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evaluation of a survivorship needs assessment planning tool for head and neck cancer survivor-caregiver dyads
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نویسنده
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sterba katherine r. ,armeson kent ,zapka jane ,scallion megan a. ,garris tiffany k. ,graboyes evan m. ,ruggiero kenneth ,day terry a.
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منبع
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journal of cancer survivorship - 2019 - دوره : 13 - شماره : 1 - صفحه:117 -129
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چکیده
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The objectives of this study were to test the acceptability and feasibility of a survivorship needs assessment planning (snap) tool for head and neck cancer (hnc) survivors and caregivers, evaluate short-term changes in psychosocial outcomes after completing the snap session, and develop strategies for system refinement. we used a prospective one-group design and mixed methods with hnc survivors and caregivers (n = 25 dyads). participants completed baseline and 6-week surveys before and after completing a snap clinic visit to assess psychosocial outcomes and acceptability. intervention sessions included tablet-based needs assessments driving tailored care plans. dyads’ open-ended feedback and clinician interviews (n = 12) evaluated acceptability and feasibility. snap data collection time burden and technology challenges were minimal, and care plans included messages (m = 19), educational materials (m = 13), and referrals (m = 4.5; 86% behavioral medicine, 77% nutrition, 65% physical therapy). participants reported high satisfaction with the session and care plan, highlighting the key strengths of pulling complex medical information together and the focus on caregiver well-being, with multiple suggestions to facilitate clinic workflow. depression and unmet needs decreased and survivorship knowledge increased significantly in survivors and caregivers (p < .05) over the 6-week period. the snap tool is an innovative technology-based survivor-centered strategy to assess and manage needs in hnc survivors and caregivers. results support its acceptability and ability to address dyads’ needs; the tool merits further testing in a clinical trial. technology-enabled care planning be a productive way to assess and address hnc dyads’ dynamic needs after treatment.
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کلیدواژه
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head and neck cancer ,survivorship ,patient-reported outcomes ,dyads
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آدرس
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medical university of south carolina, department of public health sciences and hollings cancer center, usa, medical university of south carolina, department of public health sciences and hollings cancer center, usa, medical university of south carolina, department of public health sciences and hollings cancer center, usa, medical university of south carolina, department of public health sciences and hollings cancer center, usa, medical university of south carolina, department of otolaryngology-head and neck surgery and hollings cancer center, usa, medical university of south carolina, department of otolaryngology-head and neck surgery and hollings cancer center, usa, medical university of south carolina, department of psychiatry and behavioral sciences and college of nursing, usa, medical university of south carolina, department of otolaryngology-head and neck surgery and hollings cancer center, usa
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Authors
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