Evaluation of a Survivorship Needs Assessment Planning Tool for Head and Neck Cancer Survivor-caregiver Dyads

Overview

Journal J Cancer Surviv

Specialty Oncology

Date 2019 Jan 16

PMID 30645719

Citations 11

Authors

Katherine R Sterba

Kent Armeson

Jane Zapka

Megan A Scallion

Tiffany K Garris

Evan M Graboyes

Kenneth Ruggiero

Terry A Day

Affiliations

Soon will be listed here.

Abstract

Purpose: The objectives of this study were to test the acceptability and feasibility of a survivorship needs assessment planning (SNAP) tool for head and neck cancer (HNC) survivors and caregivers, evaluate short-term changes in psychosocial outcomes after completing the SNAP session, and develop strategies for system refinement.

Methods: We used a prospective one-group design and mixed methods with HNC survivors and caregivers (N = 25 dyads). Participants completed baseline and 6-week surveys before and after completing a SNAP clinic visit to assess psychosocial outcomes and acceptability. Intervention sessions included tablet-based needs assessments driving tailored care plans. Dyads' open-ended feedback and clinician interviews (N = 12) evaluated acceptability and feasibility.

Results: SNAP data collection time burden and technology challenges were minimal, and care plans included messages (M = 19), educational materials (M = 13), and referrals (M = 4.5; 86% behavioral medicine, 77% nutrition, 65% physical therapy). Participants reported high satisfaction with the session and care plan, highlighting the key strengths of pulling complex medical information together and the focus on caregiver well-being, with multiple suggestions to facilitate clinic workflow. Depression and unmet needs decreased and survivorship knowledge increased significantly in survivors and caregivers (p < .05) over the 6-week period.

Conclusions: The SNAP tool is an innovative technology-based survivor-centered strategy to assess and manage needs in HNC survivors and caregivers. Results support its acceptability and ability to address dyads' needs; the tool merits further testing in a clinical trial.

Implications For Cancer Survivors: Technology-enabled care planning may be a productive way to assess and address HNC dyads' dynamic needs after treatment.

Citing Articles

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Health Literacy and Adherence to Clinical Recommendations in Head and Neck Cancer.

Harley R, Atchison K, Li J, Losego K, Wasserman-Wincko T, Johnson J Health Lit Res Pract. 2023; 7(1):e52-e60.

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Psychological Survivorship in Head and Neck Cancer.

Lane C, Higgins R, Goyal N Semin Plast Surg. 2023; 37(1):46-52.

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Interventions for head and neck cancer survivors: Systematic review.

Margalit D, Salz T, Venchiarutti R, Milley K, McNamara M, Chima S Head Neck. 2022; 44(11):2579-2599.

PMID: 35848095 PMC: 9796901. DOI: 10.1002/hed.27142.

A pilot randomized controlled trial to evaluate a survivorship care planning intervention for head and neck cancer survivor-caregiver dyads.

Sterba K, Armeson K, Zapka J, Garrett-Mayer E, Scallion M, Wall T J Cancer Surviv. 2022; 18(2):398-411.

PMID: 35761129 DOI: 10.1007/s11764-022-01227-7.

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