Treatment challenges and support needs of underserved Hispanic patients diagnosed with lung cancer and head-and-neck cancer

J Psychosoc Oncol. 2020 Jul-Aug;38(4):449-462. doi: 10.1080/07347332.2019.1705453. Epub 2020 Jan 10.

Abstract

Purpose: We explored the treatment challenges and support needs that Hispanic underserved lung cancer and head-and-neck cancer patients face while undergoing cancer treatment.Design: Qualitative design - ethnography.Sample: Using a sample of 29 participants, we conducted semi-structured interviews with nine lung cancer and head-and-neck cancer survivors and seven health care providers and focus group interviews with six caregivers and seven patient navigators.Method: Relevant themes were extracted with Ethnographic content analysis.Findings: Participants reported treatment challenges and support needs in four areas: medical, financial, socio-cultural, and mental health. Health care providers and navigators primarily identified medical and financial challenges that impact treatment adherence, while patients and caregivers expressed the need for support for mental health problems (i.e., depression, anxiety).Implications for psychosocial providers: Understanding the experiences of underserved Hispanic cancer survivors can aid in creating psychosocial interventions that successfully target treatment-related challenges and provide them with the support they need.

Keywords: Hispanic; disparities; head and neck cancers; lung cancer; treatment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Cancer Survivors / psychology*
  • Cancer Survivors / statistics & numerical data
  • Caregivers / psychology
  • Caregivers / statistics & numerical data
  • Female
  • Focus Groups
  • Head and Neck Neoplasms / ethnology*
  • Head and Neck Neoplasms / psychology
  • Head and Neck Neoplasms / therapy
  • Health Personnel / psychology
  • Health Personnel / statistics & numerical data
  • Hispanic or Latino / psychology*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Lung Neoplasms / ethnology*
  • Lung Neoplasms / psychology
  • Lung Neoplasms / therapy
  • Male
  • Middle Aged
  • Needs Assessment*
  • Qualitative Research
  • Social Support*
  • Vulnerable Populations / psychology*
  • Vulnerable Populations / statistics & numerical data