Development of the ‘ACT now & check-it-out’ intervention to support patient-initiated follow up for Head and Neck cancer patients

Lauren Matheson; Colin Greaves; Joan  Duda; Mary Wells; Denis Secher; Pat  Rhodes; Ava Lorenc; Marcus J Jepson; Gozde Ozakinci; Eila Watson; Tessa Fulton-Lieuw; Saloni Mittal; Barry Main; Paul  Nankivell; Hisham Mehanna; Jo  Brett; on behalf of the PETNECK2 research team

doi:10.1016/j.pec.2023.108033

Development of the ‘ACT now & check-it-out’ intervention to support patient-initiated follow up for Head and Neck cancer patients

Lauren Matheson, Colin Greaves, Joan Duda, Mary Wells, Denis Secher, Pat Rhodes, Ava Lorenc, Marcus J Jepson, Gozde Ozakinci, Eila Watson, Tessa Fulton-Lieuw, Saloni Mittal, Barry Main, Paul Nankivell, Hisham Mehanna, Jo Brett, on behalf of the PETNECK2 research team

Research output: Contribution to journal › Article (Academic Journal) › peer-review

1 Citation (Scopus)

Abstract

Objective: Current Head and Neck cancer (HNC) follow-up models are considered sub-optimal at detecting recurrences. We describe the development of a patient-initiated follow up (PIFU) trial intervention support package, to support HNC patients to engage in PIFU self-care behaviors.

Methods: An intervention mapping approach, informed by evidence synthesis, theory and stakeholder consultation, guided intervention development. Data sources included a patient survey (n=144), patient interviews (n=30), 7 workshops with patients (n=25) and caregivers (n=3) and 5 workshops with health professionals (n=21).

Results: The intervention (‘ACT now & check-it-out’) comprises an education and support session with a health professional and an app and/or a booklet for patients. The main targets for change in patient self-care behaviors were: assessing what is normal for them; regularly checking for symptom changes; prompt help-seeking for persistent/new symptoms; self-management of fear of recurrence; engaging with the intervention over time.

Conclusions: We have developed an evidence, person and theory-based intervention to support PIFU self-care behaviors in HNC patients.
Practice Implications: A trial is underway to assess the effectiveness and cost-effectiveness of the intervention. If successful, this intervention could be adapted for patients with other cancers or diseases, which is important given the recent shift towards PIFU pathways.

Original language	English
Article number	108033
Journal	Patient Education and Counseling
Volume	119
Early online date	4 Nov 2023
DOIs	https://doi.org/10.1016/j.pec.2023.108033
Publication status	Published - 1 Feb 2024

Bibliographical note

Publisher Copyright:
© 2023 The Authors

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.pec.2023.108033Licence: CC BY-NC-ND

Handle.net

Persistent link

Cite this

Matheson, L., Greaves, C., Duda, J., Wells, M., Secher, D., Rhodes, P., Lorenc, A., Jepson, M. J., Ozakinci, G., Watson, E., Fulton-Lieuw, T., Mittal, S., Main, B., Nankivell, P., Mehanna, H., Brett, J., & PETNECK2 research team, O. B. O. T. (2024). Development of the ‘ACT now & check-it-out’ intervention to support patient-initiated follow up for Head and Neck cancer patients. Patient Education and Counseling, 119, Article 108033. https://doi.org/10.1016/j.pec.2023.108033

@article{6f60ba0877c54826b44c4fafeb816be7,

title = "Development of the {\textquoteleft}ACT now & check-it-out{\textquoteright} intervention to support patient-initiated follow up for Head and Neck cancer patients",

abstract = "Objective: Current Head and Neck cancer (HNC) follow-up models are considered sub-optimal at detecting recurrences. We describe the development of a patient-initiated follow up (PIFU) trial intervention support package, to support HNC patients to engage in PIFU self-care behaviors. Methods: An intervention mapping approach, informed by evidence synthesis, theory and stakeholder consultation, guided intervention development. Data sources included a patient survey (n=144), patient interviews (n=30), 7 workshops with patients (n=25) and caregivers (n=3) and 5 workshops with health professionals (n=21).Results: The intervention ({\textquoteleft}ACT now & check-it-out{\textquoteright}) comprises an education and support session with a health professional and an app and/or a booklet for patients. The main targets for change in patient self-care behaviors were: assessing what is normal for them; regularly checking for symptom changes; prompt help-seeking for persistent/new symptoms; self-management of fear of recurrence; engaging with the intervention over time. Conclusions: We have developed an evidence, person and theory-based intervention to support PIFU self-care behaviors in HNC patients. Practice Implications: A trial is underway to assess the effectiveness and cost-effectiveness of the intervention. If successful, this intervention could be adapted for patients with other cancers or diseases, which is important given the recent shift towards PIFU pathways.",

author = "Lauren Matheson and Colin Greaves and Joan Duda and Mary Wells and Denis Secher and Pat Rhodes and Ava Lorenc and Jepson, {Marcus J} and Gozde Ozakinci and Eila Watson and Tessa Fulton-Lieuw and Saloni Mittal and Barry Main and Paul Nankivell and Hisham Mehanna and Jo Brett and {PETNECK2 research team}, {on behalf of the}",

note = "Publisher Copyright: {\textcopyright} 2023 The Authors",

year = "2024",

month = feb,

day = "1",

doi = "10.1016/j.pec.2023.108033",

language = "English",

volume = "119",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Science Ireland",

