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The role of social context in symptom appraisal and help-seeking among people with lung or colorectal symptoms: A qualitative interview study

Dobson, C.; Russell, A.; Brown, S.; Rubin, G.

Authors

C. Dobson

A. Russell

S. Brown

G. Rubin



Abstract

Prolonged diagnostic intervals are associated with poorer outcomes, and the patient interval appears to be a substantial contributor to the overall length of the diagnostic interval. This study sought to understand how the broader context of people's lives influenced symptom appraisal and help-seeking, comparing experiences by length of the patient interval. Patients referred with a suspicion of lung or colorectal cancer were invited to complete a questionnaire about their symptoms, with 26 respondents purposively sampled to take part in a semi-structured interview about their patient intervals. Embodied experience, appraisal, help-seeking decision-making and consultation were identified as component stages of the patient interval, with the factors affecting movement between these stages located in one of four contextual domains: individual experience, interpersonal relationships, healthcare system interactions and social and temporal context. The length of the patient interval was related to the type of symptom(s) experienced, discussion of symptoms with others and the social responsibilities people held during symptomatic periods. A contextual model of the patient interval illustrates the stages and domains of this interval, as grounded in the data from this study. The model has potential application to future studies examining the patient interval for a range of symptoms.

Journal Article Type Article
Acceptance Date Dec 9, 2017
Online Publication Date Feb 8, 2018
Publication Date 2018-03
Deposit Date Dec 11, 2017
Publicly Available Date Feb 9, 2019
Journal European Journal of Cancer Care
Print ISSN 0961-5423
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 27
Issue 2
Article Number e12815
DOI https://doi.org/10.1111/ecc.12815
Keywords cancer; diagnostic interval; help-seeking; patient interval; symptom appraisal
Public URL http://researchrepository.napier.ac.uk/Output/1018414
Contract Date Dec 11, 2017

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The role of social context in symptom appraisal and help-seeking among people with lung or colorectal symptoms: A qualitative interview study (296 Kb)
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Copyright Statement
This is the peer reviewed version of the following article: Dobson, C. M., Rubin, G., Russell, A. J., & Brown, S. (in press). The role of social context in symptom appraisal and help-seeking among people with lung or colorectal symptoms: a qualitative interview study. European journal of cancer care, ISSN 1365-2354, which has been published in final form at https://doi.org/10.1111/ecc.12815. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving


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Copyright Statement
This is the peer reviewed version of the following article: Dobson, C. M., Rubin, G., Russell, A. J., & Brown, S. (in press). The role of social context in symptom appraisal and help-seeking among people with lung or colorectal symptoms: a qualitative interview study. European journal of cancer care, ISSN 1365-2354, which has been published in final form at https://doi.org/10.1111/ecc.12815. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving







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