Needs Assessment Tool Integrated in Clinical Practice of Head and Neck Cancer Rehabilitation (NEAT)

Rigshospitalet

Status: Completed

Conditions: Head and Neck Neoplasms

Treatments: Other: Needs assesment tool integrated in nursing consultation.

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT03443258

05781

Details and patient eligibility

About

The study tests a needs assessment and decision-making tool with patients who are in need of rehabilitation after surgery for Head and Neck Cancer. The purpose is to enhance patient involvement in decision-making.

Full description

The study tests a needs assessment and decision-making tool with patients surgically treated for Head and Neck Cancer. The tool will be an integrated part of a new clinical practice with nursing consultations at three seperate time-points in the post-surgical period of the patients. Half of the participants will receive nursing consultations using the tool and the other half will receive standard care.

Enrollment: 93 patients

Sex: All

Ages: 16+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of Head and Neck Cancer
• Stage T3 or T4
• Surgically treated
• Must be able to speak and understand Danish

Exclusion criteria

• Treated surgically for thyroid or parotic cancers
• Referred to adjuvant radio - or chemotherapy
• Having an unstable psychiatric illness.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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93 participants in 2 patient groups

Intervention Group (IG)

Experimental group

Description:

Patients receive needs assessment tool integrated in nursing consultation in accordance with requirements by Danish Health and Medicine Board follow-up program for HNC patients. The consultation consists of 6 steps 1. Welcoming patient; 2. Introducing patient to assessment tool; 3. Discuss symptoms and concerns patient wishes to discuss; 4. Follow up on patients symptoms, concerns and emotional reactions/problems; 5. Accompany/support patient during appointment with surgeon and in cooperation with patient and surgeon ensure that problems arising from the tool needing medical attention are focused on; 6. Continue the consultation after appointment with surgeon; refer patient to multi-disciplinary team members when needed

Treatment:

Other: Needs assesment tool integrated in nursing consultation.

Control Group (CG)

No Intervention group

Description:

CG will receive standard care according to the Danish Health and Medicine Board's follow-up program for HNC patients. At present this is done by a staff nurse interviewing the patient, who is a member of the rehabilitation team who perform nursing consultations. The interview takes place after the appointment with the surgeon. The nurse refers the patient to physical rehabilitation if needed