{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T20:29:19Z","timestamp":1785356959124,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,7,18]],"date-time":"2018-07-18T00:00:00Z","timestamp":1531872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001593","name":"Irish Cancer Society","doi-asserted-by":"publisher","award":["SRP13GAL, MRCG\/2013\/11"],"award-info":[{"award-number":["SRP13GAL, MRCG\/2013\/11"]}],"id":[{"id":"10.13039\/501100001593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Active self\u2010management practices may help head and neck cancer (HNC) survivors to deal with challenges to their physical, functional, social, and psychological well\u2010being presented by HNC and its treatment. This study investigates the factors perceived by HNC survivors to act as barriers to their active self\u2010management following primary treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this qualitative study, 27 HNC survivors identified through 4 designated cancer centres in Ireland participated in face\u2010to\u2010face semistructured interviews. Interviews were audio\u2010recorded, transcribed, and analysed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four themes (and associated subthemes) describing barriers to survivors' active self\u2010management were identified: <jats:italic>emotional barriers<\/jats:italic> (eg, fear of recurrence), <jats:italic>symptom\u2010related barriers<\/jats:italic> (eg, loss of taste), <jats:italic>structural barriers<\/jats:italic> (eg, access to appropriate health services), and <jats:italic>self\u2010evaluative barriers<\/jats:italic> (eg, interpersonal self\u2010evaluative concerns).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first study to describe HNC survivors' views about barriers to their active self\u2010management after treatment. The findings have important implications for self\u2010management research and intervention development concerning HNC survivorship.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4835","type":"journal-article","created":{"date-parts":[[2018,6,30]],"date-time":"2018-06-30T01:40:19Z","timestamp":1530322819000},"page":"2382-2388","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Barriers to active self\u2010management following treatment for head and neck cancer: Survivors' perspectives"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3655-7647","authenticated-orcid":false,"given":"Simon","family":"Dunne","sequence":"first","affiliation":[{"name":"School of Nursing and Human Sciences Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Coffey","sequence":"additional","affiliation":[{"name":"Department of Psychology Maynooth University  Maynooth Co. Kildare Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Sharp","sequence":"additional","affiliation":[{"name":"Institute of Health and Society Newcastle University  Newcastle UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aileen","family":"Timmons","sequence":"additional","affiliation":[{"name":"National Cancer Registry Ireland  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deirdre","family":"Desmond","sequence":"additional","affiliation":[{"name":"Department of Psychology Maynooth University  Maynooth Co. Kildare Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Gooberman\u2010Hill","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"University College Cork Dental School and Hospital  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Keogh","sequence":"additional","affiliation":[{"name":"Academic Department of Oto Rhino Laryngology National University of Ireland Galway  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conrad","family":"Timon","sequence":"additional","affiliation":[{"name":"Head and Neck Cancer Programme St. James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Gallagher","sequence":"additional","affiliation":[{"name":"School of Nursing and Human Sciences Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00032-0"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2601_01"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2004.08.004"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20093"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2015.01.010"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21579"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.419"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029940"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.01.007"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(03)90399-1"},{"issue":"4","key":"e_1_2_7_12_1","first-page":"155","article-title":"Psychological distress and head and neck cancer: Part 1\u2014review of the literature","volume":"6","author":"Haman KL","year":"2008","journal-title":"J Support Oncol"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4109"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4447"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2012.00785.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/101053950701900309"},{"issue":"3","key":"e_1_2_7_17_1","first-page":"152","article-title":"What are the perceived barriers that prevent patients with lymphoedema from continuing optimal skin care?","volume":"19","author":"James S","year":"2011","journal-title":"Wound Practice & Research"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1074840714520716"},{"key":"e_1_2_7_19_1","first-page":"281","article-title":"Collins KMT. 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