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3. Multimodal Guided Self-Help Exercise Program to Prevent Speech, Swallowing, and Shoulder Problems Among Head and Neck Cancer Patients: A Feasibility Study

Author

Cnossen, Ingrid C, van Uden-Kraan, Cornelia F, Rinkel, Rico NPM, Aalders, IJke J, de Goede, Cees JT, de Bree, Remco, Doornaert, Patricia, Rietveld, Derek HF, Langendijk, Johannes A, Witte, Birgit I, Leemans, C Rene, and Verdonck-de Leeuw, Irma M

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundDuring a 6-week course of (chemo)radiation many head and neck cancer patients have to endure radiotherapy-induced toxicity, negatively affecting patients’ quality of life. Pretreatment counseling combined with self-help exercises could be provided to inform patients and possibly prevent them from having speech, swallowing, and shoulder problems during and after treatment. ObjectiveOur goal was to investigate the feasibility of a multimodal guided self-help exercise program entitled Head Matters during (chemo)radiation in head and neck cancer patients. MethodsHead and neck cancer patients treated with primary (chemo)radiation or after surgery were asked to perform Head Matters at home. This prophylactic exercise program, offered in three different formats, aims to reduce the risk of developing speech, swallowing, shoulder problems, and a stiff neck. Weekly coaching was provided by a speech and swallowing therapist. Patients filled out a diary to keep track of their exercise activity. To gain insight into possible barriers and facilitators to exercise adherence, reports of weekly coaching sessions were analyzed by 2 coders independently. ResultsOf 41 eligible patients, 34 patients were willing to participate (83% uptake). Of participating patients, 21 patients completed the program (64% adherence rate). The majority of participants (58%) had a moderate to high level of exercise performance. Exercise performance level was not significantly associated with age (P=.50), gender (P=.42), tumor subsite (P=1.00) or tumor stage (P=.20), treatment modality (P=.72), or Head Matters format (Web-based or paper) (P=1.00). Based on patients’ diaries and weekly coaching sessions, patients’ perceived barriers to exercise were a decreased physical condition, treatment-related barriers, emotional problems, lack of motivation, social barriers, and technical problems. Patients’ perceived facilitators included an increased physical condition, feeling motivated, and social and technical facilitators. ConclusionsHead Matters, a multimodal guided self-help exercise program is feasible for head and neck cancer patients undergoing (chemo)radiation. Several barriers (decreased physical condition, treatment-related barriers) and facilitators (increased physical condition, feeling motivated) were identified providing directions for future studies. The next step is conducting a study investigating the (cost-)effectiveness of Head Matters on speech, swallowing, shoulder function, and quality of life.

Published
2014
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5. The course of health-related quality of life in the first 2 years after a diagnosis of head and neck cancer: the role of personal, clinical, psychological, physical, social, lifestyle, disease-related, and biological factors

Author

Verdonck-de Leeuw, Irma M., Korsten, Laura H.A., van Nieuwenhuizen, Annette, Baatenburg de Jong, Rob J., Brakenhoff, Ruud H., Buffart, Laurien M., Lamers, Femke, Langendijk, Johannes A., Leemans, C. René, Smit, Jan H., Sprangers, Mirjam A., Takes, Robert P., Terhaard, Chris H. J., Lissenberg-Witte, Birgit I., and Jansen, Femke

Published
2023
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13. Study retention and attrition in a longitudinal cohort study including patient-reported outcomes, fieldwork and biobank samples: results of the Netherlands quality of life and Biomedical cohort study (NET-QUBIC) among 739 head and neck cancer patients and 262 informal caregivers

Author

Jansen, Femke, Brakenhoff, Ruud H., Baatenburg de Jong, Rob J., Langendijk, Johannes A., Leemans, C. René, Takes, Robert P., Terhaard, Chris H. J., Smit, Jan H., and Verdonck-de Leeuw, Irma M.

Published
2022
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16. Long-Term Quality of Life after Minimally Invasive vs Open Distal Pancreatectomy in the LEOPARD Randomized Trial

Author

van Santvoort, H.C., de Boer, M.T., Boerma, D., van den Boezem, P.B., van Dam, R.M., Dejong, C.H., van Duyn, E.B., van Eijck, C.H., Gerhards, M.F., de Hingh, I.H., Kazemier, G., de Kleine, R.H., van Laarhoven, C.J., Patijn, G.A., Steenvoorde, P., Suker, M., Hilal, M. Abu, Korrel, Maarten, Roelofs, Anne, van Hilst, Jony, Busch, Olivier R., Daams, Freek, Festen, Sebastiaan, Groot Koerkamp, Bas, Klaase, Joost, Luyer, Misha D., van Oijen, Martijn G., Verdonck-de Leeuw, Irma M., and Besselink, Marc G.

