{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:23:09Z","timestamp":1787761389616,"version":"build-2784847793"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:00:00Z","timestamp":1786233600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010398","name":"Metro South Health","doi-asserted-by":"publisher","award":["Project Grant RSS 2023 008"],"award-info":[{"award-number":["Project Grant RSS 2023 008"]}],"id":[{"id":"10.13039\/100010398","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT2008097"],"award-info":[{"award-number":["GNT2008097"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT 2034453"],"award-info":[{"award-number":["GNT 2034453"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>There is a paucity of evidence exploring the experiences and care needs for First Nations Australians with head and neck cancer (HNC). The aim of the study was to explore the journey of HNC diagnosis, treatment, and early recovery for patients and carers to inform service improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting, Participants and Design<\/jats:title>\n                    <jats:p>\n                      First Nations HNC patient and carer (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919) experiences were explored qualitatively through Yarning. Data was analysed using reflexive thematic analysis, with First Nations researcher involvement embedded in all stages of data collection and analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Key themes identified included: Strengths and protective factors; Coordination of care; Quality and continuity of care; Cultural safety; Communication and information; Cultural connectedness in hospital; and Gaps in health system support. The Strengths and protective factors theme was noted to be interwoven throughout the other themes and supported participants as a safety net during their care. Practical recommendations to the HNC care pathway were also offered under each theme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The seven themes identified provided insights into the HNC care experiences for First Nations Australians. These findings and participant recommendations will inform a co\u2010design process to create an optimised care pathway.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajr.70238","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T04:44:13Z","timestamp":1786337053000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Head and Neck Cancer Care Experiences of First Nations Australians: Insights From Patients and Carers"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9264-1335","authenticated-orcid":false,"given":"Stephanie","family":"Ng","sequence":"first","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Centre for Functioning and Health Research Metro South Hospital and Health Service  Brisbane Queensland Australia"},{"name":"Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6507-8157","authenticated-orcid":false,"given":"Tamara","family":"Butler","sequence":"additional","affiliation":[{"name":"Yardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research College of Law, Governance and Policy Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5744-7757","authenticated-orcid":false,"given":"Rebecca","family":"Packer","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Centre for Functioning and Health Research Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8689-6260","authenticated-orcid":false,"given":"Joanne","family":"Tesiram","sequence":"additional","affiliation":[{"name":"Princess Alexandra Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4341-4480","authenticated-orcid":false,"given":"Lynette","family":"Koina","sequence":"additional","affiliation":[{"name":"Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Healthcare Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6984-739X","authenticated-orcid":false,"given":"Kalisha","family":"Soe","sequence":"additional","affiliation":[{"name":"Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Healthcare Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2680-8978","authenticated-orcid":false,"given":"Elizabeth C.","family":"Ward","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Centre for Functioning and Health Research Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5065-5716","authenticated-orcid":false,"given":"Gail","family":"Garvey","sequence":"additional","affiliation":[{"name":"First Nations Cancer and Wellbeing Program, School of Public Health The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7537-2402","authenticated-orcid":false,"given":"Bena","family":"Brown","sequence":"additional","affiliation":[{"name":"Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Healthcare Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-020-00224-3"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11060906"},{"key":"e_1_2_12_4_1","volume-title":"Head and Neck Cancers in Australia","author":"Australian Institute of Health and Welfare","year":"2014"},{"key":"e_1_2_12_5_1","unstructured":"Yoorrook Justice Commission \u201cThe Impacts of Colonisation \u201d(2026) https:\/\/www.yoorrook.org.au\/history\/the\u2010impacts\u2010of\u2010colonisation."},{"key":"e_1_2_12_6_1","volume-title":"Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice","author":"Australian Government","year":"2014"},{"key":"e_1_2_12_7_1","volume-title":"Cancer in Aboriginal & Torres Strait Islander People of Australia","author":"Australian Institute of Health and Welfare","year":"2018"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13138"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-11-460"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-023-11002-1"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000051"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/JGO.19.00109"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2009.tb02569.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192416947"},{"key":"e_1_2_12_15_1","volume-title":"Optimal Care Pathway for Aboriginal and Torres Strait Islander People With Cancer","author":"Cancer Australia","year":"2018"},{"key":"e_1_2_12_16_1","volume-title":"Optimal Care Pathway for People With Head and Neck Cancer","author":"Cancer Council Victoria and Department of Health Victoria","year":"2021"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119880234"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-022-01738-w"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.13311"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.5204\/ijcis.v3i1.57"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334419830990"},{"key":"e_1_2_12_23_1","unstructured":"Queensland Government \u201cInteresting Facts About Queensland \u201d(2017) https:\/\/www.qld.gov.au\/about\/about\u2010queensland\/statistics\u2010facts\/facts."},{"key":"e_1_2_12_24_1","unstructured":"Australian Bureau of Statistics \u201cSnapshot of Quensland: High Level Summary Data for Queensland in 2021 \u201d(2022) https:\/\/www.abs.gov.au\/articles\/snapshot\u2010qld\u20102021."},{"key":"e_1_2_12_25_1","unstructured":"Australian Bureau of Statistics \u201cQueensland: Aboriginal and Torres Strait Islander Population Summary \u201d(2022) https:\/\/www.abs.gov.au\/articles\/queensland\u2010aboriginal\u2010and\u2010torres\u2010strait\u2010islander\u2010population\u2010summary."},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18147281"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000671"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6086894"},{"key":"e_1_2_12_30_1","article-title":"The Healthcare Experiences of People With Head and Neck Cancer and Associated Communication Changes: An Interpretative Phenomenological Study","volume":"5","author":"Checklin M.","year":"2025","journal-title":"Qualitative Health Research"},{"issue":"3","key":"e_1_2_12_31_1","article-title":"Unmet Supportive Care Needs Among Indigenous Cancer Patients Across Australia","volume":"19","author":"Bernardes C. M.","year":"2019","journal-title":"Rural and Remote Health"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13242"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3900"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27037"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.12990"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajco.14179"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18126193"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12687"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-019-1082-3"},{"key":"e_1_2_12_40_1","volume-title":"Cultural Competency in the Delivery of Health Services for Indigenous People","author":"Bainbridge R.","year":"2015"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06430-3"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.70238","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajr.70238","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.70238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:42:01Z","timestamp":1787758921000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.70238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":40,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/ajr.70238"],"URL":"https:\/\/doi.org\/10.1111\/ajr.70238","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-03-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70238"}}