The study will focus on survivorship care for head and neck cancer patients cared for within Duke Cancer Center clinics. Standardized survivorship care plans (sSCP) are being implemented based on the American Society for Clinical Oncology's criteria. These documents provide a summary of treatment received, and list side effects and follow-up information after cancer treatment. Taking advantage of this transition, the investigator will study three groups of patients: (a) early survivors treated before the sSCP was implemented, (b) early survivors treated after the sSCP was implemented, and (c) current patients who will receive an individualized enhanced SCP (eSCP), which will include additional information tailored to patient preferences. The investigators hypothesize that patients receiving enhanced survivorship care plans will increase their knowledge regarding their health care plan and wellness trajectory; increase their ability to identify the symptoms they most likely can expect as a result of their cancer treatment; and be more likely to engage in conversations with their PCP about healthy behaviors and screening guidelines.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
6
The eSCP includes a treatment summary section, a section detailing follow-up and test recommendations, a section on anticipated and potential side effects, as well as additional information specific to their experience/concerns. They will receive a patient education notebook outlining symptoms and their management that is tailored to those that the subject may be likely to experience during their survivorship care trajectory.
Duke Health, Duke Cancer Center
Durham, North Carolina, United States
Head and Neck Cancer Survivor Knowledge
Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale
Time frame: 5 minutes to complete 3 months after treatment end
Change in Head and Neck Cancer Survivor Knowledge
Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale in intervention group
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Distress in head and neck cancer survivors
Assesses risk of distress defined within post-traumatic stress after treatment through the use of the PTSD Checklist
Time frame: 5 minutes to complete 3 months after treatment end
Distress in head and neck cancer survivors
Assesses distress through the use of the NCCN Distress Thermometer
Time frame: 5 minutes to complete 3 months after treatment end
Change in distress for head and neck cancer survivors
Assesses risk of distress defined within post-traumatic stress after treatment through the use of the PTSD Checklist in the intervention group
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Change in distress for head and neck cancer survivors
Assesses distress through the use of the NCCN Distress Thermometer in the intervention group
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Uncertainty in head and neck cancer survivors
Assesses uncertainty related to presence of symptoms after cancer treatment through the use of the Mishel Uncertainty in Illness Scale -Survivor/Caregiver form
Time frame: 5 minutes to complete 3 months after treatment end
Change in uncertainty in head and neck cancer survivors
Assesses uncertainty related to presence of symptoms after cancer treatment through the use of the Mishel Uncertainty in Illness Scale -Survivor/Caregiver form in the intervention group
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Quality of life in head and neck cancer survivors
Assesses quality of life in head and neck cancer patients EORTC Quality of Life Questionnaire Head \& Neck (QLQ H\&N35)
Time frame: 5 minutes to complete 3 months after treatment end
Change in quality of life in head and neck cancer survivors
Assesses quality of life in head and neck cancer patients EORTC Quality of Life Questionnaire Head \& Neck (QLQ H\&N35) in the intervention group
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Self-efficacy in head and neck cancer survivors
Assesses self-efficacy in cancer patients through the use of the Self-Efficacy Scale
Time frame: 5 minutes to complete 3 months after treatment end
Change in self-efficacy in head and neck cancer survivors
Assesses self-efficacy in cancer patients through the use of the Self-Efficacy Scale
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Information processing in head and neck cancer survivors
Assesses information processing in cancer patients through the use of the EORTC QLQ Information Module (QLQ INFO25)
Time frame: 5 minutes to complete 3 months after treatment end
Change in information processing in head and neck cancer survivors
Assesses information processing through the use of the EORTC QLQ Information Module (QLQ INFO25)
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Survivorship care plan perceptions in head and neck cancer survivors
Using open ended questions during a qualitative interview, survivors will provide their perception of how survivorship care plans were useful or not in their care
Time frame: 5 minutes to complete 3 months after treatment end
Survivorship needs after treatment completion -- primary care provider documentation
Using a documentation checklist developed by the study team, discussions on survivorship needs when returning to clinic will be assessed with a focus on symptom management or incorporation of healthy behaviors to reduce cancer recurrence
Time frame: 10 minutes to complete documentation review of 6 months of PCP records
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