207 Exploring the experiences of rural and coastal people with lung cancer and their informal carers' in accessing and engaging in treatment: A qualitative interview study

Abstract

Introduction There are wide variations and inequalities in lung cancer care across the UK, but most research has focused on improving the quality of clinical services and less on individual-related factors. There is evidence to suggest that rural people with lung cancer may experience unique inequalities in care compared to their urban counterparts. Lincolnshire has some of the most deprived parts of the UK, particularly in rural and coastal areas, where people face considerable barriers to engaging with, and accessing cancer care. This study explores how rural patient and carer characteristics, and factors related to their location, interact to influence patients' capability, opportunity, and motivation to engage with their recommended treatment pathway. Methods A qualitative interview study with people diagnosed with lung cancer <6 months (target n = 30) from diagnosis (in receipt of surgery, radical radiotherapy or living with advanced disease) and informal carers (target n = 15-30) who live in Lincolnshire. Results Data collection is underway. Themes surrounding the perceived barriers and facilitators impacting rural lung cancer patients' engagement in symptom investigation, diagnosis, and treatment will be identified. Preliminary conversations with patients and carers suggest barriers including the absence of a specialist medical workforce, significant travel distances for treatment, and poor transport infrastructure may impact on patient engagement. Factors influencing patient capability, opportunity, and motivation to engage with their care pathway will be explored. Further results and analyses will be presented and contrasted with data from a parallel study from urban North-East London. Conclusion By identifying and understanding the contextual factors that may impact upon lung cancer patients' engagement in treatment, we can develop patient-orientated care and support that is tailored to the needs of rural people with lung cancer. The findings will be used to inform an interactive support tool intended to enhance lung cancer patients' engagement with their recommended pathway. Disclosure Prof Michael D Peake is a Specialist Clinical Advisor to Cancer Research UK who have funded the study.