Needs Assessment Tool Integrated in Clinical Practice of Head and Neck Cancer Rehabilitation
NEAT
Needs Assessment and Decision-making Tool (NEAT-decision) Integrated in a Clinical Practice to Enhance Patient Involvement in Head and Neck Cancer Rehabilitation - a Randomized Controlled Trial
1 other identifier
interventional
93
1 country
1
Brief Summary
The study tests a needs assessment and decision-making tool with patients who are in need of rehabilitation after surgery for Head and Neck Cancer. The purpose is to enhance patient involvement in decision-making.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 31, 2018
CompletedFirst Posted
Study publicly available on registry
February 23, 2018
CompletedStudy Start
First participant enrolled
June 11, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 15, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2019
CompletedOctober 9, 2020
March 1, 2020
1.4 years
January 31, 2018
October 8, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Health Related Quality of Life, from baseline to 9, 21 and until 67 days post surgery
Questionnaire measuring 35 items related to quality of life in head and neck cancer. European Organisation for Research and Treatment of Cancer Quality of Life and Head and Neck Cancer (EORTC QLQ-H\&N35). Scores range from 0 - 100,, where a high score represents high quality of life. The study will measure global quality of life
Baseline; 9; 21 and 67 days post-surgery
Secondary Outcomes (1)
Change in Symptom Burden from baseline to 2, 14 and 60 days post-surgery
Baseline, 2, 14 and 60 days post-surgery
Study Arms (2)
Intervention Group (IG)
EXPERIMENTALPatients receive needs assessment tool integrated in nursing consultation in accordance with requirements by Danish Health and Medicine Board follow-up program for HNC patients. The consultation consists of 6 steps 1. Welcoming patient; 2. Introducing patient to assessment tool; 3. Discuss symptoms and concerns patient wishes to discuss; 4. Follow up on patients symptoms, concerns and emotional reactions/problems; 5. Accompany/support patient during appointment with surgeon and in cooperation with patient and surgeon ensure that problems arising from the tool needing medical attention are focused on; 6. Continue the consultation after appointment with surgeon; refer patient to multi-disciplinary team members when needed
Control Group (CG)
NO INTERVENTIONCG will receive standard care according to the Danish Health and Medicine Board's follow-up program for HNC patients. At present this is done by a staff nurse interviewing the patient, who is a member of the rehabilitation team who perform nursing consultations. The interview takes place after the appointment with the surgeon. The nurse refers the patient to physical rehabilitation if needed
Interventions
Needs assessment tool consisting of 57 items related to functional, emotional, social and existential areas guide follow-up care and referral to multidisciplinary team rehabilitation e.g. dietician; speech-pathologist; psychologist, etc
Eligibility Criteria
You may qualify if:
- Clinical diagnosis of Head and Neck Cancer
- Stage T3 or T4
- Surgically treated
- Must be able to speak and understand Danish
You may not qualify if:
- Treated surgically for thyroid or parotic cancers
- Referred to adjuvant radio - or chemotherapy
- Having an unstable psychiatric illness.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Rigshospitalet, Denmarklead
- Novo Nordisk A/Scollaborator
- Danish Nurses Organisationcollaborator
Study Sites (1)
Dept. Of Otorhinolaryngology, Head and Neck Surgery and Audiology
Copenhagen, Denmark
Related Publications (1)
Mortensen A, Wessel I, Rogers SN, Tolver A, Jarden M. Needs assessment in patients surgically treated for head and neck cancer-a randomized controlled trial. Support Care Cancer. 2022 May;30(5):4201-4218. doi: 10.1007/s00520-021-06759-9. Epub 2022 Jan 27.
PMID: 35083545DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Annelise Mortensen, MSA
Rigshospitalet, Denmark
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PhD student
Study Record Dates
First Submitted
January 31, 2018
First Posted
February 23, 2018
Study Start
June 11, 2018
Primary Completion
November 15, 2019
Study Completion
November 30, 2019
Last Updated
October 9, 2020
Record last verified: 2020-03
Data Sharing
- IPD Sharing
- Will not share