Research into unmet needs in older populations with cancer is crucial because existing studies often overlook these groups and fail to capture their unique experiences and challenges. Addressing these gaps is essential to improve quality of life and reduce psychological distress, particularly in those diagnosed with lung cancer, who face a higher burden of unmet needs than other cancer diagnoses.
Objective: To explore the unmet needs of older people with lung cancer and understand their perceptions and experiences of healthcare, social support, and daily living in one of Australia’s most culturally diverse communities.
Sample and Setting: Eligible participants were aged 70+ with lung cancer.
Methods: A descriptive qualitative study was conducted from January 2023 to May 2024 in one of Australia’s most culturally diverse health districts. Data collection occurred through face-to-face semi-structured interviews, which was audio-recorded and transcribed. Recruitment concluded after no new themes were identified. Data was analysed thematically and reported using the COREQ checklist.
Results: Seventeen participants (mean age 80.4 years), including 10 from Culturally and Linguistically Diverse backgrounds, were interviewed. Four themes, including eight subthemes, were identified. Main themes included: 1) The complexity of ageing, frailty and chronicity in cancer care, 2) Navigating uncertainty: The emotional and practical challenges of ageing and cancer, and the role of adaptation and resilience, 3) Significance of family or carer support, and 4) Amplification of unmet health literacy needs and its impact on informational needs and shared decision-making.
Conclusion: Clinicians caring for older people with lung cancer must recognise the compounding challenges of ageing, chronic conditions and poor health literacy, which contribute to psychological distress. These complexities underscore the need for comprehensive geriatric oncology approaches that address the heterogeneous needs of older people. Understanding the role of family support is vital for ensuring older adults are supported throughout their cancer journey.