Development and pre-testing of a rehabilitation planning consultation for head-and-neck cancer

Current oncology

J. Ringash²  I. Poon³  C. Dunphy⁴  S. McEwen⁵  A. Davis⁵  J. Norman Rios⁶  R. Martino⁶  J. Jones⁷  A. Lam⁸ 

[1] Sunnybrook Hospital;The University of Western Ontario;University Health Network, Princess Margaret Cancer Centre;University of Toronto;Sunnybrook Research Institute;University Health Network, Princess Margaret Cancer Centre;University Health Network, Toronto Western Research Institute;University of Toronto

关键词: Head-;    -neck cancer;    rehabilitation;    self-management;    cognitive strategy use;    intervention mapping;    program development;   

DOI  :  10.3747/co.24.3529

学科分类：肿瘤学

来源: Multimed, Inc.

【 摘 要 】

BackgroundIn contrast with other major chronic conditions such as heart disease and stroke, cancer care does not routinely integrate evidence-based rehabilitation services within the standard continuum. The objectives of the present project were to develop a rehabilitation planning consultation (rpc) for survivors of head-and-neck (hn) cancer, to test its feasibility, and to make refinements. MethodsUsing intervention mapping, the rpc-alpha was developed by examining potential theoretical methods and practical applications relative to the program objectives. During feasibility testing, a single case series was conducted with survivors of hn cancer who had completed their cancer treatment within the preceding 11 months; iterative refinements were made after each case. ResultsThe rpc-alpha was led by a rehabilitation professional and was based on self-management principles. The initial consultation included instruction in a global cognitive strategy, goal-setting, introduction to available resources, action planning, and coping planning. A follow-up consultation was conducted a few weeks later. Of 9 participants recruited, 5 completed post-intervention assessments. Participants reported that the rpc helped them to make rehabilitation plans. ConclusionsThe rpc was feasible to use and satisfactory to a small group of hn cancer survivors. A pilot test of the refined version is in process.

【 授权许可】

Unknown