“…In addition to often facing disfigurement, daily functioning can be impacted in such critical ways as breathing, communication, and swallowing impairments (Jacobi, van der Molen, Huiskens, van Rossum, & Hilgers, 2010; Murphy & Deng, 2015; Ringash, 2015; So et al, 2012). An emerging body of evidence using varied HNC populations and study designs has begun to characterize the physical and emotional well-being of patients (Chandu, Smith, & Rogers, 2006; Funk, Karnell, & Christensen, 2012; Howren, Christensen, Karnell, & Funk, 2013; Murphy, Ridner, Wells, & Dietrich, 2007; Rogers et al, 2009). In addition to highlighting challenging treatment effects, this research has emphasized unique difficulties some patients face with tobacco and alcohol addictions (Hashibe et al, 2007) and managing complex follow-up care (National Comprehensive Cancer Network, 2016).…”