e-Health self-management intervention for oral and oropharyngeal cancer survivors: design and single-arm pilot study of empowered survivor

Head Neck. 2020 Nov;42(11):3375-3388. doi: 10.1002/hed.26403. Epub 2020 Aug 23.

Abstract

Background: Self-management regimens for oral and oropharyngeal cancer survivors can be complex and challenging. Effective self-management skills can foster better outcomes. We report on the development, feasibility, and pilot testing of a web-based self-management tool called "Empowered Survivor" (ES) for survivors of oral and oropharyngeal cancer.

Methods: ES content was developed in two phases, with modules focusing on oral care, swallowing and muscle strength, and long-term follow-up. This single-arm pilot study consisted of a pre-, 2-month, and a 6-month postintervention survey.

Results: Enrollment rates were relatively low. Once enrolled, data collected from the ES website indicated that 81.8% viewed ES. Participants provided positive evaluations of ES. Preliminary results indicate that ES had a beneficial impact on self-management self-efficacy, preparedness for survivorship care, and quality of life. ES improved survivors' engagement in oral self-exams and head and neck strengthening exercises, improved ability to address barriers, and decreased information and support needs.

Conclusions: This study provides preliminary evidence of engagement, acceptability, and beneficial impact of ES, which should be evaluated in a larger controlled clinical trial.

Keywords: cancer survivors; cancer survivorship; posttreatment self-management; self-efficacy; self-management; survivorship care intervention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Oropharyngeal Neoplasms* / therapy
  • Pilot Projects
  • Quality of Life
  • Self-Management*
  • Survivors
  • Telemedicine*