PMID- 30941580
OWN - NLM
STAT- MEDLINE
DCOM- 20191212
LR  - 20191217
IS  - 1433-7339 (Electronic)
IS  - 0941-4355 (Linking)
VI  - 27
IP  - 12
DP  - 2019 Dec
TI  - The ENHANCES study: a randomised controlled trial of a nurse-led survivorship 
      intervention for patients treated for head and neck cancer.
PG  - 4627-4637
LID - 10.1007/s00520-019-04748-7 [doi]
AB  - 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 < 0.05). CONCLUSIONS: A single-session nurse-delivered intervention 
      is insufficient to improve the quality of life in HNC survivors compared with 
      usual care. Provision of detailed written information about HNC survivorship is 
      associated with improved physical well-being. TRIAL REGISTRATION: 
      ACTRN12613000542796.
FAU - Turner, Jane
AU  - Turner J
AUID- ORCID: 0000-0003-1438-217X
AD  - Faculty of Medicine, University of Queensland, Brisbane, Australia. 
      jane.turner@uq.edu.au.
AD  - Royal Brisbane and Women's Hospital, Brisbane, Australia. jane.turner@uq.edu.au.
FAU - Yates, Patsy
AU  - Yates P
AD  - Queensland University of Technology, Brisbane, Australia.
FAU - Kenny, Lizbeth
AU  - Kenny L
AD  - Faculty of Medicine, University of Queensland, Brisbane, Australia.
AD  - Royal Brisbane and Women's Hospital, Brisbane, Australia.
FAU - Gordon, Louisa G
AU  - Gordon LG
AD  - QIMR Berghofer Medical Research Institute, Brisbane, Australia.
FAU - Burmeister, Bryan
AU  - Burmeister B
AD  - GenesisCare, Fraser Coast, Australia.
FAU - Hughes, Brett G M
AU  - Hughes BGM
AD  - Faculty of Medicine, University of Queensland, Brisbane, Australia.
AD  - Royal Brisbane and Women's Hospital, Brisbane, Australia.
FAU - McCarthy, Alexandra L
AU  - McCarthy AL
AD  - Princess Alexandra Hospital, Brisbane, Australia.
AD  - School of Nursing, University of Auckland, Auckland, New Zealand.
FAU - Perry, Chris
AU  - Perry C
AD  - Princess Alexandra Hospital, Brisbane, Australia.
FAU - Chan, Raymond J
AU  - Chan RJ
AD  - Queensland University of Technology, Brisbane, Australia.
AD  - Princess Alexandra Hospital, Brisbane, Australia.
FAU - Paviour, Alana
AU  - Paviour A
AD  - Royal Brisbane and Women's Hospital, Brisbane, Australia.
FAU - Skerman, Helen
AU  - Skerman H
AD  - Queensland University of Technology, Brisbane, Australia.
FAU - Batstone, Martin
AU  - Batstone M
AD  - Faculty of Medicine, University of Queensland, Brisbane, Australia.
AD  - Royal Brisbane and Women's Hospital, Brisbane, Australia.
FAU - Mackenzie, Lisa
AU  - Mackenzie L
AD  - Faculty of Medicine, University of Queensland, Brisbane, Australia.
LA  - eng
GR  - 1041640/National Health and Medical Research Council/
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20190402
PL  - Germany
TA  - Support Care Cancer
JT  - Supportive care in cancer : official journal of the Multinational Association of 
      Supportive Care in Cancer
JID - 9302957
SB  - IM
MH  - Cancer Survivors/*psychology
MH  - Female
MH  - Head and Neck Neoplasms/mortality/*nursing/psychology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nurses
MH  - Oncology Nursing/*methods
MH  - Quality of Life
MH  - Self Care/*methods/psychology
MH  - Self Efficacy
OTO - NOTNLM
OT  - Head and neck cancer
OT  - Self-management
OT  - Survivorship
EDAT- 2019/04/04 06:00
MHDA- 2019/12/18 06:00
CRDT- 2019/04/04 06:00
PHST- 2018/10/11 00:00 [received]
PHST- 2019/03/12 00:00 [accepted]
PHST- 2019/04/04 06:00 [pubmed]
PHST- 2019/12/18 06:00 [medline]
PHST- 2019/04/04 06:00 [entrez]
AID - 10.1007/s00520-019-04748-7 [pii]
AID - 10.1007/s00520-019-04748-7 [doi]
PST - ppublish
SO  - Support Care Cancer. 2019 Dec;27(12):4627-4637. doi: 10.1007/s00520-019-04748-7. 
      Epub 2019 Apr 2.