Speaking legibly: Qualitative perceptions of altered voice among oral tongue cancer survivors.
Objective: Treatment for oral tongue cancer poses unique challenges to restoring and maintaining personally acceptable, intelligible speech. Methods: We report how oral tongue cancer survivors describe their speech after treatment in a qualitative descriptive approach using constant comparative tech...
| Published in: | Asia-Pacific Journal of Oncology Nursing Vol. 2; no. 4; pp. 250 - 257 |
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| Main Authors: | , |
| Format: | research Journal Article |
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Asian Oncology Nursing Society
Oct-Dec2015
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112626281&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112626281 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23475625 JDH1 jtl: Asia-Pacific Journal of Oncology Nursing issn: 23475625 maglogo: N pubinfo: dt: Oct-Dec2015 vid: 2 iid: 4 pid: 67856 pub: Asian Oncology Nursing Society artinfo: ui: 112626281 112626281 112626281 10.4103/2347-5625.158020 112626281 ppf: 250 ppct: 7 formats: tig: atl: Speaking legibly: Qualitative perceptions of altered voice among oral tongue cancer survivors. aug: au: Philiponis, Genevieve Kagan, Sarah H. affil: School of Medicine, Temple University, Philadelphia sug: subj: Deglutition Tongue Physiology Speech Intelligibility Tongue Neoplasms Cancer Survivors Speech Perception Speech Patient Centered Care Grounded Theory Constant Comparative Method Child Data Analysis Data Collection Thematic Analysis Qualitative Studies Content Analysis Quantitative Studies Prospective Studies Interviews Validity Child: 6-12 years ab: Objective: Treatment for oral tongue cancer poses unique challenges to restoring and maintaining personally acceptable, intelligible speech. Methods: We report how oral tongue cancer survivors describe their speech after treatment in a qualitative descriptive approach using constant comparative technique to complete afocal analysis of interview data from a larger grounded theory study of oral tongue cancer survivorship. Interviews were completed with 16 tongue cancer survivors 3 months to 12 years postdiagnosis with stage I-IV disease and treated with surgery alone, surgery and radiotherapy, or chemo-radiation. All interview data from the main study were analyzed for themes describing perceptions of speech as oral tongue cancer survivors. Results: Actual speech impairments varied among survivors. None experienced severe impairments that inhibited their daily lives. However, all expressed some level of concern about speech. Concerns about altered speech began when survivors heard their treatment plans and continued through to survivorship without being fully resolved. The overarching theme, maintaining a pattern and character of speech acceptable to the survivor, was termed "speaking legibly" using one survivor's vivid in vivo statement. Speaking legibly integrate the sub-themes of "fears of sounding unusual," "learning to talk again," "problems and adjustments," and "social impact." Conclusions: Clinical and scientific efforts to further understand and address concerns about speech, personal presentation, and identity among those diagnosed with oral tongue are important to improving care processes and patient-centered experience. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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