Telehealth Symptom Management in Head and Neck Cancer

头颈癌的远程医疗症状管理

• 批准号: 7125034
• 负责人: MARK P PFEIFER
• 金额: $ 11.48万
• 依托单位: UNIVERSITY OF LOUISVILLE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-23 至 2008-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7125034
• 关键词: behavioral /social science research tag; cancer rehabilitation /care; clinical research; focus groups; head /neck neoplasm; health services research tag; human subject; patient care management; patient oriented research; telemedicine

DESCRIPTION (provided by applicant): This study will design and evaluate a telehealth intervention to improve symptom management and palliation for patients undergoing treatment for head and neck cancers. Using a telehealth monitoring system, the study will address and attempt to overcome communication barriers common to this patient population in an effort to bridge the gap between established symptom management science and the actual application of validated measures to ameliorate symptom distress. The study will consist of two phases. In Phase One, best practices and participatory action research with patients, caregivers, and clinicians will be employed in developing a telehealth algorithm based on symptoms and issues commonly experienced by head and neck cancer patients. This algorithm will be integrated into a telehealth device system that involves patients in daily symptom assessment addressing their comprehensive, interdisciplinary care needs. The device is inexpensive and simple for patients to use. In Phase Two, a randomized controlled trial will evaluate the efficacy, efficiency, acceptability and feasibility of the intervention. The primary outcome evaluated will be symptom distress. Both experimental and usual care groups will complete evaluation instruments measuring symptom distress, symptom prevalence, symptom severity, quality of life, self-efficacy to address symptoms, and satisfaction with symptom management. The long-term goal of this study is to design a telehealth methodology to improve symptom management that is generalizable to the broader cancer community.

描述（由申请人提供）：本研究将设计和评估远程医疗干预，以改善接受头颈部癌症治疗的患者的症状管理和缓解。 使用远程医疗监测系统，该研究将解决并试图克服这一患者群体共同的沟通障碍，努力弥合已建立的症状管理科学与实际应用的有效措施之间的差距差距，以改善症状困扰。 研究将分两个阶段进行。 在第一阶段，将采用最佳实践和参与性行动研究，与患者，护理人员和临床医生一起开发基于头颈癌患者常见症状和问题的远程保健算法。 该算法将集成到远程医疗设备系统中，该系统让患者参与日常症状评估，满足他们全面的、跨学科的护理需求。 该设备价格便宜，患者使用简单。 在第二阶段，随机对照试验将评估干预的有效性、效率、可接受性和可行性。 评价的主要结局将是症状困扰。 实验组和常规护理组都将完成评估工具，测量症状困扰、症状患病率、症状严重程度、生活质量、解决症状的自我效能和对症状管理的满意度。 这项研究的长期目标是设计一种远程医疗方法，以改善症状管理，推广到更广泛的癌症社区。

项目成果

The relationship between weight loss and health-related quality of life in persons treated for head and neck cancer.

• DOI: 10.1007/s00520-010-0975-x
• 发表时间: 2011-10
• 期刊: SUPPORTIVE CARE IN CANCER
• 影响因子: 3.1
• 作者: Head, Barbara A.;Heitz, Luke;Keeney, Cynthia;Myers, John;Appana, Savitri N.;Studts, Jamie L.;Bumpous, Jeffrey;Pfeifer, Mark
• 通讯作者: Pfeifer, Mark

Feasibility and Acceptance of a Telehealth Intervention to Promote Symptom Management during Treatment for Head and Neck Cancer.

• DOI: 10.1016/j.suponc.2010.12.006
• 发表时间: 2011-01-01
• 期刊: The journal of supportive oncology
• 作者: Head, Barbara A;Keeney, Cynthia;Pfeifer, Mark
• 通讯作者: Pfeifer, Mark