The ENHANCES study: a randomised controlled trial of a nurse-led survivorship intervention for patients treated for head and neck cancer

• Published in: Supportive care in cancer 2019-12, Vol.27 (12), p.4627-4637
• Main Authors: Turner, Jane, Yates, Patsy, Kenny, Lizbeth, Gordon, Louisa G, Burmeister, Bryan, Hughes, Brett G M, McCarthy, Alexandra L, Perry, Chris, Chan, Raymond J, Paviour, Alana, Skerman, Helen, Batstone, Martin, Mackenzie, Lisa
• Format: Article
• Language: English
• Subjects: Cancer Survivors - psychology; Care and treatment; Evidence-based medicine; Female; Head & neck cancer; Head and neck cancer; Head and Neck Neoplasms - mortality; Head and Neck Neoplasms - nursing; Head and Neck Neoplasms - psychology; Humans; Male; Medical care; Medicine; Medicine & Public Health; Middle Aged; Nurses; Nursing; Nursing Research; Oncology; Oncology Nursing - methods; Original Article; Pain Medicine; Patients; Planning; Quality management; Quality of Life; Rehabilitation Medicine; Self Care - methods; Self Care - psychology; Self Efficacy; Survivor; Well being
• ISSN: 0941-4355; 1433-7339
• DOI: 10.1007/s00520-019-04748-7

Purpose A randomised controlled trial was conducted to evaluate the effectiveness of a nurse-delivered Head and Neck Cancer Survivor Self-Management Care Plan (HNCP) for patients who had completed treatment for head and neck cancer (HNC). Methods Ten oncology nurses were trained to deliver the HNCP. The HNCP consisted of one face-to-face hour-long meeting in which the patient’s treatment was recorded, as were contact details of health professionals involved in their care and follow-up schedules. Patients were guided to nominate up to three goals for their future well-being and assisted to devise an action plan to achieve these. The HNCP was given to the patient and a copy was forwarded to their primary care physician. One hundred and nine patients were randomised after definitive curative intent treatment, 36 to HNCP, 36 to receive information about survivorship, and 37 to usual care. The primary outcome, analysed by intention-to-treat, was change in quality of life measured by the FACT-H&N from baseline to 6-month follow-up. Results Quality of life of all groups decreased at 3 months but was close to baseline at 6 months. Compared with the usual care group, the only statistically significant mean difference at 6 months was for the information group on the physical well-being domain (mean difference 0.4, 95% − 1.8, 2.6, p