Evidence map›Paper›PMID 30521075›Full record

Trial reportCancer2019

Self-management intervention for head and neck cancer couples: Results of a randomized pilot trial.

Hoda Badr, Krista Herbert, Karishma Chhabria, Vlad C Sandulache, Elizabeth Y Chiao, Timothy Wagner

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 8 pooled it
1.3field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 8 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  5. Effects of marital self-disclosure on marital relationship and psychological outcome for cancer patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  7. A systematic review and meta-analysis of couple-based intervention on sexuality and the quality of life of cancer patients and their partners.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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  12. Couple-based communication intervention for head and neck cancer: a randomized pilot trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hoda BadrDepartment of Medicine, Baylor College of Medicine, Houston, Texas.ORCID 0000-0002-4549-9111
Krista HerbertDepartment of Psychology, Rowan University, Glassboro, New Jersey.
Karishma ChhabriaDepartment of Medicine, Baylor College of Medicine, Houston, Texas.
Vlad C SandulacheDepartment of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.
Elizabeth Y ChiaoDepartment of Medicine, Baylor College of Medicine, Houston, Texas.
Timothy WagnerDepartment of Radiation Oncology, Baylor College of Medicine, Houston, Texas.
Baylor College of Medicine · USRowan University · US

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI DAVID R ROWLEY · 2007 to 2026
$73.9M
Improving Self-management in Head and Neck CancerR21CA178478 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BADR, HODA J. · 2014 to 2015
$406k
NCI NIH HHS P30 CA125123NCI NIH HHS R21 CA178478
6 · The paper itself

Abstract

backgroundPatients with head and neck cancer (HNC) experience significant physical and psychological morbidity during radiotherapy (RT) that contributes to treatment interruptions and a poor quality of life. Although spouses/partners can help by encouraging patient self-management (eg, self-care) during RT, they often experience high psychological distress rates, lack basic health care knowledge and skills, and report increased marital conflict regarding patient self-management. The current pilot study examined the feasibility and acceptability of a 6-session telephone-based intervention called Spouses coping with the Head And neck Radiation Experience (SHARE), which teaches self-management, communication, and coping skills to patients with HNC and their spouses. The treatment effects of SHARE compared with usual medical care (UMC) in controlling patient physical symptoms and improving patient/spouse psychological and marital functioning also were examined.

methodsThirty patients who initiated RT and their spouses (60 participants; 40% of whom were racial/ethnic minorities) were randomized to SHARE or UMC, and preintervention and postintervention assessments were completed.

resultsSolid recruitment (70%) and low attrition rates (7%) demonstrated feasibility. Strong program evaluations and homework completion rates (72%) supported acceptability. Significant treatment effects (medium in magnitude) were observed for SHARE compared with UMC with regard to HNC-specific physical symptom burden (Cohen's d, -0.89) and symptom interference (Cohen's d, -0.86). Medium to large effects favoring SHARE also were found for patient and spouse depressive symptoms (Cohen's d, -0.84) and cancer-specific distress (Cohen's d, -1.05).

conclusionsThe findings of the current study support the feasibility, acceptability, and preliminary efficacy of SHARE. They also suggest that programs that empower HNC couples with the necessary skills to coordinate care and manage the challenges of RT together hold great promise for controlling a patient's physical symptoms and improving the psychological functioning of both partners.

Indexed as

Family ConflictPsychological DistressQuality of LifeSpousesAdaptation, PsychologicalAdultAgedChemoradiotherapyCombined Modality TherapyFeasibility StudiesFemaleHead and Neck NeoplasmsHealth Knowledge, Attitudes, PracticeHumansMaleMiddle Agedcouple-based interventionhead and neck cancerM.D. Anderson Symptom Inventory Head and Neck survey (MDASI-HN)psychological distresssupportive care

Identifiers

PMID30521075
PMCPMC6420382
OpenAlexW2904734110

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.