Research Output

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

  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.

  • Type:

    Article

  • Date:

    08 February 2018

  • Publication Status:

    Published

  • DOI:

    10.1111/ecc.12815

  • ISSN:

    0961-5423

  • Library of Congress:

    RC Internal medicine

  • Dewey Decimal Classification:

    616 Diseases

  • Funders:

    Durham University; Evaluation, Research and Development Unit (ERDU) PhD Studentship

Citation

Dobson, C., Russell, A., Brown, S., & Rubin, G. (2018). 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, 27(2), https://doi.org/10.1111/ecc.12815

Authors

Keywords

cancer; diagnostic interval; help-seeking; patient interval; symptom appraisal

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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

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    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

  • docx

    The role of social context in symptom appraisal and help-seeking ...

    295KB

    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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