| Autor: |
Shinn, Eileen H., Garden, Adam S., Chen, Minxing, Basen‐Engquist, Karen, Fellman, Bryan, Hutcheson, Kate, Morrison, William H., Peterson, Susan, Li, Liang |
| Předmět: |
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| Zdroj: |
Head & Neck; Nov2024, Vol. 46 Issue 11, p2878-2889, 12p |
| 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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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