Published
2021
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22. Cost-utility and cost-effectiveness of a guided self-help head and neck exercise program for patients treated with total laryngectomy: Results of a multi-center randomized controlled trial

Author

Jansen, Femke, Coupé, Veerle M.H., Eerenstein, Simone E.J., Cnossen, Ingrid C., van Uden-Kraan, Cornelia F., de Bree, Remco, Doornaert, Patricia, Halmos, György B., Hardillo, José A.U., van Hinte, Gerben, Honings, Jimmie, Leemans, C. René, and Verdonck-de Leeuw, Irma M.

Published
2021
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27. Long‐term health‐related quality of life in head and neck cancer survivors: A large multinational study.

Author

Taylor, Katherine J., Amdal, Cecilie D., Bjordal, Kristin, Astrup, Guro L., Herlofson, Bente B., Duprez, Fréderic, Gama, Ricardo R., Jacinto, Alexandre, Hammerlid, Eva, Scricciolo, Melissa, Jansen, Femke, Verdonck‐de Leeuw, Irma M., Fanetti, Giuseppe, Guntinas‐Lichius, Orlando, Inhestern, Johanna, Dragan, Tatiana, Fabian, Alexander, Boehm, Andreas, Wöhner, Ulrike, and Kiyota, Naomi

Subjects
HEAD & neck cancer, QUALITY of life, CANCER survivors, NECK dissection, COMBINED modality therapy
Abstract

Head and neck cancer (HNC) patients suffer from a range of health‐related quality of life (HRQoL) issues, but little is known about their long‐term HRQoL. This study explored associations between treatment group and HRQoL at least 5 years' post‐diagnosis in HNC survivors. In an international cross‐sectional study, HNC survivors completed the European Organization for Research and Treatment of Cancer (EORTC) quality of life core questionnaire (EORTC‐QLQ‐C30) and its HNC module (EORTC‐QLQ‐H&N35). Meaningful HRQoL differences were examined between five treatment groups: (a) surgery, (b) radiotherapy, (c) chemo‐radiotherapy, (d) radiotherapy ± chemotherapy and neck dissection and (e) any other surgery (meaning any tumour surgery that is not a neck dissection) and radiotherapy ± chemotherapy. Twenty‐six sites in 11 countries enrolled 1105 survivors. They had a median time since diagnosis of 8 years, a mean age of 66 years and 71% were male. After adjusting for age, sex, tumour site and UICC stage, there was evidence for meaningful differences (10 points or more) in HRQoL between treatment groups in seven domains (Fatigue, Mouth Pain, Swallowing, Senses, Opening Mouth, Dry Mouth and Sticky Saliva). Survivors who had single‐modality treatment had better or equal HRQoL in every domain compared to survivors with multimodal treatment, with the largest differences for Dry Mouth and Sticky Saliva. For Global Quality of Life, Physical and Social Functioning, Constipation, Dyspnoea and Financial Difficulties, at least some treatment groups had better outcomes compared to a general population. Our data suggest that multimodal treatment is associated with worse HRQoL in the long‐term compared to single modality. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Role of eHealth application Oncokompas in supporting self-management of symptoms and health-related quality of life in cancer survivors: a randomised, controlled trial

Author

van der Hout, Anja, van Uden-Kraan, Cornelia F, Holtmaat, Karen, Jansen, Femke, Lissenberg-Witte, Birgit I, Nieuwenhuijzen, Grard A P, Hardillo, José A, Baatenburg de Jong, Robert J, Tiren-Verbeet, Nicolette L, Sommeijer, Dirkje W, de Heer, Koen, Schaar, Cees G, Sedee, Robert-Jan E, Bosscha, Koop, van den Brekel, Michiel W M, Petersen, Japke F, Westerman, Matthijs, Honings, Jimmie, Takes, Robert P, Houtenbos, Ilse, van den Broek, Wim T, de Bree, Remco, Jansen, Patricia, Eerenstein, Simone E J, Leemans, C René, Zijlstra, Josée M, Cuijpers, Pim, van de Poll-Franse, Lonneke V, and Verdonck-de Leeuw, Irma M

Published
2020
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33. Introducing Decision Aids into Routine Prostate Cancer Care in The Netherlands: Implementation and Patient Evaluations from the Multi-regional JIPPA Initiative

Author

Cuypers, Maarten, Al-Itejawi, Hoda H. M., van Uden-Kraan, Cornelia F., Stalmeier, Peep F. M., Lamers, Romy E. D., van Oort, Inge M., Somford, Diederik M., van Moorselaar, Reindert Jeroen A., Verdonck-de Leeuw, Irma M., van de Poll-Franse, Lonneke V., van Tol-Geerdink, Julia J., and de Vries, Marieke

Published
2020
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42. Mental healthcare utilization among head and neck cancer patients: A longitudinal cohort study.

