Results of a feasibility study for a psycho-educational intervention in head and neck cancer.
BACKGROUND
With survival rates for people with head and neck (H&N) cancers static during the past 30 years and the enormous burden of psychosocial impacts they suffer well documented, the testing of psychosocial interventions in this group is a priority.


OBJECTIVE
To test the feasibility of providing a psycho-educational intervention for people with H&N cancer.


METHODS
A prospective non-randomised design was used. Subjects were patients with H&N cancer. They were offered the Nucare coping strategies program in one of three formats: small group and one-to-one formats with therapists; and a home format, with material for home use, without a therapist. Outcomes measures (quality of life (QOL) and anxiety and depression) were collected at baseline and following the intervention. Analyses were performed using non-parametric statistics.


RESULTS
Of 128 people invited to participate, 66 agreed, 59 completed the intervention and 50 had outcomes data. Following the intervention, there were significant improvements in physical and social functioning and global QOL, and reduced fatigue, sleep disturbance and depressive symptoms.


CONCLUSIONS
These data suggest that the intervention is desired by the target group, feasible to deliver after cancer therapy and may have some beneficial effects, although an appropriately designed study is required to confirm this.
Allison
P J
PJ
Faculty of Dentistry, McGill University, Montreal, Canada. paul.allison@mcgill.ca
Edgar
L
L
Nicolau
B
B
Archer
J
J
Black
M
M
Hier
M
M
D005240:Feasibility Studies; D006258:Head and Neck Neoplasms / Q000523:psychology / Q000628:therapy*; D006266:Health Education; D006801:Humans