Patient experience of oncological supportive care quality: Mixed-methods study at Dar Zhor Patient Association, Morocco.

408 Background: Supportive care remains in its embryonic stage in Morocco. Despite favorable conditions for cancer supportive care development outlined in Morocco's National Cancer Prevention and Control Plan (2020-2029), integration into standard treatments remains limited and not covered by insurance. Few specialized centers or associations provide supportive care. Dar Zhor Patient Association is among the rare organizations offering oncological supportive care services. Methods: This study adopts a mixed method comprising quantitative survey (164 patients “all beneficiaries from January 2024-February 2025”) and qualitative components (20 participants: 6 patients, 6 caregivers, 8 professionals). Questionnaires assessed perceived supportive care impact across for physical dimensions using a 5-point scale ("not felt at all" to "too much felt"): pain, fatigue, daily task, and sleep disturbances. Semi-structured interviews explored lived experiences. Ethical approval was obtained from Casablanca Faculty of Medicine (n°01/25). Results: Significant improvement occurred across all assessed symptoms. Severe pain decreased from 42% to 6.7% of patients. Severe fatigue dropped from 51.2% to 5.5%. The proportion of patients reporting severe difficulties with daily task accomplishment reduced significantly from 40% to 6%. Severe sleep disturbances decreased from approximately 40% to 12.8%. Qualitative analysis revealed that adapted physical activities (yoga, Chi Kung, Tai Chi), and nutritional counseling specifically contributed to these improvements. Conclusions: Supportive care demonstrates significant positive impact on cancer patients' physical health. The general symptom transition from "severely felt" to "slightly felt" or "not felt" demonstrates this integrative approach's effectiveness, supporting supportive care integration into oncological care pathways to improve patient quality of life. Comparison of main physical impact on patients before and after supportive care. Symptoms Not felt at all Not felt Slightly felt Moderately felt Too much felt Pain before 5.5% 9.8% 13.4% 29.3% 42.1% Pain after 7.3% 29.9% 38.4% 17.7% 6.7% Fatigue before 0.6% 6.1% 11.0% 30.5% 51.8% Fatigue after 3.7% 31.7% 42.1% 17.1% 5.5% Daily tasks before 1.8% 9.8% 22.6% 26.2% 39.6% Daily tasks after 6.7% 34.8% 32.3% 20.1% 6.1% Sleep disturbance before 13.4% 11.6% 17.1% 18.3% 39.6% Sleep disturbance after 17.7% 31.1% 25.6% 12.8% 12.8%