}

Matheson, L, Greaves, C, Duda, J, Wells, M, Secher, D, Rhodes, P, Lorenc, A , Jepson, MJ, Ozakinci, G, Watson, E, Fulton-Lieuw, T, Mittal, S, Main, B, Nankivell, P, Mehanna, H, Brett, J & PETNECK2 research team, OBOT 2024, 'Development of the ‘ACT now & check-it-out’ intervention to support patient-initiated follow up for Head and Neck cancer patients', Patient Education and Counseling, vol. 119, 108033. https://doi.org/10.1016/j.pec.2023.108033

TY - JOUR

T1 - Development of the ‘ACT now & check-it-out’ intervention to support patient-initiated follow up for Head and Neck cancer patients

AU - Matheson, Lauren

AU - Greaves, Colin

AU - Duda, Joan

AU - Wells, Mary

AU - Secher, Denis

AU - Rhodes, Pat

AU - Lorenc, Ava

AU - Jepson, Marcus J

AU - Ozakinci, Gozde

AU - Watson, Eila

AU - Fulton-Lieuw, Tessa

AU - Mittal, Saloni

AU - Main, Barry

AU - Nankivell, Paul

AU - Mehanna, Hisham

AU - Brett, Jo

AU - PETNECK2 research team, on behalf of the

PY - 2024/2/1

Y1 - 2024/2/1

N2 - Objective: Current Head and Neck cancer (HNC) follow-up models are considered sub-optimal at detecting recurrences. We describe the development of a patient-initiated follow up (PIFU) trial intervention support package, to support HNC patients to engage in PIFU self-care behaviors. Methods: An intervention mapping approach, informed by evidence synthesis, theory and stakeholder consultation, guided intervention development. Data sources included a patient survey (n=144), patient interviews (n=30), 7 workshops with patients (n=25) and caregivers (n=3) and 5 workshops with health professionals (n=21).Results: The intervention (‘ACT now & check-it-out’) comprises an education and support session with a health professional and an app and/or a booklet for patients. The main targets for change in patient self-care behaviors were: assessing what is normal for them; regularly checking for symptom changes; prompt help-seeking for persistent/new symptoms; self-management of fear of recurrence; engaging with the intervention over time. Conclusions: We have developed an evidence, person and theory-based intervention to support PIFU self-care behaviors in HNC patients. Practice Implications: A trial is underway to assess the effectiveness and cost-effectiveness of the intervention. If successful, this intervention could be adapted for patients with other cancers or diseases, which is important given the recent shift towards PIFU pathways.

AB - Objective: Current Head and Neck cancer (HNC) follow-up models are considered sub-optimal at detecting recurrences. We describe the development of a patient-initiated follow up (PIFU) trial intervention support package, to support HNC patients to engage in PIFU self-care behaviors. Methods: An intervention mapping approach, informed by evidence synthesis, theory and stakeholder consultation, guided intervention development. Data sources included a patient survey (n=144), patient interviews (n=30), 7 workshops with patients (n=25) and caregivers (n=3) and 5 workshops with health professionals (n=21).Results: The intervention (‘ACT now & check-it-out’) comprises an education and support session with a health professional and an app and/or a booklet for patients. The main targets for change in patient self-care behaviors were: assessing what is normal for them; regularly checking for symptom changes; prompt help-seeking for persistent/new symptoms; self-management of fear of recurrence; engaging with the intervention over time. Conclusions: We have developed an evidence, person and theory-based intervention to support PIFU self-care behaviors in HNC patients. Practice Implications: A trial is underway to assess the effectiveness and cost-effectiveness of the intervention. If successful, this intervention could be adapted for patients with other cancers or diseases, which is important given the recent shift towards PIFU pathways.

U2 - 10.1016/j.pec.2023.108033

DO - 10.1016/j.pec.2023.108033

M3 - Article (Academic Journal)

C2 - 37988772

SN - 0738-3991

VL - 119

JO - Patient Education and Counseling

JF - Patient Education and Counseling

M1 - 108033

ER -

Development of the ‘ACT now & check-it-out’ intervention to support patient-initiated follow up for Head and Neck cancer patients

Abstract

Bibliographical note

UN SDGs

Access to Document

Handle.net

Fingerprint

Cite this