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      A qualitative systematic review of the social eating and drinking experiences of patients following treatment for head and neck cancer

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          Abstract

          Purpose

          Patients living with and beyond head and neck cancer (HNC) often have long-term, functional challenges as a result of treatment. A key functional challenge relates to eating and drinking; often associated with physical, emotional, and social difficulties. Eating and drinking with family members and friends can become a struggle, increasing the risk of social isolation and loneliness. This systematic review aims to identify and synthesise the literature on the experiences of social eating and drinking for patients following treatment for HNC.

          Methods

          Six electronic databases (Pubmed, Web of Science, CINAHL, EMBASE, PsychINFO, and Scopus) were systematically searched using subject headings and free-text word searches in February 2020. Citation chaining and Google Scholar were used to identify grey literature. PRISMA procedures were followed.

          Results

          Of 6910 records identified, 24 studies met the inclusion criteria. Synthesis of the research findings results in two major themes: (1) the experience of loss associated with social eating and drinking, and (2) adjusting and support to promote social eating and drinking.

          Conclusion

          Losses associated with social eating affect a patient’s psychological and emotional well-being and impact on close relationships. To promote positive participation in social eating, patients were more likely to seek and receive support from someone within their close social network, rather than a healthcare professional. Family and friends are an essential source of support and are integral in facilitating engagement with social eating following treatment for HNC. Future interventions should promote family orientated resources, incorporating self-management strategies.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s00520-021-06062-7.

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          Most cited references52

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          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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            Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis

            The value of qualitative evidence synthesis for informing healthcare policy and practice within evidence-based medicine is increasingly recognised. However, there is a lack of consensus regarding how to judge the methodological quality of qualitative studies being synthesised and debates around the extent to which such assessment is possible and appropriate. The Critical Appraisal Skills Programme (CASP) tool is the most commonly used tool for quality appraisal in health-related qualitative evidence syntheses, with endorsement from the Cochrane Qualitative and Implementation Methods Group. The tool is recommended for novice qualitative researchers, but there is little existing guidance on its application. This article considers issues related to the suitability and usability of the CASP tool for quality appraisal in qualitative evidence synthesis in order to support and improve future appraisal exercises framed by the tool. We reflect on our practical experience of using the tool in a systematic review and qualitative evidence synthesis. We discuss why it is worth considering a study’s underlying theoretical, ontological and epistemological framework and how this could be incorporated into the tool by way of a novel question. We consider how particular features of the tool may impact its interpretation, the appraisal results and the subsequent synthesis. We discuss how to use quality appraisal results to inform the next stages of evidence synthesis and present a novel approach to organising the synthesis, whereby studies deemed to be of higher quality contribute relatively more to the synthesis. We propose tool modifications, user guidance, and areas for future methodological research.
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              Commensality, society and culture

              C Fischler (2011)
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                Author and article information

                Contributors
                dornan-d@ulster.ac.uk
                Journal
                Support Care Cancer
                Support Care Cancer
                Supportive Care in Cancer
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0941-4355
                1433-7339
                1 March 2021
                1 March 2021
                2021
                : 29
                : 9
                : 4899-4909
                Affiliations
                [1 ]GRID grid.12641.30, ISNI 0000000105519715, School of Nursing, Institute of Nursing and Health Research, , Ulster University, ; Newtownabbey, UK
                [2 ]GRID grid.477972.8, Cancer Services and Ulster Hospital, , South Eastern Health and Social Care Trust, ; Belfast, UK
                [3 ]GRID grid.12641.30, ISNI 0000000105519715, School of Communication and Media, Institute of Nursing and Health Research, , Ulster University, ; Newtownabbey, UK
                [4 ]GRID grid.12641.30, ISNI 0000000105519715, School of Nursing, Institute of Nursing and Health Research, , Ulster University, ; Coleraine, UK
                Author information
                http://orcid.org/0000-0001-5387-0526
                https://orcid.org/0000-0002-4560-7637
                https://orcid.org/0000-0002-8585-2987
                Article
                6062
                10.1007/s00520-021-06062-7
                8295127
                33646367
                5a830d02-618e-43f2-88a6-d3f2ac4a5dba
                © Crown 2021

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 1 January 2021
                : 7 February 2021
                Funding
                Funded by: Department for the Economy (NI)
                Categories
                Review Article
                Custom metadata
                © Springer-Verlag GmbH Germany, part of Springer Nature 2021

                Oncology & Radiotherapy
                head and neck cancer,cancer survivorship,eating,social,systematic review
                Oncology & Radiotherapy
                head and neck cancer, cancer survivorship, eating, social, systematic review

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