Evidence map›Paper›PMID 41699271›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Caregiver health literacy in head and neck cancer and its relationship with caregiver and patient psychological distress.

Nana-Hawwa Abdul-Rahman, Jymirah Morris, Stephen Glass, Katie M Carlson, Aileen Z Cui, Kelly R Tan, Jonas T Johnson, Angela L Mazul, Marci Lee Nilsen

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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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

1 citing paper in PubMed.

  1. Response to: "Caregiver health literacy in head and neck cancer and its relationship with caregiver and patient psychological distress".Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Nana-Hawwa Abdul-RahmanDepartment of Otolaryngology, School of Medicine, University of Pittsburgh, 203 Lothrop Street, Suite 500, Pittsburgh, PA, 15213, USA.
Jymirah MorrisWellstar Health System, Atlanta, USA.
Stephen GlassDepartment of Biostatistics, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
Katie M CarlsonDepartment of Otolaryngology, School of Medicine, University of Pittsburgh, 203 Lothrop Street, Suite 500, Pittsburgh, PA, 15213, USA.
Aileen Z CuiDepartment of Otolaryngology, School of Medicine, University of Pittsburgh, 203 Lothrop Street, Suite 500, Pittsburgh, PA, 15213, USA.
Kelly R TanDepartment of Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
Jonas T JohnsonDepartment of Otolaryngology, School of Medicine, University of Pittsburgh, 203 Lothrop Street, Suite 500, Pittsburgh, PA, 15213, USA.
Angela L MazulDepartment of Otolaryngology, School of Medicine, University of Pittsburgh, 203 Lothrop Street, Suite 500, Pittsburgh, PA, 15213, USA.
Marci Lee NilsenDepartment of Otolaryngology, School of Medicine, University of Pittsburgh, 203 Lothrop Street, Suite 500, Pittsburgh, PA, 15213, USA. mlf981@pitt.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDescribe caregiver health literacy and assess its association with mental health outcomes of head and neck (HNC) dyads.

methodsThis single institution cross-sectional cohort study involved 100 dyads from October 2020 to July 2021. Ordinary least squares regression was used to examine the association between caregiver health literacy using the Health Literacy of Caregivers Scale- Cancer (HLCS-C) and depression (PHQ-8), anxiety (GAD-7), quality of life (UW-QOL), and perceived stress (PSS) among caregivers and care recipients.

resultsHigher caregiver scores in the proactiveness domain were linked with lower caregiver PSS scores (β = -0.45, 95% confidence interval [CI]: -0.85 to -0.05). Higher caregiver self-care correlated with higher caregiver depression (β = 0.99, 95% CI: 0.72 to 1.27), anxiety (β = 0.76, 95% CI: 0.39-1.13), and perceived stress (β = 1.06, 95% CI: 0.63 to 1.50). Caregivers having sufficient information about cancer was linked to lower care recipient QOL [physical QOL (β = -3.08, 95% Cl: -4.84 to -1.33); socio-emotional QOL (β = -1.88, 95% CI: -3.54 to -0.22)] and higher care recipient depression (β = 0.80, 95% Cl: 0.18 to 1.41). Caregivers having higher social support was associated with lower care recipient depression (β = -0.59, 95% Cl: -1.12 to -0.07).

conclusionsOur findings suggest that caregiver health literacy may affect HNC mental health outcomes, with certain HLCS-C domains-self-care and adequate information- were linked to poorer outcomes. Encouraging a balanced information seeking behavior and strong social support among caregivers may lessen the psychological burden for both HNC caregivers and patients.

Indexed as

CaregiversHead and Neck NeoplasmsHealth LiteracyPsychological DistressStress, PsychologicalAdultAgedAnxietyCohort StudiesCross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedQuality of LifeAnxietyCaregiverDepressionHead and neck cancerHealth literacyPerceived stressPsychologic burdenQuality of life

Identifiers

PMID41699271

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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.