Development and preliminary evaluation of a rehabilitation consult for survivors of head and neck cancer: an intervention mapping protocol
Identifieur interne : 000D41 ( Pmc/Curation ); précédent : 000D40; suivant : 000D42Development and preliminary evaluation of a rehabilitation consult for survivors of head and neck cancer: an intervention mapping protocol
Auteurs : Sara E. Mcewen [Canada] ; Aileen M. Davis [Canada] ; Jennifer M. Jones [Canada] ; Rosemary Martino [Canada] ; Ian Poon [Canada] ; Ana Maria Rodriguez [Canada] ; Jolie Ringash [Canada]Source :
- Implementation Science : IS [ 1748-5908 ] ; 2015.
Abstract
Evidence suggests that rehabilitation interventions can improve function and quality of life in survivors of head and neck cancer (HNC), but there is a lack of coordinated, integrated services, and those offered are inconsistent. To address these gaps, we will develop and conduct preliminary evaluation of a rehabilitation consult, built on the theoretical foundations of goal setting and self-management, and composed of a brief functional evaluation, a resource compendium, and collaborative goal-setting and action planning processes.
The development of the rehabilitation consult will be guided by intervention mapping, which consists of six steps: 1. Needs assessment; 2. Definition of program objectives; 3. Selection of theory-based intervention methods; 4. Production and pretesting; 5. Adoption, implementation and sustainability planning; 6. Process and effect evaluation. Within the intervention mapping framework, an iterative process of constructing drafts and mini-evaluations with consumers and experts will be used, modifying the rehabilitation consult intervention until a version suitable for formal evaluation is established. The rehabilitation consult will then be evaluated using a prospective, mixed method, single group design with 30 survivors of head and neck cancer. Outcomes will be assessed pre- and post-intervention and at 6-month follow-up.
Survivors of head and neck cancer have among the most complex rehabilitation needs of all cancer patients. The rehabilitation consult is expected to improve knowledge and uptake of rehabilitation resources and strategies in survivors of head and neck cancer and thereby improve long-term function and quality of life. If the rehabilitation consult is effective in cancer patients with such high and diverse needs, this project will produce a toolkit that will be adaptable for other types of cancer in other jurisdictions.
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DOI: 10.1186/s13012-014-0191-z
PubMed: 25571966
PubMed Central: 4297361
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Sara E. Mcewen<affiliation><nlm:aff id="Aff1">St. John’s Rehab Research Program, Sunnybrook Research Institute, 285 Cummer Avenue, Toronto, ON M2M 2G1 Canada</nlm:aff><wicri:noCountry code="subfield">ON M2M 2G1 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Physical Therapy and Graduate Department of Rehabilitation Science, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff3">Toronto Western Research Institute, University Health Network, 399 Bathurst Street, Toronto, ON M5T 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5T 2S8 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff4">Institute of Health Policy, Management and Evaluation and Institute of Medical Science, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff5">Cancer Survivorship Program, Princess Margaret Cancer Centre, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5G 2C4 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff6">Department of Psychiatry, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff3">Toronto Western Research Institute, University Health Network, 399 Bathurst Street, Toronto, ON M5T 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5T 2S8 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff7">Department of Speech Language Pathology, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff8">Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3M5 Canada</nlm:aff><wicri:noCountry code="subfield">ON M4N 3M5 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff9">Department of Radiation Oncology, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff11">Department of Radiation Oncology, Princess Margaret Cancer Centre, University Health Network, 610 University Avenue, Toronto, ON M5G 2M9 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5G 2M9 Canada</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Development and preliminary evaluation of a rehabilitation consult for survivors of head and neck cancer: an intervention mapping protocol</title><author><name sortKey="Mcewen, Sara E" sort="Mcewen, Sara E" uniqKey="Mcewen S" first="Sara E" last="Mcewen">Sara E. Mcewen</name><affiliation><nlm:aff id="Aff1">St. John’s Rehab Research Program, Sunnybrook Research Institute, 285 Cummer Avenue, Toronto, ON M2M 2G1 Canada</nlm:aff><wicri:noCountry code="subfield">ON M2M 2G1 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Physical Therapy and Graduate Department of Rehabilitation Science, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Davis, Aileen M" sort="Davis, Aileen M" uniqKey="Davis A" first="Aileen M" last="Davis">Aileen M. Davis</name><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Physical Therapy and Graduate Department of Rehabilitation