Self-management strategies used by head and neck cancer survivors following completion of primary treatment: A directed content analysis

Psychooncology. 2017 Dec;26(12):2194-2200. doi: 10.1002/pon.4447. Epub 2017 May 26.

Abstract

Objective: Head and neck cancer (HNC) survivors encounter unique challenges following treatment. This study aimed to identify self-management strategies that HNC survivors use to overcome these posttreatment challenges.

Methods: Twenty-seven individuals from 4 designated cancer centres in Ireland were interviewed about self-management strategies that helped them overcome challenges following HNC treatment. Interviews were audio-recorded, transcribed, and analysed using directed content analysis.

Results: Twenty self-management strategy types (encompassing 77 specific strategies) were identified. The most frequently used self-management strategy types were self-sustaining (used by 26 survivors), self-motivating (n = 25), and proactive problem solving (n = 25). The most frequently used specific strategies were adaptive approaches to ongoing physical consequences of HNC and its treatment (n = 24), customising dietary practices (n = 24), and maintaining a positive outlook (n = 22).

Conclusions: The study identified strategies that helped HNC survivors to self-manage posttreatment challenges. This information could inform the design/development of self-management interventions tailored towards HNC survivors.

Keywords: cancer survivorship; head and neck cancer; psychosocial intervention development; qualitative; self-management.

MeSH terms

  • Adaptation, Physiological*
  • Adult
  • Aged
  • Cancer Survivors / psychology*
  • Female
  • Head and Neck Neoplasms / mortality
  • Head and Neck Neoplasms / psychology*
  • Humans
  • Interviews as Topic
  • Ireland
  • Male
  • Middle Aged
  • Motivation*
  • Qualitative Research
  • Self-Management* / methods
  • Self-Management* / psychology
  • Social Support
  • Survivors