{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T14:20:32Z","timestamp":1788618032723,"version":"build-2803163510"},"reference-count":29,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2015,6,10]],"date-time":"2015-06-10T00:00:00Z","timestamp":1433894400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:p>Cancer patients who live alone place specific importance on acting independently during treatment. We want to describe what it means to act independently and which strategies patients use to continue to act independently. We used a qualitative design, based on grounded theory. We interviewed 32 patients, 17 of them a second time. Patients who live alone defined acting independently in two different ways: It meant not only doing things alone but also using the help of others in a controlled way. These two meanings lead to two types of strategies. As treatment evolves, patients needed to change their preferred type of strategies to continue acting independently. Succeeding to change led to a feeling of mastery and success. However, failing to change led to struggling, whereby patients\u2019 needs became invisible. Health care providers should anticipate patients\u2019 inability to change strategies during cancer treatment, thereby preventing the patient\u2019s struggle from only becoming visible during crisis.<\/jats:p>","DOI":"10.1177\/1049732315590402","type":"journal-article","created":{"date-parts":[[2015,6,10]],"date-time":"2015-06-10T22:51:25Z","timestamp":1433976685000},"page":"1033-1043","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Acting Independently While Living Alone"],"prefix":"10.1177","volume":"25","author":[{"given":"Charlotte","family":"Benoot","sequence":"first","affiliation":[{"name":"Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reginald","family":"Deschepper","sequence":"additional","affiliation":[{"name":"Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Grypdonck","sequence":"additional","affiliation":[{"name":"University of Ghent, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlies","family":"Saelaert","sequence":"additional","affiliation":[{"name":"Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Bilsen","sequence":"additional","affiliation":[{"name":"Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,6,10]]},"reference":[{"key":"bibr1-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2007.11.005"},{"key":"bibr2-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1177\/1049732314543109"},{"key":"bibr3-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1111\/j.0022-2445.2004.00038.x"},{"key":"bibr4-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.112.1.39"},{"key":"bibr5-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.1617"},{"key":"bibr6-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1997.t01-25-00999.x"},{"key":"bibr7-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2008.0016"},{"key":"bibr8-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.23.2.207"},{"key":"bibr9-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.52.7564"},{"key":"bibr10-1049732315590402","volume-title":"The autonomy myth: A theory of dependency","author":"Fineman M.","year":"2004"},{"key":"bibr11-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1037\/a0021798"},{"key":"bibr12-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199606273342606"},{"key":"bibr13-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1177\/0164027511429808"},{"key":"bibr14-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.51.5080"},{"key":"bibr15-1049732315590402","volume-title":"Going solo: The extraordinary rise and surprising appeal of living alone","author":"Klinenberg E.","year":"2012"},{"key":"bibr16-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00139-8"},{"key":"bibr17-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025574626454"},{"key":"bibr18-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-011-0241-4"},{"key":"bibr19-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-005-3702-4"},{"key":"bibr20-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X10001169"},{"key":"bibr21-1049732315590402","unstructured":"QSR International Pty Ltd. (2008). NVivo qualitative data analysis software (Version 8) [Computer software]. Cambridge, MA: Author."},{"key":"bibr22-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(95)00540-4"},{"key":"bibr23-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1177\/0269216310373165"},{"key":"bibr24-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511488856"},{"key":"bibr25-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X03001193"},{"key":"bibr26-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24547"},{"key":"bibr27-1049732315590402","volume-title":"Basic qualitative research: Techniques and procedures for developing grounded theory","author":"Strauss A.","year":"1998","edition":"2"},{"key":"bibr28-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1177\/002214650404500106"},{"key":"bibr29-1049732315590402","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(92)90208-8"}],"container-title":["Qualitative Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732315590402","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1049732315590402","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732315590402","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:37:35Z","timestamp":1777685855000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049732315590402"}},"subtitle":["The Strategies and Struggles of Cancer Patients"],"short-title":[],"issued":{"date-parts":[[2015,6,10]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,8]]}},"alternative-id":["10.1177\/1049732315590402"],"URL":"https:\/\/doi.org\/10.1177\/1049732315590402","relation":{},"ISSN":["1049-7323","1552-7557"],"issn-type":[{"value":"1049-7323","type":"print"},{"value":"1552-7557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,10]]}}}