Personal Social Networks and Care-Seeking for Head and Neck Cancer: A Qualitative Study.

care-seeking head and neck cancer social networks support timely care

Journal

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
ISSN: 1097-6817
Titre abrégé: Otolaryngol Head Neck Surg
Pays: England
ID NLM: 8508176

Informations de publication

Date de publication:
11 Dec 2023
Historique:
revised: 31 10 2023
received: 31 08 2023
accepted: 08 11 2023
pubmed: 11 12 2023
medline: 11 12 2023
entrez: 11 12 2023
Statut: aheadofprint

Résumé

To investigate the role of patients' personal social networks (SNs) in accessing head and neck cancer (HNC) care through patients' and health care workers' (HCWs) perspectives. Qualitative study. Tertiary HNC centers at 2 academic medical centers, including 1 safety net hospital. Patients with newly diagnosed HNC, and HCWs caring for HNC patients, aged ≥18 years were recruited between June 2022 and July 2023. Semistructured interviews were conducted with both patients and HCWs. Inductive and deductive thematic analysis was performed with 2 coders (κ = 0.82) to analyze the data. The study included 72 participants: 42 patients (mean age 57 years, 64% female, 81% white), and 30 HCWs (mean age 42 years, 77% female, 83% white). Four themes emerged: (1) Patients' SNs facilitate care through various forms of support, (2) patients may hesitate to seek help from their networks, (3) obligations toward SNs may act as barriers to seeking care, and (4) the SN composition and dedication influence care-seeking. Personal SNs play a vital role in prompting early care-seeking among HNC patients. SN-based interventions could enhance care and improve outcomes for HNC patients.

Identifiants

DOI: 10.1002/ohn.602 PMID: 38079157
pubmed: 38079157
doi: 10.1002/ohn.602
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation.

