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Although several studies have highlighted the importance of hope in different contexts, its specific manifestations in the realm of advanced chronic illness need further exploration. In this study, we sought to elucidate the intricate interplay between the construct of hope and the lived experience of advanced chronic illness within patient-caregiver dyads. Our objectives were (a) to explore the dyadic experience of hope as a changing dynamic over time for patients living with advanced chronic illness and their informal caregivers and (b) to evaluate variations of hope and symptom burden across time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a longitudinal mixed-methods study with a convergent design between December 2020 and April 2021. Patients living with advanced chronic illness and informal caregivers participated as a dyad (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098). The Herth Hope Index scale was used to measure dyads' level of hope and the Edmonton Symptom Assessment System was used to measure patients\u2019 symptom burden. Descriptive statistics were undertaken. A thematic analysis as described by Braun and Clarke was conducted to analyze dyadic interview data. Dyads' experience of hope was described by using the six dimensions of hope in the Model of Hope of Dufault and Martocchio.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Dyadic scores of hope and patients' symptom burden were stable over time. The constructs of hope in dyads included \u201cLiving one day at the time,\u201d \u201cHaving inner force\/strength,\u201d and \u201cMaintaining\u00a0good health.\u201d Changes in patterns of hope were captured for each dyad in their transition over time. Data converged for all dyads except one.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings of our study show a constant presence of hope even in the face of adversity. Healthcare professionals must find ways to promote hope in dyads of patients living with advanced chronic diseases. Nurses play a pivotal role; dyadic interviews should be promoted to create a safe space for both patients and informal caregivers in order to share experiences. More research is needed to address patients' and informal caregivers' hope in chronic illness because current hope-based interventions primarily target cancer diagnoses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12904-024-01528-x","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T08:03:03Z","timestamp":1723622583000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The experience of hope in dyads living with advanced chronic illness in Portugal: a longitudinal mixed-methods study"],"prefix":"10.1186","volume":"23","author":[{"given":"Filipa Baptista Peixoto","family":"Befecadu","sequence":"first","affiliation":[]},{"given":"Maria","family":"Gon\u00e7alves","sequence":"additional","affiliation":[]},{"given":"Cl\u00e1udia","family":"Fernandes","sequence":"additional","affiliation":[]},{"given":"Carlos","family":"Laranjeira","sequence":"additional","affiliation":[]},{"given":"Maria","family":"dos Anjos Dixe","sequence":"additional","affiliation":[]},{"given":"Ana","family":"Querido","sequence":"additional","affiliation":[]},{"given":"Sophie","family":"Pautex","sequence":"additional","affiliation":[]},{"given":"Philip J.","family":"Larkin","sequence":"additional","affiliation":[]},{"given":"Gora","family":"Da Rocha Rodrigues","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"1528_CR1","unstructured":"World Health Organisation. 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