Evidence map›Paper›PMID 38873861›Full record

Trial reportHead & neck2024

Self-management intervention improves patient adherence to swallowing exercises during radiation for head and neck cancer.

Eileen H Shinn, Adam S Garden, Minxing Chen, Karen Basen-Engquist, Bryan Fellman, Kate Hutcheson, William H Morrison, Susan Peterson, Liang Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Head & neck, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Swallowing exercise adherence in patients with head and neck cancer based on the dual-process model: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Implementation of a Self-Help Swallowing Exercise Program in Head and Neck Cancer.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
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.

Eileen H ShinnDepartment of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-3220-7423
Adam S GardenDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-7926-2641
Minxing ChenDepartment of Biostatistics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Karen Basen-EngquistDepartment of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Bryan FellmanDepartment of Biostatistics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Kate HutchesonDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0003-3710-5706
William H MorrisonDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-9546-0805
Susan PetersonDepartment of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Liang LiDepartment of Biostatistics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Adherence to Swallowing Rehabilitation Exercises in Head and Neck CancerR01DE019141 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SHINN, EILEEN H · 2009 to 2013
$2.1M
NCI NIH HHS CA016672NCI NIH HHS P30 CA016672NIDCR NIH HHS NIDCR DE019141NIDCR NIH HHS R01 DE019141
6 · The paper itself

Abstract

backgroundWhile preventive swallowing exercises reduce the risk of radiation-associated dysphagia in patients with head and neck cancer, strategies are needed to improve patient adherence.

methodsBefore radiation, all participants were taught preventive swallowing exercises and randomized to either an adherence intervention or enhanced usual care. During radiation, all participants met twice with a speech pathologist for swallowing assessment and reinforcement of exercises. Intervention participants met weekly with a counselor in-person or by phone. At 6-week post-radiation follow-up, all participants completed a follow-up assessment of self-reported adherence, which was then corroborated with medical record documentation.

resultsNewly diagnosed pharyngeal and laryngeal cancer patients without distant metastases were randomized (n = 265; 135 to intervention, and 130 to usual care). Intervention participants were more likely to adhere to exercises during radiation compared to the control group (p < 0.0001).

conclusionThe weekly in-person adherence intervention program significantly increased patient's adherence to preventive swallowing exercises during radiation.

Indexed as

Deglutition DisordersExercise TherapyPatient ComplianceAdultAgedDeglutitionFemaleHead and Neck NeoplasmsHumansLaryngeal NeoplasmsMaleMiddle AgedPharyngeal NeoplasmsRadiation InjuriesSelf-Managementadherencecopingpsychosocialradiationself‐management

Identifiers

PMID38873861
PMCPMC11801331

What OpenQuestion holds

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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.