{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Shinn EH"],"funding":["NIDCR NIH HHS","National Cancer Institute","NCI NIH HHS","National Institute of Dental and Craniofacial Research"],"pagination":["2878-2889"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC11801331"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["46(11)"],"pubmed_abstract":["<h4>Background</h4>While preventive swallowing exercises reduce the risk of radiation-associated dysphagia in patients with head and neck cancer, strategies are needed to improve patient adherence.<h4>Methods</h4>Before radiation, all participants were taught preventive swallowing exercises and randomized to either an adherence intervention or enhanced usual care. During radiation, all participants met twice with a speech pathologist for swallowing assessment and reinforcement of exercises. Intervention participants met weekly with a counselor in-person or by phone. At 6-week post-radiation follow-up, all participants completed a follow-up assessment of self-reported adherence, which was then corroborated with medical record documentation.<h4>Results</h4>Newly diagnosed pharyngeal and laryngeal cancer patients without distant metastases were randomized (n = 265; 135 to intervention, and 130 to usual care). Intervention participants were more likely to adhere to exercises during radiation compared to the control group (p < 0.0001).<h4>Conclusion</h4>The weekly in-person adherence intervention program significantly increased patient's adherence to preventive swallowing exercises during radiation."],"journal":["Head & neck"],"pubmed_title":["Self-management intervention improves patient adherence to swallowing exercises during radiation for head and neck cancer."],"pmcid":["PMC11801331"],"funding_grant_id":["CA016672","P30 CA016672","R01 DE019141","NIDCR DE019141"],"pubmed_authors":["Garden AS","Chen M","Hutcheson K","Shinn EH","Basen-Engquist K","Peterson S","Fellman B","Morrison WH","Li L"],"additional_accession":[]},"is_claimable":false,"name":"Self-management intervention improves patient adherence to swallowing exercises during radiation for head and neck cancer.","description":"<h4>Background</h4>While preventive swallowing exercises reduce the risk of radiation-associated dysphagia in patients with head and neck cancer, strategies are needed to improve patient adherence.<h4>Methods</h4>Before radiation, all participants were taught preventive swallowing exercises and randomized to either an adherence intervention or enhanced usual care. During radiation, all participants met twice with a speech pathologist for swallowing assessment and reinforcement of exercises. Intervention participants met weekly with a counselor in-person or by phone. At 6-week post-radiation follow-up, all participants completed a follow-up assessment of self-reported adherence, which was then corroborated with medical record documentation.<h4>Results</h4>Newly diagnosed pharyngeal and laryngeal cancer patients without distant metastases were randomized (n = 265; 135 to intervention, and 130 to usual care). Intervention participants were more likely to adhere to exercises during radiation compared to the control group (p < 0.0001).<h4>Conclusion</h4>The weekly in-person adherence intervention program significantly increased patient's adherence to preventive swallowing exercises during radiation.","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024 Nov","modification":"2025-04-04T01:36:14.481Z","creation":"2025-04-04T01:36:14.481Z"},"accession":"S-EPMC11801331","cross_references":{"pubmed":["38873861"],"doi":["10.1002/hed.27832"]}}