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Integrating self-management into daily life following primary treatment: head and neck cancer survivors’ perspectives

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Abstract

Background

Self-management may help cancer survivors to better deal with challenges to their physical, functional, social and psychological well-being presented by cancer and its treatment. Nonetheless, little is known about how people integrate cancer self-management practices into their daily lives. The aim of this study was to describe and characterise the processes through which head and neck cancer (HNC) survivors attempt to integrate self-management into their daily lives following primary treatment.

Methods

Using a purposeful critical case sampling method, 27 HNC survivors were identified through four designated cancer centres in Ireland and participated in face-to-face semi-structured interviews. Interviews were audio-recorded, transcribed and analysed using thematic analysis.

Results

Six themes describing HNC survivors’ attempts to integrate self-management into their lives following treatment were identified: grappling with having to self-manage, trying out self-management strategies, becoming an expert self-manager, struggling to integrate self-management strategies into daily life, avoiding recommended self-management and interpreting self-management.

Conclusions

This is the first study to describe HNC survivors’ attempts to integrate self-management into their daily lives following primary treatment. The findings indicate that HNC survivors exhibit highly individualised approaches to self-management integration and abandon self-management strategies that fail to meet their own specific needs.

Implications for Cancer Survivors

Survivors may benefit from skills training and structured support to assist their transition between in-patient care and having to self-manage after primary treatment, and/or ongoing support to deal with persistent and recurring challenges such as eating difficulties and fear of recurrence.

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Acknowledgements

We would like to thank the participants and Fiona Bradley, Carol Brennan, Annemarie Farrelly and Marie Manning for their assistance in recruitment.

Funding

This study was funded by the Irish Cancer Society and the Health Research Board in Ireland under Grant No. SRP13GAL, MRCG/2013/11. AT was also supported by a grant from the Health Research Board (ICE/2012/9).

Author information

Authors and Affiliations

  1. School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland

    Simon Dunne & Pamela Gallagher

  2. Department of Psychology, Maynooth University, Co. Kildare, Ireland

    Laura Coffey & Deirdre Desmond

  3. Institute of Health and Society, Newcastle University, Newcastle, UK

    Linda Sharp

  4. School of Clinical Sciences, University of Bristol, Bristol, UK

    Rachael Gooberman-Hill

  5. University College Cork Dental School and Hospital, Cork, Ireland

    Eleanor O’Sullivan

  6. National Cancer Registry Ireland, Cork, Ireland

    Aileen Timmons

  7. Academic Department of Oto Rhino Laryngology, National University of Ireland Galway, Galway, Ireland

    Ivan Keogh

  8. Head and Neck Cancer Programme, St. James’s Hospital, Dublin, Ireland

    Conrad Timon

Authors
  1. Simon Dunne
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  2. Laura Coffey
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  3. Linda Sharp
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  4. Deirdre Desmond
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  5. Rachael Gooberman-Hill
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  6. Eleanor O’Sullivan
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  7. Aileen Timmons
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  8. Ivan Keogh
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  9. Conrad Timon
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  10. Pamela Gallagher
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Corresponding author

Correspondence to Pamela Gallagher.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. We received formal ethical approval for the study from the following institutions in Ireland: Galway University Hospitals (Merlin Park University Hospital Clinical REC_C.A.1100); South/South West Hospital Group (UCC Clinical REC_ECM_4_(bbb)_03/06/14); St. James’s Hospital, Dublin (SJH/AMNCH REC Reference: 2014/05/Chairman’s_Action), Royal Victoria Eye and Ear Hospital, Dublin (RVEEH REC_25/06/14).

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Informed consent was obtained from all individual participants included in the study.

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Dunne, S., Coffey, L., Sharp, L. et al. Integrating self-management into daily life following primary treatment: head and neck cancer survivors’ perspectives. J Cancer Surviv 13, 43–55 (2019). https://doi.org/10.1007/s11764-018-0726-4

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  • DOI: https://doi.org/10.1007/s11764-018-0726-4

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