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dc.contributor.authorHumphris, Gerry
dc.contributor.authorDicks, Corrie
dc.contributor.authorRogers, Simon N.
dc.contributor.authorKanatas, Anastastios
dc.contributor.authorLowe, Derek
dc.contributor.authorMcHale, Calum T.
dc.identifier.citationHumphris , G , Dicks , C , Rogers , S N , Kanatas , A , Lowe , D & McHale , C T 2023 , ' Concerns raised by people treated for head and neck cancer : a secondary analysis of audiotaped consultations in a health services follow-up clinic ' , Supportive Care in Cancer , vol. 31 , no. 10 , 608 .
dc.identifier.otherORCID: /0000-0002-4601-8834/work/146464238
dc.description.abstractPurpose People treated for head and neck cancer (HNC) face various barriers in communicating concerns with consultants. Our aim was to investigate the number of concerns raised between patients using the Patient Concerns Inventory (PCI) and those who did not. The PCI is a 57-item prompt list used in routine HNC follow-up clinics. Additionally, we aimed to examine whether who initiated the concerns differed between groups and the factors that may predict this initiation. Methods   Secondary data analysis included 67 participants across 15 HNC consultants from specialist cancer centres in Liverpool and Leeds. Seven consultants utilised the PCI and eight did not, assigned by preferential and random assignment. Results   Patients in the PCI group raised on average 2.5 more concerns than patients in the non-PCI group (p < .001). There was no significant relationship between group and who initiated the first concern (p = .28). A mixed-effects logistic regression was found to significantly predict who initiated the first concern in consultations (p < .05). Discussion   The number of concerns raised by patients increased when the PCI was introduced pre-HNC consultation. A number of factors were shown to predict the number of concerns raised in consultations by both patient and consultant. As concerns may not be raised further following the concern mentioned, we propose that the discussion of concerns needs to be maintained by the clinician throughout the consultation and not solely at the start. Conclusion   The PCI promoted the sharing of concerns in follow-up consultations between patient and consultant.
dc.relation.ispartofSupportive Care in Canceren
dc.subjectPrompt sheetsen
dc.subjectPsychological interventionen
dc.subjectCoding transcriptsen
dc.subjectMulti-level modellingen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleConcerns raised by people treated for head and neck cancer : a secondary analysis of audiotaped consultations in a health services follow-up clinicen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.description.statusPeer revieweden

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