind of cast adrift\u201d: a qualitative study. Eur J Oncol Nurs 76:102895. https:\/\/doi.org\/10.1016\/j.ejon.2025.102895","journal-title":"Eur J Oncol Nurs"},{"issue":"6","key":"11040_CR19","doi-asserted-by":"publisher","first-page":"1319","DOI":"10.1007\/s10508-012-0016-6","volume":"41","author":"SL Dworkin","year":"2012","unstructured":"Dworkin SL (2012) Sample size policy for qualitative studies using in-depth interviews. Arch Sex Behav 41(6):1319\u20131320. https:\/\/doi.org\/10.1007\/s10508-012-0016-6","journal-title":"Arch Sex Behav"},{"issue":"4","key":"11040_CR20","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676x.2019.1628806","volume":"11","author":"V Braun","year":"2019","unstructured":"Braun V, Clarke V (2019) Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Health 11(4):589\u2013597. https:\/\/doi.org\/10.1080\/2159676x.2019.1628806","journal-title":"Qual Res Sport Exerc Health"},{"key":"11040_CR21","doi-asserted-by":"publisher","unstructured":"Lawrie TA, Green JT, Beresford M, Wedlake L, Burden S, Davidson SE, Lal S, Henson CC, Andreyev HJ 2018. Interventions to reduce acute and late adverse gastrointestinal effects of pelvic radiotherapy for primary pelvic cancers.\u00a0Cochrane Database Systemat Rev, (1). https:\/\/doi.org\/10.1002\/14651858.CD012529.pub2","DOI":"10.1002\/14651858.CD012529.pub2"},{"issue":"6","key":"11040_CR22","doi-asserted-by":"publisher","first-page":"3061","DOI":"10.1007\/s00520-020-05810-5","volume":"29","author":"AS Islind","year":"2021","unstructured":"Islind AS, Johansson V, Vallo Hult H, Als\u00e9n P, Andreasson E, Angenete E, Gellerstedt M (2021) Individualized blended care for patients with colorectal cancer: the patient\u2019s view on informational support. Support Care Cancer 29(6):3061\u20133067. https:\/\/doi.org\/10.1007\/s00520-020-05810-5","journal-title":"Support Care Cancer"},{"key":"11040_CR23","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1016\/j.ejon.2015.08.005","volume":"20","author":"S Brown","year":"2016","unstructured":"Brown S, Greenfield D, Thompson J (2016) Knowledge and awareness of long-term and late treatment consequences amongst colorectal cancer survivors: a qualitative study. Eur J Oncol Nurs 20:191\u2013198. https:\/\/doi.org\/10.1016\/j.ejon.2015.08.005","journal-title":"Eur J Oncol Nurs"},{"key":"11040_CR24","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1016\/j.apergo.2018.03.010","volume":"70","author":"KC Madathil","year":"2018","unstructured":"Madathil KC, Greenstein JS (2018) An investigation of the effect of anecdotal information on the choice of a healthcare facility. Appl Ergon 70:269\u2013278. https:\/\/doi.org\/10.1016\/j.apergo.2018.03.010","journal-title":"Appl Ergon"},{"issue":"1","key":"11040_CR25","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1007\/s11764-021-01128-1","volume":"17","author":"RJ Chan","year":"2023","unstructured":"Chan RJ, Crawford-Williams F, Crichton M, Joseph R, Hart NH, Milley K, Druce P, Zhang J, Jefford M, Lisy K, Emery J (2023) Effectiveness and implementation of models of cancer survivorship care: an overview of systematic reviews. J Cancer Surviv 17(1):197\u2013221. https:\/\/doi.org\/10.1007\/s11764-021-01128-1","journal-title":"J Cancer Surviv"},{"issue":"2","key":"11040_CR26","doi-asserted-by":"publisher","first-page":"e351","DOI":"10.1634\/theoncologist.2019-0184","volume":"25","author":"RE Hill","year":"2020","unstructured":"Hill RE, Wakefield CE, Cohn RJ, Fardell JE, Brierley MEE, Kothe E, Jacobsen PB, Hetherington K, Mercieca-Bebber R (2020) Survivorship care plans in cancer: a meta-analysis and systematic review of care plan outcomes. Oncologist 25(2):e351\u2013e372. https:\/\/doi.org\/10.1634\/theoncologist.2019-0184","journal-title":"Oncologist"},{"key":"11040_CR27","doi-asserted-by":"publisher","DOI":"10.3310\/fdde8516","author":"G Velikova","year":"2022","unstructured":"Velikova G, Absolom K, Hewison J, Holch P, Warrington L, Avery K, Richards H, Blazeby J, Dawkins B, Hulme C, Carter R (2022) Electronic self-reporting of adverse events for patients undergoing cancer treatment: the eRAPID research programme including two RCTs. Programme Grants Appl Res. https:\/\/doi.org\/10.3310\/fdde8516","journal-title":"Programme Grants Appl Res"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-11040-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-11040-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-11040-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:47:44Z","timestamp":1792086464000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-11040-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,22]]},"references-count":27,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["11040"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-11040-y","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,22]]},"assertion":[{"value":"2 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Biran: Salary, while collecting data for this study, was paid from an unrestricted project grant from 3D\u2010 Matrix, held by LS & CJR and paid to institution.\u00a0Hancock: Received honoria payments as a speaker for 3\u2010D Matrix presenting experiences of clinical use of PuraStat. Payments were made to individual.\u00a0Rees: Received grant funding from ARC medical, Norgine. Medtronic, 3\u2010D Matrix solutions and Olympus medical; payments were made to institution. He was an expert witness for ARC medical and Olympus medical. Sharp: Received unrestricted project grant funding from 3\u2010D Matrix and Medtronic; payments were made to institution.\u00a0The remaining authors have no financial or non\u2010financial interests to declare.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"999"}}