دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Self-management intervention improves patient adherence to swallowing exercises during radiation for head and neck cancer.
المؤلفون: 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.
المصدر: Head & neck [Head Neck] 2024 Jun 14. Date of Electronic Publication: 2024 Jun 14.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley And Sons Country of Publication: United States NLM ID: 8902541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0347 (Electronic) Linking ISSN: 10433074 NLM ISO Abbreviation: Head Neck Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, NY : John Wiley And Sons
Original Publication: New York, NY : J. Wiley, c1989-
مستخلص: 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.)
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معلومات مُعتمدة: CA016672 United States CA NCI NIH HHS; NIDCR DE019141 United States DE NIDCR NIH HHS
فهرسة مساهمة: Keywords: adherence; coping; psychosocial; radiation; self‐management
تواريخ الأحداث: Date Created: 20240614 Latest Revision: 20240614
رمز التحديث: 20240614
DOI: 10.1002/hed.27832
PMID: 38873861
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-0347
DOI:10.1002/hed.27832