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Barriers to active self‐management following treatment for head and neck cancer: Survivors' perspectives
Dunne, Simon; Coffey, Laura; Sharp, Linda; Timmons, Aileen Mary; Desmond, Deirdre; Gooberman-Hill, Rachael; O'Sullivan, Eleanor; Keogh, Ivan; Timon, Conrad; Gallagher, Pamela
Objective: Active self‐management practices may help head and neck cancer (HNC) survivors to deal with challenges to their physical, functional, social, and psychological well‐being presented by HNC and its treatment. This study investigates the factors perceived by HNC survivors to act as barriers to their active self‐management following primary treatment. Methods: In this qualitative study, 27 HNC survivors identified through 4 designated cancer centres in Ireland participated in face‐to‐face semistructured interviews. Interviews were audio‐recorded, transcribed, and analysed using thematic analysis. Results: Four themes (and associated subthemes) describing barriers to survivors' active self‐management were identified: emotional barriers (eg, fear of recurrence), symptom‐related barriers (eg, loss of taste), structural barriers (eg, access to appropriate health services), and self‐evaluative barriers (eg, interpersonal self‐evaluative concerns). Conclusions: This is the first study to describe HNC survivors' views about barriers to their active self‐management after treatment. The findings have important implications for self‐management research and intervention development concerning HNC survivorship.
Keyword(s): cancer; cancer survivorship; head and neck cancer; oncology; psycho‐oncology; qualitative; self‐management
Publication Date:
Type: Journal article
Peer-Reviewed: Yes
Institution: Maynooth University
Citation(s): Dunne, Simon and Coffey, Laura and Sharp, Linda and Timmons, Aileen Mary and Desmond, Deirdre and Gooberman-Hill, Rachael and O'Sullivan, Eleanor and Keogh, Ivan and Timon, Conrad and Gallagher, Pamela (2018) Barriers to active self‐management following treatment for head and neck cancer: Survivors' perspectives. Psycho-Oncology, 27 (10). pp. 2382-2388. ISSN 1099-1611
Publisher(s): Wiley
File Format(s): other
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First Indexed: 2020-04-02 06:03:28 Last Updated: 2020-04-02 06:03:28