Références

Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023;73(1):17-48. doi:10.3322/caac.21763
Glen P, Botha E. Early detection and prevention of head and neck cancers. Br Dent J. 2022;233(9):726-730. doi:10.1038/s41415-022-5198-2
Murphy CT, Galloway TJ, Handorf EA, et al. Survival impact of increasing time to treatment initiation for patients with head and neck cancer in the United States. J Clin Oncol. 2016;34(2):169-178. doi:10.1200/JCO.2015.61.5906
Xiao R, Ward MC, Yang K, et al. Increased pathologic upstaging with rising time to treatment initiation for head and neck cancer: a mechanism for increased mortality. Cancer. 2018;124(7):1400-1414. doi:10.1002/cncr.31213
Liao DZ, Schlecht NF, Rosenblatt G, et al. Association of delayed time to treatment initiation with overall survival and recurrence among patients with head and neck squamous cell carcinoma in an underserved urban population. JAMA Otolaryngol Head Neck Surg. 2019;145(11):1001-1009. doi:10.1001/jamaoto.2019.2414
Dayan GS, Bahig H, Johnson-Obaseki S, et al. Oncologic significance of therapeutic delays in patients with oral cavity cancer. JAMA Otolaryngol Head Neck Surg. 2023;149:961. doi:10.1001/jamaoto.2023.1936
Kroenke CH. A conceptual model of social networks and mechanisms of cancer mortality, and potential strategies to improve survival. Transl Behav Med. 2018;8(4):629-642. doi:10.1093/tbm/ibx061
Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci. 2015;10(2):227-237. doi:10.1177/1745691614568352
Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2010;7(7):e1000316. doi:10.1371/journal.pmed.1000316
Alonzo AA. The impact of the family and lay others on care-seeking during life-threatening episodes of suspected coronary artery disease. Soc Sci Med. 1986;22(12):1297-1311. doi:10.1016/0277-9536(86)90093-6
Prust M, Halm A, Nedelcu S, Nieves A, Dhand A. Head-to-head comparison of social network assessments in stroke survivors. Neurohospitalist. 2021;11(1):18-24. doi:10.1177/1941874420945889
Office of the Surgeon General. Our Epidemic of Loneliness and Isolation: The U.S. Surgeon General's Advisory on the Healing Effects of Social Connection and Community. Office of the U.S. Surgeon General, U.S. Department of Health and Human Services. 2023; 85. Accessed July 29, 2023. https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf
Queenan JA, Gottlieb BH, Feldman-Stewart D, Hall SF, Irish J, Groome PA. Symptom appraisal, help seeking, and lay consultancy for symptoms of head and neck cancer. Psychooncology. 2018;27(1):286-294. doi:10.1002/pon.4458
Scott SE, Grunfeld EA, Main J, McGurk M. Patient delay in oral cancer: a qualitative study of patients' experiences. Psychooncology. 2006;15(6):474-485. doi:10.1002/pon.976
Howren MB, Christensen AJ, Hynds Karnell L, Van Liew JR, Funk GF. Influence of pretreatment social support on health-related quality of life in head and neck cancer survivors: results from a prospective study. Head Neck. 2013;35(6):779-787. doi:10.1002/hed.23029
Penedo FJ, Traeger L, Benedict C, et al. Perceived social support as a predictor of disease-specific quality of life in head-and-neck cancer patients. J Support Oncol. 2012;10(3):119-123. doi:10.1016/j.suponc.2011.09.002
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357. doi:10.1093/intqhc/mzm042
Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Methods. 2006;5(1):80-92. doi:10.1177/160940690600500107
Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods. 2017;16(1):160940691773384. doi:10.1177/1609406917733847
Roberts K, Dowell A, Nie JB. Attempting rigour and replicability in thematic analysis of qualitative research data; a case study of codebook development. BMC Med Res Methodol. 2019;19:66. doi:10.1186/s12874-019-0707-y
National Academies of Sciences, Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Health and Medicine Division; Board on Behavioral, Cognitive, and Sensory Sciences; Board on Health Sciences Policy; Committee on the Health and Medical Dimensions of Social Isolation and Loneliness in Older Adults. Social Isolation and Loneliness in Older Adults: Opportunities for the Health Care System. National Academies Press; 2020. Accessed July 29, 2023. https://www.ncbi.nlm.nih.gov/books/NBK557966/

Auteurs

Sana Batool (S)

Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
ORCID: 0000-0002-9300-9172

Elisabeth E Hansen (EE)

Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School; Division of Otolaryngology-Head and Neck Surgery, Brigham and Women's Hospital; Center for Head and Neck Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA.
Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School and Massachusetts Eye and Ear, Boston, Massachusetts, USA.

Rosh K V Sethi (RKV)

Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School; Division of Otolaryngology-Head and Neck Surgery, Brigham and Women's Hospital; Center for Head and Neck Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA.

Eleni M Rettig (EM)

Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School; Division of Otolaryngology-Head and Neck Surgery, Brigham and Women's Hospital; Center for Head and Neck Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA.

Laura A Goguen (LA)

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School; Division of Otolaryngology-Head and Neck Surgery, Brigham and Women's Hospital; Center for Head and Neck Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA.

Donald Annino (D)

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School; Division of Otolaryngology-Head and Neck Surgery, Brigham and Women's Hospital; Center for Head and Neck Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA.

Ravindra Uppaluri (R)

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School; Division of Otolaryngology-Head and Neck Surgery, Brigham and Women's Hospital; Center for Head and Neck Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA.

Heather A Edwards (HA)

Department of Otolaryngology, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.

Daniel L Faden (DL)

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School and Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Department of Otolaryngology, Boston Medical Center, Boston, United States.

Daniel Dohan (D)

Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, USA.

Amar Dhand (A)

Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Network Science Institute, Northeastern University, Boston, Massachusetts, USA.

Amanda J Reich (AJ)

Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Regan W Bergmark (RW)

Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School; Division of Otolaryngology-Head and Neck Surgery, Brigham and Women's Hospital; Center for Head and Neck Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA.
ORCID: 0000-0003-3249-4343

Classifications MeSH