Development and evaluation of a holistic surgical head and neck cancer post-treatment follow-up clinic using touchscreen technology – feasibility study

Cherith Semple, Declan Lannon, Eiad Qudairat, Eilis McCaughan, Robert McCormac

Research output: Contribution to journalArticle

Abstract

The efficacy of traditional follow-up care is being challenged, as cancer survivors’ supportive and psychological needs are often neither identified, nor addressed. This study’s aim was to develop a holistic surgical follow-up clinic for oral and oropharyngeal cancer patients were participants completed a disease-specific HRQOL tool (UWQOLv4) and item prompt list (PCI) on a touchscreen computer. Information generated was used to focus the consultation on patient’s identified needs and concerns. By means of a prospective non-randomized, pre-test post-test design, this follow-up clinic was evaluated using the Patient Enablement Instrument and Patient Content Checklist. Feasibility was explored from the patient perspective (satisfaction survey) and clinician perspective (qualitative interview). Forty-four consecutive patients were recruited. Findings demonstrating five of the eight topics (overall QOL, emotions, head and neck symptoms, side-effects of treatment, chronic non-specific) on Patient Content Checklist were discussed more frequently, but changes were not statistically significant. The Patient Enablement Instrument highlighted a trend towards perceived improvement in four of the six items. Using touchscreen computers to aid communication during routine follow-up was reported as both feasible and beneficial by patients and clinicians. Providing a patient-focused follow-up consultation can facilitate the identification of unmet needs, permitting timely and appropriate intervention being initiated.
LanguageEnglish
Number of pages13
JournalEuropean Journal of Cancer Care
Volume27
Issue number2
Early online date8 Feb 2018
Publication statusPublished - 31 Mar 2018

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Feasibility Studies
Head and Neck Neoplasms
Technology
Therapeutics
Checklist
Referral and Consultation
Oropharyngeal Neoplasms
Aftercare
Mouth Neoplasms
Patient Satisfaction
Survivors
Emotions
Neck
Communication
Head
Interviews
Psychology

Keywords

  • Head and neck cancer
  • follow-up clinic
  • touchscreen computer
  • holistic

Cite this

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title = "Development and evaluation of a holistic surgical head and neck cancer post-treatment follow-up clinic using touchscreen technology – feasibility study",
abstract = "The efficacy of traditional follow-up care is being challenged, as cancer survivors’ supportive and psychological needs are often neither identified, nor addressed. This study’s aim was to develop a holistic surgical follow-up clinic for oral and oropharyngeal cancer patients were participants completed a disease-specific HRQOL tool (UWQOLv4) and item prompt list (PCI) on a touchscreen computer. Information generated was used to focus the consultation on patient’s identified needs and concerns. By means of a prospective non-randomized, pre-test post-test design, this follow-up clinic was evaluated using the Patient Enablement Instrument and Patient Content Checklist. Feasibility was explored from the patient perspective (satisfaction survey) and clinician perspective (qualitative interview). Forty-four consecutive patients were recruited. Findings demonstrating five of the eight topics (overall QOL, emotions, head and neck symptoms, side-effects of treatment, chronic non-specific) on Patient Content Checklist were discussed more frequently, but changes were not statistically significant. The Patient Enablement Instrument highlighted a trend towards perceived improvement in four of the six items. Using touchscreen computers to aid communication during routine follow-up was reported as both feasible and beneficial by patients and clinicians. Providing a patient-focused follow-up consultation can facilitate the identification of unmet needs, permitting timely and appropriate intervention being initiated.",
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AU - McCormac, Robert

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