Author

Jansen, Femke, Lissenberg‐Witte, Birgit I., Hardillo, Jose A., Takes, Robert P., de Bree, Remco, Lamers, Femke, Langendijk, Johannes A., Leemans, C. René, and Verdonck‐de Leeuw, Irma M.

Subjects
HEAD & neck cancer, MENTAL health services, MEDICAL care use, SOCIAL anxiety, CANCER patients, GENERALIZED estimating equations, SENSATION seeking, COHORT analysis
Abstract

Objective: To investigate utilization of mental healthcare among head and neck cancer (HNC) patients from diagnosis to 2 years after treatment, in relation to psychological symptoms, mental disorders, need for mental healthcare, and sociodemographic, clinical and personal factors. Methods: Netherlands Quality of life and Biomedical Cohort study data as measured before treatment, at 3 and 6 months, and at 1 and 2 years after treatment was used (n = 610). Data on mental healthcare utilization (iMCQ), psychological symptoms (Hospital Anxiety and Depression Scale, Cancer Worry Scale), mental disorders (CIDI interview), need for mental healthcare (Supportive Care Needs Survey Short‐Form 34, either as continuous outcome indicating the level of need or dichotomized into unmet need (yes/no)) and several sociodemographic, clinical and personal factors were collected. Factors associated with mental healthcare utilization were investigated using generalized estimating equations (p < 0.05). Results: Of all HNC patients, 5%–9% used mental healthcare per timepoint. This was 4%–14% in patients with mild‐severe psychological symptoms, 4%–17% in patients with severe psychological symptoms, 15%–35% in patients with a mental disorder and 5%–16% in patients with an unmet need for mental healthcare. Among all patients, higher symptoms of anxiety, a higher need for mental healthcare, lower age, higher disease stage, lower self‐efficacy and higher social support seeking were significantly associated with mental healthcare utilization. Conclusion: Mental health care utilization among HNC patients is limited, and is related to psychological symptoms, need for mental healthcare, and sociodemographic, clinical and personal factors. [ABSTRACT FROM AUTHOR]

Published
2024
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43. The EORTC CAT Core—The computer adaptive version of the EORTC QLQ-C30 questionnaire

Author

Petersen, Morten Aa., Aaronson, Neil K., Arraras, Juan I., Chie, Wei-Chu, Conroy, Thierry, Costantini, Anna, Dirven, Linda, Fayers, Peter, Gamper, Eva-Maria, Giesinger, Johannes M., Habets, Esther J.J., Hammerlid, Eva, Helbostad, Jorunn, Hjermstad, Marianne J., Holzner, Bernhard, Johnson, Colin, Kemmler, Georg, King, Madeleine T., Kaasa, Stein, Loge, Jon H., Reijneveld, Jaap C., Singer, Susanne, Taphoorn, Martin J.B., Thamsborg, Lise H., Tomaszewski, Krzysztof A., Velikova, Galina, Verdonck-de Leeuw, Irma M., Young, Teresa, and Groenvold, Mogens

Published
2018
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49. Prevalence of adjustment disorder among cancer patients, and the reach, effectiveness, cost-utility and budget impact of tailored psychological treatment: study protocol of a randomized controlled trial

Author

van Beek, Florie E., Wijnhoven, Lonneke M. A., Jansen, Femke, Custers, José A. E., Aukema, Eline J., Coupé, Veerle M. H., Cuijpers, Pim, van der Lee, Marije L., Lissenberg-Witte, Birgit I., Wijnen, Ben, Prins, Judith B., and Verdonck-de Leeuw, Irma M.

Published
2019
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50. Efficacy and cost-utility of the eHealth application ‘Oncokompas’, supporting patients with incurable cancer in finding optimal palliative care, tailored to their quality of life and personal preferences: a study protocol of a randomized controlled trial

Author

Schuit, Anouk S., Holtmaat, Karen, Hooghiemstra, Nienke, Jansen, Femke, Lissenberg-Witte, Birgit I., Coupé, Veerle M. H., van Linde, Myra E., Becker-Commissaris, Annemarie, Reijneveld, Jaap C., Zijlstra, Josée M., Sommeijer, Dirkje W., Eerenstein, Simone E. J., and Verdonck-de Leeuw, Irma M.

Published
2019
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