Nurse-led Follow-up Care for Head and Neck Cancer Patients
This trial is active, not recruiting.
|Condition||head and neck cancer|
|Start date||December 2008|
|End date||May 2012|
|Trial size||160 participants|
|Trial identifier||NCT01167179, JDL-001-TVA|
The purpose of this study is to conduct an early evaluation of a nurse-led follow up intervention added to the usual medically oriented follow up care. Besides evaluating the feasibility and acceptability to patients, the effect on psychosocial adjustment and quality of life of patients is determined.
|Intervention model||parallel assignment|
|Primary purpose||supportive care|
Psychosocial adjustment to Illness
time frame: one year
Quality of life
time frame: one year
Male or female participants at least 18 years old.
Inclusion Criteria: - Diagnosed with a primary head and neck tumour - Absence of other cancers diagnosed - Treatment with curative intent, all treatment modalities - Treatment and 12 month follow-up planned in Radboud University Nijmegen Medical Centre - Able to speak, write and understand Dutch - Cognitively able to give informed consent Exclusion Criteria: - Actual psychiatric disease - Actual alcohol addiction - Known life expectancy of < 6 months
|Official title||An Early Evaluation Study Testing Nurse-led Follow-up Care for Head and Neck Cancer Patients|
|Principal investigator||T van Achterberg, PhD|
|Description||Background: After treatment for cancer, follow-up surveillance is regarded important. In head and neck cancer patients however, increasing research evidence shows that at least the goal of detecting recurrence of cancer during routine control visits in an asymptomatic stage is not achieved. Other goals of follow-up such as management of treatment complications and helping patients and families cope and adjust remain important and ask for an accurate, effective but tailored and sensitive approach. Increasingly, nurses are mentioned as care providers best suited to perform this task. Aim: The purpose of this study is to conduct an early evaluation of a nurse-led follow up intervention added to the usual medically oriented follow up care. Besides evaluating the feasibility and acceptability to patients, the effect on psychosocial adjustment and quality of life of patients is determined. Methods and design: A quasi-experimental prospective design is used. Two groups of patients are enrolled consecutively (n=160) and patient data are collected at baseline (T0), at 6(T1) and at 12(T2) months respectively. The duration of the intervention is defined to the first year of follow up. Participating nurses are trained prior to the recruitment of the intervention group and receive supervision and individual coaching during the entire duration of the intervention phase. Outcome measures: Primary outcome, psychosocial adjustment to illness. Secondary outcomes, health related quality of life, psychosocial problems, and usage of care.|
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