A Mobile-Support Program to Facilitate Nutritional Caregiving in Head and Neck Cancer

促进头颈癌营养护理的移动支持计划

• 批准号: 9386583
• 负责人: Katherine Regan Sterba
• 金额: $ 19.51万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9386583
• 关键词: Address; Aftercare; Algorithms; Assessment tool; Body Weight decreased; Cancer Survivor; Cancer Survivorship; Caregiver support; Caregivers; Caring; Clinic; Clinical; Communities; Data; Deglutition; Dependence; Distress; Emotional; Enteral Feeding; Equipment; Evaluation; Face; Family; Feeling; Fibrinogen; Friends; Future; Goals; Head and Neck Cancer; Health Personnel; Home environment; Intake; Intervention; Interview; Lead; Link; Malignant Neoplasms; Malnutrition; Mental Depression; Methods; Modeling; Monitor; Needs Assessment; Nutritional; Nutritional Support; Outcome; Outcome Measure; Participant; Population; Preparation; Prevention; Process; Randomized Controlled Trials; Readiness; Recommendation; Recovery; Recruitment Activity; Rehabilitation therapy; Reporting; Research; Research Methodology; Resources; Role; Social Interaction; Speech; Support System; Surveys; Survivors; System; Tablets; Taxes; Technology; Technology Assessment; Testing; Time; Translating; Translations; Treatment outcome; Work; cancer rehabilitation; caregiving; improved; informant; lean body mass; mHealth; mobile computing; model building; multi-site trial; novel; nutrition; oncology; peer; persistent symptom; personalized care; programs; psychosocial; satisfaction; social; survivorship; tool; touchscreen; treatment duration

PROJECT SUMMARY Head and neck cancer survivors face demanding and distressing nutritional challenges and their caregivers often feel unprepared to carry out nutritional support efforts at home after treatment. This study builds on our team's previous research in which we developed a survivorship needs assessment planning tool to assess the specialized needs of head and neck cancer survivors and caregivers and generate personalized care plans. The system has demonstrated high acceptability and feasibility and has promising potential for expansion to support caregivers' nutritional support efforts beyond the clinic by capitalizing on mobile technology to follow caregivers as they transition home in the high-need recovery period. In the current mixed methods research, working with survivors, caregivers and health care providers, we will develop and pilot-test a nutrition-focused mobile support system (mSupport) for head and neck cancer dyads as they manage nutritional needs and concerns during the initial recovery period. The specific aims of this R21 are to 1) develop and pretest a mobile nutritional support system (needs assessment tool, tailored care plan and mobile messaging program) for head and neck cancer caregivers at the end of treatment and 2) pilot-test the mobile support system in head and neck cancer dyads. We will use dyadic interviews with head and neck cancer survivors and their caregivers (N=15 dyads) and surveys with a national panel of oncology dieticians (N=35) to characterize nutritional support needs and develop the mSupport system. After finalizing the system with our Clinical Advisory Board, we will pilot the finalized system in the clinic with 30 survivor-caregiver dyads (N=60 participants) and provide bi-weekly caregiver mobile monitoring and support (encouragement, reminders and tips delivered through messaging and peer videos) for 4 weeks, tracking feasibility, acceptability and short-term outcomes for a future randomized controlled trial. This research is novel in its dyadic approach to survivorship care planning, its focus on nutritional wellness to accelerate dyads' readiness to transition from treatment to the post-treatment period and its extension of a scalable mobile health support system to reach caregivers. Results will lead to a large-scale multi-site trial to improve head and neck cancer survivorship care.

项目概要 头颈癌幸存者及其护理人员面临严峻且令人痛苦的营养挑战 治疗后常常感到没有准备好在家中进行营养支持工作。这项研究建立在我们的 团队之前的研究中，我们开发了一个生存需求评估规划工具来评估 头颈癌幸存者和护理人员的特殊需求，并制定个性化护理计划。 该系统已表现出较高的可接受性和可行性，并具有广泛的推广潜力。 利用移动技术来支持护理人员在诊所之外的营养支持工作 护理人员在高需求恢复期过渡回家时。 在当前的混合方法研究中，与幸存者、护理人员和医疗保健提供者合作，我们将 开发并试点测试针对头颈癌患者的以营养为中心的移动支持系统 (mSupport) 因为他们在最初的恢复期间管理营养需求和问题。 R21的具体目标 1) 开发并预测试移动营养支持系统（需求评估工具、量身定制的护理计划 和移动消息程序）在治疗结束时为头颈癌护理人员提供服务以及 2）试点测试 头颈癌二元组的移动支持系统。我们将使用头部和颈部的二元访谈 癌症幸存者及其护理人员（N = 15 组）以及国家肿瘤营养师小组的调查 (N=35) 描述营养支持需求并开发 mSupport 系统。系统最终确定后 我们将与我们的临床咨询委员会一起，在诊所与 30 名幸存者和护理人员对最终系统进行试点 （N = 60 名参与者）并提供每两周一次的护理人员移动监控和支持（鼓励、 通过消息和同行视频提供的提醒和提示）为期 4 周，跟踪可行性、可接受性 以及未来随机对照试验的短期结果。 这项研究的新颖之处在于其生存护理计划的二元方法，其重点是营养健康 加速二人组从治疗过渡到治疗后阶段及其延长治疗期的准备 可扩展的移动健康支持系统可覆盖护理人员。结果将导致大规模多地点试验 改善头颈癌生存护理。