Science, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff3">Toronto Western Research Institute, University Health Network, 399 Bathurst Street, Toronto, ON M5T 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5T 2S8 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff4">Institute of Health Policy, Management and Evaluation and Institute of Medical Science, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Jones, Jennifer M" sort="Jones, Jennifer M" uniqKey="Jones J" first="Jennifer M" last="Jones">Jennifer M. Jones</name><affiliation><nlm:aff id="Aff5">Cancer Survivorship Program, Princess Margaret Cancer Centre, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5G 2C4 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff6">Department of Psychiatry, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Martino, Rosemary" sort="Martino, Rosemary" uniqKey="Martino R" first="Rosemary" last="Martino">Rosemary Martino</name><affiliation><nlm:aff id="Aff3">Toronto Western Research Institute, University Health Network, 399 Bathurst Street, Toronto, ON M5T 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5T 2S8 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff7">Department of Speech Language Pathology, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Poon, Ian" sort="Poon, Ian" uniqKey="Poon I" first="Ian" last="Poon">Ian Poon</name><affiliation><nlm:aff id="Aff8">Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3M5 Canada</nlm:aff><wicri:noCountry code="subfield">ON M4N 3M5 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff9">Department of Radiation Oncology, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Rodriguez, Ana Maria" sort="Rodriguez, Ana Maria" uniqKey="Rodriguez A" first="Ana Maria" last="Rodriguez">Ana Maria Rodriguez</name><affiliation wicri:level="4"><nlm:aff id="Aff10">School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir William Osler, Montreal, QC H3G 1Y5 Canada</nlm:aff><orgName type="university">Université McGill</orgName><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Ringash, Jolie" sort="Ringash, Jolie" uniqKey="Ringash J" first="Jolie" last="Ringash">Jolie Ringash</name><affiliation wicri:level="4"><nlm:aff id="Aff9">Department of Radiation Oncology, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff11">Department of Radiation Oncology, Princess Margaret Cancer Centre, University Health Network, 610 University Avenue, Toronto, ON M5G 2M9 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5G 2M9 Canada</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25571966</idno><idno type="pmc">4297361</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4297361</idno><idno type="RBID">PMC:4297361</idno><idno type="doi">10.1186/s13012-014-0191-z</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000D42</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D42</idno><idno type="wicri:Area/Pmc/Curation">000D41</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D41</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Development and preliminary evaluation of a rehabilitation consult for survivors of head and neck cancer: an intervention mapping protocol</title><author><name sortKey="Mcewen, Sara E" sort="Mcewen, Sara E" uniqKey="Mcewen S" first="Sara E" last="Mcewen">Sara E. Mcewen</name><affiliation><nlm:aff id="Aff1">St. John’s Rehab Research Program, Sunnybrook Research Institute, 285 Cummer Avenue, Toronto, ON M2M 2G1 Canada</nlm:aff><wicri:noCountry code="subfield">ON M2M 2G1 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Physical Therapy and Graduate Department of Rehabilitation Science, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Davis, Aileen M" sort="Davis, Aileen M" uniqKey="Davis A" first="Aileen M" last="Davis">Aileen M. Davis</name><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Physical Therapy and Graduate Department of Rehabilitation Science, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff3">Toronto Western Research Institute, University Health Network, 399 Bathurst Street, Toronto, ON M5T 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5T 2S8 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff4">Institute of Health Policy, Management and Evaluation and Institute of Medical Science, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Jones, Jennifer M" sort="Jones, Jennifer M" uniqKey="Jones J" first="Jennifer M" last="Jones">Jennifer M. Jones</name><affiliation><nlm:aff id="Aff5">Cancer Survivorship Program, Princess Margaret Cancer Centre, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5G 2C4 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff6">Department of Psychiatry, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Martino, Rosemary" sort="Martino, Rosemary" uniqKey="Martino R" first="Rosemary" last="Martino">Rosemary Martino</name><affiliation><nlm:aff id="Aff3">Toronto Western Research Institute, University Health Network, 399 Bathurst Street, Toronto, ON M5T 2S8 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5T 2S8 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff7">Department of Speech Language Pathology, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Poon, Ian" sort="Poon, Ian" uniqKey="Poon I" first="Ian" last="Poon">Ian Poon</name><affiliation><nlm:aff id="Aff8">Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3M5 Canada</nlm:aff><wicri:noCountry code="subfield">ON M4N 3M5 