Information Needs of Patients with Head and Neck Cancer and Their Supports in Relation to Treatment Management Choices: A Scoping Review (Preprint)

Abstract

BACKGROUND Advances in research and modes of information delivery provide new opportunities to access medical information. Despite this, patient information needs on head and neck cancer (HNC) treatment are not sufficiently met. OBJECTIVE The aim is to investigate: (1) information content required for patients with HNC and their caregivers to support confident decisions about their treatment; (2) information needs by role (e.g., patient, caregiver) and (3) the preferred format or mode of information delivery. Results will be used to inform the development and testing of a decision aid for this patient population. METHODS A scoping review was conducted using the Arksey and O’Malley, and Levac, Colquhoun, and O’Brien framework. The search was carried out in four databases and limited to the English language between 2012 and the search date of September 20, 2022. RESULTS 10,495 publications were identified with 30 articles suitable for data extraction. High information needs included: details of the diagnosis, purpose and risks of medical procedures, treatment options, strategies for eating and speaking during and after treatment, lifestyle guidelines for survivorship, and facts about the human papilloma virus. Moderate information needs included: the physical and psychological domains of post-treatment, strategies to improve communication with healthcare providers, and nutrition. Information needs of HNC patients and caregivers evolved through the phases of treatment, highlighting the needs for relevant information to support collaborative decision making with their healthcare providers. Caregiver needs were underrepresented but more information on stress reduction strategies for the patient, how to play a role in treatment decisions, and where to obtain the best medical care for the patient was identified. The preferred mode of delivery for information varied and reflected the age, gender, and country of the sample populations. CONCLUSIONS Information needs of HNC patients, and their caregivers are not being met to a satisfactory level evidenced by the breadth of outstanding needs. Healthcare providers must consider evolving patient and caregiver information needs, addressing concerns on an individual basis to support shared decision-making. Tools are needed to support information delivery that is acceptable to patients and caregivers.