Self-management intervention improves patient adherence to swallowing exercises during radiation for head and neck cancer.

Autor: Shinn EH; Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA., Garden AS; Department of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA., Chen M; Department of Biostatistics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA., Basen-Engquist K; Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA., Fellman B; Department of Biostatistics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA., Hutcheson K; Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA., Morrison WH; Department of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA., Peterson S; Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA., Li L; Department of Biostatistics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Nov; Vol. 46 (11), pp. 2878-2889. Date of Electronic Publication: 2024 Jun 14.
DOI: 10.1002/hed.27832
Abstrakt: Background: While preventive swallowing exercises reduce the risk of radiation-associated dysphagia in patients with head and neck cancer, strategies are needed to improve patient adherence.
Methods: Before radiation, all participants were taught preventive swallowing exercises and randomized to either an adherence intervention or enhanced usual care. During radiation, all participants met twice with a speech pathologist for swallowing assessment and reinforcement of exercises. Intervention participants met weekly with a counselor in-person or by phone. At 6-week post-radiation follow-up, all participants completed a follow-up assessment of self-reported adherence, which was then corroborated with medical record documentation.
Results: Newly diagnosed pharyngeal and laryngeal cancer patients without distant metastases were randomized (n = 265; 135 to intervention, and 130 to usual care). Intervention participants were more likely to adhere to exercises during radiation compared to the control group (p < 0.0001).
Conclusion: The weekly in-person adherence intervention program significantly increased patient's adherence to preventive swallowing exercises during radiation.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
Externí odkaz: