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dc.contributor.authorTurner, Jane
dc.contributor.authorYates, Patsy
dc.contributor.authorKenny, Lizbeth
dc.contributor.authorGordon, Louisa G
dc.contributor.authorBurmeister, Bryan
dc.contributor.authorHughes, Brett GM
dc.contributor.authorMcCarthy, Alexandra L
dc.contributor.authorPerry, Chris
dc.contributor.authorChan, Raymond J
dc.contributor.authorPaviour, Alana
dc.contributor.authorSkerman, Helen
dc.contributor.authorBatstone, Martin
dc.contributor.authorMackenzie, Lisa
dc.date.accessioned2021-05-20T01:13:51Z
dc.date.available2021-05-20T01:13:51Z
dc.date.issued2019
dc.identifier.issn0941-4355
dc.identifier.doi10.1007/s00520-019-04748-7
dc.identifier.urihttp://hdl.handle.net/10072/388051
dc.description.abstractPurpose: A randomised controlled trial was conducted to evaluate the effectiveness of a nurse-delivered Head and Neck Cancer Survivor Self-Management Care Plan (HNCP) for patients who had completed treatment for head and neck cancer (HNC). Methods: Ten oncology nurses were trained to deliver the HNCP. The HNCP consisted of one face-to-face hour-long meeting in which the patient’s treatment was recorded, as were contact details of health professionals involved in their care and follow-up schedules. Patients were guided to nominate up to three goals for their future well-being and assisted to devise an action plan to achieve these. The HNCP was given to the patient and a copy was forwarded to their primary care physician. One hundred and nine patients were randomised after definitive curative intent treatment, 36 to HNCP, 36 to receive information about survivorship, and 37 to usual care. The primary outcome, analysed by intention-to-treat, was change in quality of life measured by the FACT-H&N from baseline to 6-month follow-up. Results: Quality of life of all groups decreased at 3 months but was close to baseline at 6 months. Compared with the usual care group, the only statistically significant mean difference at 6 months was for the information group on the physical well-being domain (mean difference 0.4, 95% − 1.8, 2.6, p < 0.05). Conclusions: A single-session nurse-delivered intervention is insufficient to improve the quality of life in HNC survivors compared with usual care. Provision of detailed written information about HNC survivorship is associated with improved physical well-being.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofpagefrom4627
dc.relation.ispartofpageto4637
dc.relation.ispartofjournalSupportive Care in Cancer
dc.relation.ispartofvolume27
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.subject.keywordsHead and neck cancer
dc.subject.keywordsSelf-management
dc.subject.keywordsSurvivorship
dc.titleThe ENHANCES study: a randomised controlled trial of a nurse-led survivorship intervention for patients treated for head and neck cancer
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationTurner, J; Yates, P; Kenny, L; Gordon, LG; Burmeister, B; Hughes, BGM; McCarthy, AL; Perry, C; Chan, RJ; Paviour, A; Skerman, H; Batstone, M; Mackenzie, L, The ENHANCES study: a randomised controlled trial of a nurse-led survivorship intervention for patients treated for head and neck cancer, Supportive Care in Cancer, 2019, 27, pp. 4627–4637
dcterms.dateAccepted2019-03-12
dc.date.updated2019-10-04T02:29:40Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2019 Springer Berlin/Heidelberg. This is an electronic version of an article published in Supportive Care in Cancer, 2019, 27, pp. 4627–4637. Supportive Care in Cancer is available online at: http://link.springer.com/ with the open URL of your article.
gro.hasfulltextFull Text
gro.griffith.authorMcCarthy, Alexandra L.
gro.griffith.authorChan, Ray


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