Exploring familial psychosocial support needs following an adolescent and young adult cancer diagnosis: a mixed methods study

Apply and key information  

This project is funded by:

    • Department for the Economy (DfE)
    • Vice Chancellor's Research Scholarship (VCRS)

Summary

A cancer diagnosis during adolescence and young adulthood is associated with a range of experienced adverse psychological, social and developmental outcomes (5, 7-11). Whilst this growing body of research makes a considerable contribution to our current understanding of the psychological impact of cancer and the various factors that are associated with it, significant gaps in our understanding still remain, which hinders the development of policy and interventions to help support AYAs (adolescents and young adults) and their families. There is an AYA Cancer Service Network in Ireland (12), yet in NI there are currently no age-appropriate psychological support services for AYAs with cancer and their families (13). The need for developing effective psychosocial support services for AYACS (adolescents and young adult cancer survivors) is a vital element to improve psychological wellbeing, QoL and resilience amongst this group (5, 10), but the development of such services must be evidence-based. Despite research highlighting the importance of family support for AYAs with cancer, a significant limitation is that most research focuses on AYAs individual needs (5). The family provides an ecosystem of support, but little is known about the ways that families provide support and help AYACS navigate the transition from adolescence into young adulthood (6).

This proposed mixed-methods study will provide an opportunity towards identifying and generating recommendations for psychological support services for families of AYACS. The study will build upon and extend a current study that is exploring the psychosocial needs of AYACS across the island of Ireland. The study aims to identify familial impact and support needs during and following an AYAs cancer diagnosis. Specifically, the core objectives are to determine the impact of cancer diagnosis upon family; explore current familial support services and identify need; assess what role family plays in supporting AYAs with cancer; and develop partnerships with key stakeholders to make available robust evidence to inform policy and practice regionally.

AccessNI clearance required

Please note, the successful candidate will be required to obtain AccessNI clearance prior to registration due to the nature of the project.

Essential criteria

Applicants should hold, or expect to obtain, a First or Upper Second Class Honours Degree in a subject relevant to the proposed area of study.

We may also consider applications from those who hold equivalent qualifications, for example, a Lower Second Class Honours Degree plus a Master’s Degree with Distinction.

In exceptional circumstances, the University may consider a portfolio of evidence from applicants who have appropriate professional experience which is equivalent to the learning outcomes of an Honours degree in lieu of academic qualifications.

  • Experience using research methods or other approaches relevant to the subject domain
  • A comprehensive and articulate personal statement
  • A demonstrable interest in the research area associated with the studentship
  • Evidence of academic writing skills (a short sample of academic written work of the applicant's choosing (Max 3 pages, A4, font 11)) – please upload in the section entitled Research Proposal

Desirable Criteria

If the University receives a large number of applicants for the project, the following desirable criteria may be applied to shortlist applicants for interview.

  • First Class Honours (1st) Degree
  • Work experience relevant to the proposed project
  • Publications record appropriate to career stage
  • A demonstrable interest in or experience of using open science methods

Equal Opportunities

The University is an equal opportunities employer and welcomes applicants from all sections of the community, particularly from those with disabilities.

Appointment will be made on merit.

Funding and eligibility

This project is funded by:

  • Department for the Economy (DfE)
  • Vice Chancellor's Research Scholarship (VCRS)

Our fully funded PhD scholarships will cover tuition fees and provide a maintenance allowance of £19,237 (tbc) per annum for three years (subject to satisfactory academic performance).  A Research Training Support Grant (RTSG) of £900 per annum is also available.

These scholarships, funded via the Department for the Economy (DfE) and the Vice Chancellor’s Research Scholarships (VCRS), are open to applicants worldwide, regardless of residency or domicile.

Applicants who already hold a doctoral degree or who have been registered on a programme of research leading to the award of a doctoral degree on a full-time basis for more than one year (or part-time equivalent) are NOT eligible to apply for an award.

Due consideration should be given to financing your studies.

Recommended reading

1. Department of Health. (2022). A Cancer Strategy for Northern Ireland 2022-2032. In www.health- ni.gov.uk. https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-cancer- strategy-march-2022.pdf
2. Patton, C. G. (2007). Pubertal transitions in health. Lancet, 369(9567), 1130-1139. https://doi.org/10.1016/S0140-6736(07)60366-3
3. Warner, E. L., Kent, E. E., Trevino, K. M., Parsons, H., Zebrack, B., & Kirchhoff, A. C. (2016). Social well-being among adolescents and young adults with cancer: A systematic review. Cancer, 122(7), 1029–1037. https://doi.org/10.1002/cncr.29866
4. Wolfe, J., & Rosenberg. (2013). Palliative care for adolescents and young adults with cancer. Clinical Oncology in Adolescents and Young Adults, 41. https://doi.org/10.2147/coaya.s29757
5. McDonnell, G. A., Shuk, E., & Ford, J. S. (2018). A qualitative study of adolescent and young adult cancer survivors’ perceptions of family and peer support. Journal of Health Psychology, 25(5), 713–726. https://doi.org/10.1177/1359105318769366
6. Huang, I., Jones, C. S., Srivastava, D. K., Hudson, M. M., Robison, L. L., & Krull, K. R. (2017). Association between health status and social integration/loneliness in survivors of adolescent and young adult (AYA) cancers. Journal of Clinical Oncology, 35(15_suppl), e21563. https://doi.org/10.1200/jco.2017.35.15_suppl.e21563
7. Barrett, P., Mullen, L., & McCarthy, T. (2020). Enduring psychological impact of childhood cancer on survivors and their families in Ireland: A national qualitative study. European Journal of Cancer Care, 29(5). https://doi.org/10.1111/ecc.13257
8. Docherty, S. L., Kayle, M., Maslow, G., & Santacroce, S. J. (2015). The Adolescent and Young Adult with Cancer: A Developmental Life Course Perspective. Seminars in Oncology Nursing, 31(3), 186–196. https://doi.org/10.1016/j.soncn.2015.05.006
9. Hall, A., Boyes, A., Bowman, J. A., Walsh, R. A., James, E. L., & Girgis, A. (2012). Young adult cancer survivors’ psychosocial well-being: a cross-sectional study assessing quality of life, unmet needs, and health behaviors. Supportive Care in Cancer, 20(6), 1333–1341. https://doi.org/10.1007/s00520-011-1221-x
10. Foster, R. H., Brouwer, A. M., Dillon, R., Bitsko, M. J., Godder, K., & Stern, M. (2017). “Cancer was a speed bump in my path to enlightenment:” A qualitative analysis of situational coping experiences among young adult survivors of childhood cancer. Journal of Psychosocial Oncology, 35(4), 377–392. https://doi.org/10.1080/07347332.2017.1292575
11. Itzep, N. Roth, M. (2022). Psychosocial Distress Due to Interference of Normal Developmental Milestones in AYAs with Cancer. Children, 9(3), 309. https://doi.org/10.3390/children9030309
12. Health Executive Ireland. (2022). Framework for the Care and Support of Adolescents and Young Adults (AYA) with Cancer in Ireland 2021-2026. National Cancer Control Programme.
13. Cable, M. (Ed.). (2022). Teenage and young adult cancer service review stakeholder event. Department of Health.

The Doctoral College at Ulster University

Key dates

Submission deadline
Monday 3 February 2025
04:00PM

Interview Date
10-12th March 2025

Preferred student start date
15th September 2025

Applying

Apply Online  

Contact supervisor

Dr Kelly Norwood