Evidence map›Paper›PMID 35960394›Full record

Trial reportDysphagia2023

Head and Neck Virtual Coach: A Randomized Control Trial of Mobile Health as an Adjunct to Swallowing Therapy During Head and Neck Radiation.

Heather M Starmer, David Klein, Aisha Montgomery, Tessa Goldsmith, Liane McCarroll, Jeremy Richmon, F Christopher Holsinger, Beth Beadle, Praduman Jain

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Dysphagia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03832686 (Investigation of Two Swallowing Therapy Models During Radiation Therapy for Head and Neck Cancer), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03832686 nacompletednot on this map

Investigation of Two Swallowing Therapy Models During Radiation Therapy for Head and Neck Cancer

TypeinterventionalSponsorStanford UniversityRan2019 to 2023Enrolled98ConditionsHead Neck CancerArmsVirtual Coach
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Dysphagia Advances in Head and Neck Cancer.Current otorhinolaryngology reports · 2023
    Review
  12. Review
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

9 authors.

Heather M StarmerStanford University, 900 Blake Wilbur Drive Suite 3025, Palo Alto, CA, 94305, USA. hstarmer@stanford.edu.ORCID 0000-0002-1716-9852
David KleinVibrent Health, Fairfax, VA, USA.
Aisha MontgomeryVibrent Health, Fairfax, VA, USA.
Tessa GoldsmithMass General Cancer Center, Boston, Mass, USA.
Liane McCarrollFox Chase Cancer Center, Philadelphia, PA, USA.
Jeremy RichmonMass General Cancer Center, Boston, Mass, USA.
F Christopher HolsingerStanford University, 900 Blake Wilbur Drive Suite 3025, Palo Alto, CA, 94305, USA.
Beth BeadleStanford University, 900 Blake Wilbur Drive Suite 3025, Palo Alto, CA, 94305, USA.
Praduman JainVibrent Health, Fairfax, VA, USA.

Funding

NCI NIH HHS HHSN261201700003C
6 · The paper itself

Abstract

Dysphagia is a common consequence of head and neck radiation and may be mitigated by performance of swallowing exercises during radiation treatment. Given historically poor adherence to such exercise protocols, we created a mobile health application, HNC Virtual Coach as an adjunct to standard clinical care. This randomized control trial investigated the impact of HNC Virtual Coach on adherence as well as swallowing outcomes by comparing those using the mobile app to those receiving only standard clinical care and paper logs. Both treatment groups were provided with the same exercise protocol as well as the same baseline educational information. Outcome measures included adherence rates, physiologic measures obtained during a Modified Barium Swallow Study (PAS, MBS-ImP, DIGEST), patient-reported outcomes (MDADI), diet levels (FOIS, PSS-HN), and quality of information received (INFO-25). Patients using the HNC Virtual Coach tended to have better adherence to treatment recommendations during radiation therapy. Increased adherence was associated with better patient-reported quality of life, but not physiologic function 2-3 months following completion of radiation. Results suggest that a mobile health application may provide benefit for some patients undergoing head and neck radiation.

Indexed as

Deglutition DisordersHead and Neck NeoplasmsChemoradiotherapyDeglutitionHumansQuality of LifeAdherenceDysphagiaHead and neck cancerMobile health applicationRadiationSwallowing

Identifiers

PMID35960394

What OpenQuestion holds

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Registered trials

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.