Evidence map›Paper›PMID 33420906›Full record

ArticleJournal of cancer survivorship : research and practice2021

Health literacy impacts self-management, quality of life and fear of recurrence in head and neck cancer survivors.

Nicholas Clarke, Simon Dunne, Laura Coffey, Linda Sharp, Deirdre Desmond, Jean O'Conner, Eleanor O'Sullivan, Conrad Timon, Claire Cullen, Pamela Gallagher

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Article in Journal of cancer survivorship : research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
10.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Factors associated with self-care engagement among oesophageal and gastric cancer survivors: a population-based cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  6. Differential patterns of health-related quality of life among low- and high-income cancer survivors in South Korea: a latent class analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  14. The citizen perspective on challenges and rehabilitation needs among individuals treated for head and neck cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  18. Influencing factors of self-management behavior in cancer patients based on a theoretical domain framework.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2023
    Article
  19. Factors associated with quality of life among patients with a newly diagnosed oral cavity and oropharyngeal cancer.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Nicholas ClarkeSchool of Psychology, Dublin City University, Dublin, Ireland. Nicholas.clarke@dcu.ie.ORCID 0000-0001-8666-5449
Simon DunneSchool of Psychology, Dublin City University, Dublin, Ireland.
Laura CoffeyDepartment of Psychology and Assisting Living and Learning Institute, Maynooth University, Maynooth, Co. Kildare, Ireland.
Linda SharpPopulation Health Sciences Institute, Newcastle University Centre for Cancer, Newcastle University, Newcastle, UK.
Deirdre DesmondDepartment of Psychology and Assisting Living and Learning Institute, Maynooth University, Maynooth, Co. Kildare, Ireland.
Jean O'ConnerNational Cancer Registry Ireland, Building 6800, Cork Airport Business Park, Kinsale Road, Cork, Ireland.
Eleanor O'SullivanUniversity College Cork Dental School and Hospital, Cork, Ireland.
Conrad TimonHead and Neck Cancer Programme, St. James's Hospital, Dublin, Ireland.
Claire CullenSchool of Nursing, Psychotherapy and Community Health, DCU, Dublin, Ireland.
Pamela GallagherSchool of Psychology, Dublin City University, Dublin, Ireland.
Dublin City University · IENational University of Ireland, Maynooth · IENational Cancer Registry · IENewcastle University · GBSt. James's Hospital · IEUniversity College Cork · IE

Funding

Health Research Board MRCG/2013/11
6 · The paper itself

Abstract

purposeLittle is known about whether health literacy is associated with affects certain key outcomes in head and neck cancer (HNC) survivors. We investigated (i) the socio-demographic and clinical profile of health literacy and (ii) associations among between health literacy and self-management behaviours, health-related quality of life (HRQL) and fear of recurrence (FoR) in HNC survivors.

methodsA population-based survey was conducted in Ireland. Health literacy was assessed using a validated single-item question. Socio-demographic, clinical and psychosocial outcome variables (FoR, self-management behaviours, HRQL) were collected. Multivariable linear regression was performed to estimate associations between health literacy and each psychosocial outcome.

resultsThree hundred ninety-five (50%) individuals responded to the survey. Inadequate health literacy was evident among 47% of the sample. In adjusted models, HNC survivors with inadequate health literacy had significantly lower levels of self-management behaviours in the domains of health-directed behaviour, positive and active engagement in life, self-monitoring and insight, constructive attitudes and approaches and skills and technique acquisition. Inadequate health literacy was independently associated with lower functional well-being and HNC disease-specific HRQL. FoR was also significantly higher among those with inadequate health literacy.

conclusionsHNC survivors with inadequate health literacy have lower levels of self-management behaviours, lower functional HRQL and increased FoR compared to those with adequate health literacy. IMPLICATIONS FOR CANCER SURVIVORS: Clinicians, healthcare providers and those developing interventions should consider how inadequate health literacy among HNC survivors might affect post-treatment outcomes when developing services and providing support for this group.

Indexed as

Cancer SurvivorsHead and Neck NeoplasmsHealth LiteracySelf-ManagementFearHumansQuality of LifeSurvivorsFear of recurrenceHead and neck cancerHealth literacyHealth-related quality of lifePsycho-oncologySelf-management

Identifiers

PMID33420906
OpenAlexW3119686349

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.