Canada</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff9">Department of Radiation Oncology, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Rodriguez, Ana Maria" sort="Rodriguez, Ana Maria" uniqKey="Rodriguez A" first="Ana Maria" last="Rodriguez">Ana Maria Rodriguez</name><affiliation wicri:level="4"><nlm:aff id="Aff10">School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir William Osler, Montreal, QC H3G 1Y5 Canada</nlm:aff><orgName type="university">Université McGill</orgName><country>Canada</country><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Ringash, Jolie" sort="Ringash, Jolie" uniqKey="Ringash J" first="Jolie" last="Ringash">Jolie Ringash</name><affiliation wicri:level="4"><nlm:aff id="Aff9">Department of Radiation Oncology, University of Toronto, Toronto, ON Canada</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation><nlm:aff id="Aff11">Department of Radiation Oncology, Princess Margaret Cancer Centre, University Health Network, 610 University Avenue, Toronto, ON M5G 2M9 Canada</nlm:aff><wicri:noCountry code="subfield">ON M5G 2M9 Canada</wicri:noCountry></affiliation></author></analytic><series><title level="j">Implementation Science : IS</title><idno type="eISSN">1748-5908</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Evidence suggests that rehabilitation interventions can improve function and quality of life in survivors of head and neck cancer (HNC), but there is a lack of coordinated, integrated services, and those offered are inconsistent. To address these gaps, we will develop and conduct preliminary evaluation of a rehabilitation consult, built on the theoretical foundations of goal setting and self-management, and composed of a brief functional evaluation, a resource compendium, and collaborative goal-setting and action planning processes.</p></sec><sec><title>Methods/design</title><p>The development of the rehabilitation consult will be guided by intervention mapping, which consists of six steps: 1. Needs assessment; 2. Definition of program objectives; 3. Selection of theory-based intervention methods; 4. Production and pretesting; 5. Adoption, implementation and sustainability planning; 6. Process and effect evaluation. Within the intervention mapping framework, an iterative process of constructing drafts and mini-evaluations with consumers and experts will be used, modifying the rehabilitation consult intervention until a version suitable for formal evaluation is established. The rehabilitation consult will then be evaluated using a prospective, mixed method, single group design with 30 survivors of head and neck cancer. Outcomes will be assessed pre- and post-intervention and at 6-month follow-up.</p></sec><sec><title>Discussion</title><p>Survivors of head and neck cancer have among the most complex rehabilitation needs of all cancer patients. The rehabilitation consult is expected to improve knowledge and uptake of rehabilitation resources and strategies in survivors of head and neck cancer and thereby improve long-term function and quality of life. If the rehabilitation consult is effective in cancer patients with such high and diverse needs, this project will produce a toolkit that will be adaptable for other types of cancer in other jurisdictions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Deng, J" uniqKey="Deng J">J Deng</name></author><author><name sortKey="Ridner, Sh" uniqKey="Ridner S">SH Ridner</name></author><author><name sortKey="Dietrich, Ms" uniqKey="Dietrich M">MS Dietrich</name></author><author><name sortKey="Wells, N" uniqKey="Wells N">N Wells</name></author><author><name sortKey="Wallston, Ka" uniqKey="Wallston K">KA Wallston</name></author><author><name sortKey="Sinard, Rj" uniqKey="Sinard R">RJ Sinard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bragante, Kc" uniqKey="Bragante K">KC Bragante</name></author><author><name sortKey="Nascimento, Dm" uniqKey="Nascimento D">DM Nascimento</name></author><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Implement Sci</journal-id><journal-id journal-id-type="iso-abbrev">Implement Sci</journal-id><journal-title-group><journal-title>Implementation Science : IS</journal-title></journal-title-group><issn pub-type="epub">1748-5908</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25571966</article-id><article-id pub-id-type="pmc">4297361</article-id><article-id pub-id-type="publisher-id">191</article-id><article-id pub-id-type="doi">10.1186/s13012-014-0191-z</article-id><article-categories><subj-group subj-group-type="heading"><subject>Study Protocol</subject></subj-group></article-categories><title-group><article-title>Development and preliminary evaluation of a rehabilitation consult for survivors of head and neck cancer: an intervention mapping protocol</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>McEwen</surname><given-names>Sara E</given-names></name><address><email>sara.mcewen@utoronto.ca</email></address><xref ref-type="aff" rid="Aff1"></xref><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Davis</surname><given-names>Aileen M</given-names></name><address><email>adavis@uhnresearch.ca</email></address><xref ref-type="aff" rid="Aff2"></xref><xref ref-type="aff" rid="Aff3"></xref><xref ref-type="aff" rid="Aff4"></xref></contrib><contrib contrib-type="author"><name><surname>Jones</surname><given-names>Jennifer M</given-names></name><address><email>jennifer.jones@uhn.ca</email></address><xref