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May 29, 2026Journal of Adolescent and Young Adult Oncology

Through Both Lenses: Patient–Clinician Dynamics in Serious Illness Conversations for Young Adults with Advanced Cancer

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Authors

BLBethany LockwoodRHRachael HawthornLRLaura J. Rush

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Overview

Mixed methods study explores young adults' and clinicians' perspectives on serious illness conversations, stressing the need for tailored communication.

Key Points

  • This study examines the perspectives of young adults with advanced cancer and clinicians on serious illness conversations and their barriers and facilitators.
  • Prospective, cross-sectional mixed methods design
  • Surveyed 98 participants: 39 young adults with advanced cancer and 59 clinicians
  • Integrated qualitative data for comprehensive understanding of advance care planning and palliative care
  • 49% of young adults were uncertain about advance care planning
  • 59% of young adults had limited knowledge of palliative care, equating it largely with end-of-life care
  • Common barriers to serious illness conversations included emotional toll and time limits, with conversation initiation as a key facilitator.

Cite This Study

Lockwood et al. (2026) studied this question.

synapsesocial.com/papers/6a192d13fab5b468c4415e76https://doi.org/10.1177/21565333261451813
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