Work

Development of a Telehealth Intervention for Head and Neck Cancer Patients

Year: 2009

Type: article

Abstract: Head and neck cancer and its multidisciplinary treatment entail difficulties in communication confounded by the communication disabilities that may be associated with surgical treatment. In a population with a strong likelihood of limited computer skills, a simplified communication with video and telephony was refined by algorithms appropriate for this population and developed in a Phase I effort. A randomized control trial was designed and 75 patients enrolled. In the intervention group, compliance was 84% over 99 days and patient acceptance was quite high. Data analysis for comparison without intervention is ongoing for outcomes. Treatment for head and neck cancer precipitates a myriad of distressing symptoms. Patients may be isolated both physically and socially and may lack the self-efficacy to report problems and participate as partners in their care. The goal of this project was to design a telehealth intervention to address such isolation, develop patient self-efficacy, and improve symptom management during the treatment experience. Participatory action research and a review of the literature were used to develop electronically administered symptom management algorithms addressing all major symptoms experienced by patients undergoing treatment for head and neck cancers. Daily questions and related messages were then programmed into an easy-to-use telehealth messaging device, the Health Buddy®. Clinician and patient acceptance, feasibility, and technology issues were measured. Using participatory action research is an effective means for developing electronic algorithms acceptable to both clinicians and patients. The use of a simple tele-messaging device as an adjunct to symptom management is feasible, affordable, and acceptable to patients. This telehealth intervention provides support and education to patients undergoing treatment for head and neck cancers.

Source: Telemedicine Journal and e-Health

DOI: 10.1089/tmj.2008.0061