ref-type="aff" rid="Aff5"></xref><xref ref-type="aff" rid="Aff6"></xref></contrib><contrib contrib-type="author"><name><surname>Martino</surname><given-names>Rosemary</given-names></name><address><email>rosemary.martino@utoronto.ca</email></address><xref ref-type="aff" rid="Aff3"></xref><xref ref-type="aff" rid="Aff7"></xref></contrib><contrib contrib-type="author"><name><surname>Poon</surname><given-names>Ian</given-names></name><address><email>ian.poon@sunnybrook.ca</email></address><xref ref-type="aff" rid="Aff8"></xref><xref ref-type="aff" rid="Aff9"></xref></contrib><contrib contrib-type="author"><name><surname>Rodriguez</surname><given-names>Ana Maria</given-names></name><address><email>ana.rodriguez@mail.mcgill.ca</email></address><xref ref-type="aff" rid="Aff10"></xref></contrib><contrib contrib-type="author"><name><surname>Ringash</surname><given-names>Jolie</given-names></name><address><email>jolie.ringash@rmp.uhn.on.ca</email></address><xref ref-type="aff" rid="Aff9"></xref><xref ref-type="aff" rid="Aff11"></xref></contrib><aff id="Aff1"><label></label>St. John’s Rehab Research Program, Sunnybrook Research Institute, 285 Cummer Avenue, Toronto, ON M2M 2G1 Canada</aff><aff id="Aff2"><label></label>Department of Physical Therapy and Graduate Department of Rehabilitation Science, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</aff><aff id="Aff3"><label></label>Toronto Western Research Institute, University Health Network, 399 Bathurst Street, Toronto, ON M5T 2S8 Canada</aff><aff id="Aff4"><label></label>Institute of Health Policy, Management and Evaluation and Institute of Medical Science, University of Toronto, Toronto, ON Canada</aff><aff id="Aff5"><label></label>Cancer Survivorship Program, Princess Margaret Cancer Centre, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4 Canada</aff><aff id="Aff6"><label></label>Department of Psychiatry, University of Toronto, Toronto, ON Canada</aff><aff id="Aff7"><label></label>Department of Speech Language Pathology, University of Toronto, 160-500 University Avenue, Toronto, ON M5G 1V7 Canada</aff><aff id="Aff8"><label></label>Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3M5 Canada</aff><aff id="Aff9"><label></label>Department of Radiation Oncology, University of Toronto, Toronto, ON Canada</aff><aff id="Aff10"><label></label>School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir William Osler, Montreal, QC H3G 1Y5 Canada</aff><aff id="Aff11"><label></label>Department of Radiation Oncology, Princess Margaret Cancer Centre, University Health Network, 610 University Avenue, Toronto, ON M5G 2M9 Canada</aff></contrib-group><pub-date pub-type="epub"><day>9</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>9</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>10</volume><elocation-id>6</elocation-id><history><date date-type="received"><day>14</day><month>11</month><year>2014</year></date><date date-type="accepted"><day>10</day><month>12</month><year>2014</year></date></history><permissions><copyright-statement>© McEwen et al.; licensee BioMed Central. 2015</copyright-statement><license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Evidence suggests that rehabilitation interventions can improve function and quality of life in survivors of head and neck cancer (HNC), but there is a lack of coordinated, integrated services, and those offered are inconsistent. To address these gaps, we will develop and conduct preliminary evaluation of a rehabilitation consult, built on the theoretical foundations of goal setting and self-management, and composed of a brief functional evaluation, a resource compendium, and collaborative goal-setting and action planning processes.</p></sec><sec><title>Methods/design</title><p>The development of the rehabilitation consult will be guided by intervention mapping, which consists of six steps: 1. Needs assessment; 2. Definition of program objectives; 3. Selection of theory-based intervention methods; 4. Production and pretesting; 5. Adoption, implementation and sustainability planning; 6. Process and effect evaluation. Within the intervention mapping framework, an iterative process of constructing drafts and mini-evaluations with consumers and experts will be used, modifying the rehabilitation consult intervention until a version suitable for formal evaluation is established. The rehabilitation consult will then be evaluated using a prospective, mixed method, single group design with 30 survivors of head and neck cancer. Outcomes will be assessed pre- and post-intervention and at 6-month follow-up.</p></sec><sec><title>Discussion</title><p>Survivors of head and neck cancer have among the most complex rehabilitation needs of all cancer patients. The rehabilitation consult is expected to improve knowledge and uptake of rehabilitation resources and strategies in survivors of head and neck cancer and thereby improve long-term function and quality of life. If the rehabilitation consult is effective in cancer patients with such high and diverse needs, this project will produce a toolkit that will be adaptable for other types of cancer in other jurisdictions.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Head and neck cancer</kwd><kwd>Rehabilitation</kwd><kwd>Intervention mapping</kwd><kwd>Protocol</kwd><kwd>Self-management</kwd><kwd>Goal setting</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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