Impact of Head and Neck Cancer Treatment on Survivors' Mealtime Experience
Karen M. K. Chan PhD Herman K. W. Chan BSc Jerry Y. L. Siu BSc Dai Pu BSc Rebecca L. Nund PhD Elizabeth C. Ward PhD
First published: 04 October 2018 https://doi.org/10.1002/lary.27501 Cited by: 1
This study was partially supported by the Seed Funding Programme for Basic Research (201311159014) and the General Research Fund, University Research Committee, Hong Kong (17606015).
The authors have no other funding, financial relationships, or conflicts of interest to disclose.
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Abstract
Objectives/Hypothesis
The objectives of the study were to develop a mealtime experience self‐assessment questionnaire that was head and neck cancer (HNC) survivors–driven and based on the International Classification of Functioning, Disability and Health (ICF) framework, and to identify common mealtime issues reported by HNC survivors.
Study Design
Outcomes research.
Methods
Mealtime issues reported by HNC survivors in prior research was synthesized and classified using the ICF framework to develop the content and structure of the Head and Neck Cancer Survivors' Assessment of Mealtimes (HNSAM). A total of 122 HNC survivors completed both HNSAM and M.D. Anderson Dysphagia Inventory (MDADI) to assess for concurrent validity, whereas 51% of participants completed a second HNSAM for test–retest reliability.
Results
The HNSAM scores were significantly correlated with the MDADI scores. Dysphagic participants (n = 45) had significantly higher HNSAM scores than the nondysphagic participants (n = 77). Principal component analysis revealed three factors that matched with the HNSAM subscales. Good internal consistency (Cronbach's α = 0.72–0.96) and test–retest reliability (intraclass correlation = 0.76–0.91) were found. Both dysphagic and nondysphagic participants reported difficulties with saliva‐related issues and were not able to enjoy food/drinks that they previously enjoyed.
Conclusions
HNC survivors experience mealtime changes after cancer treatment. These initial validity data support the potential for the HNSAM to help HNC survivors' identify changes to the mealtime experience. Validation of the English version of the tool is now required.
Level of Evidence: 2c
Laryngoscope, 129:1572–1578, 2019
Karen M. K. Chan PhD Herman K. W. Chan BSc Jerry Y. L. Siu BSc Dai Pu BSc Rebecca L. Nund PhD Elizabeth C. Ward PhD
First published: 04 October 2018 https://doi.org/10.1002/lary.27501 Cited by: 1
This study was partially supported by the Seed Funding Programme for Basic Research (201311159014) and the General Research Fund, University Research Committee, Hong Kong (17606015).
The authors have no other funding, financial relationships, or conflicts of interest to disclose.
Read the full text
ePDFPDFTOOLS SHARE
Abstract
Objectives/Hypothesis
The objectives of the study were to develop a mealtime experience self‐assessment questionnaire that was head and neck cancer (HNC) survivors–driven and based on the International Classification of Functioning, Disability and Health (ICF) framework, and to identify common mealtime issues reported by HNC survivors.
Study Design
Outcomes research.
Methods
Mealtime issues reported by HNC survivors in prior research was synthesized and classified using the ICF framework to develop the content and structure of the Head and Neck Cancer Survivors' Assessment of Mealtimes (HNSAM). A total of 122 HNC survivors completed both HNSAM and M.D. Anderson Dysphagia Inventory (MDADI) to assess for concurrent validity, whereas 51% of participants completed a second HNSAM for test–retest reliability.
Results
The HNSAM scores were significantly correlated with the MDADI scores. Dysphagic participants (n = 45) had significantly higher HNSAM scores than the nondysphagic participants (n = 77). Principal component analysis revealed three factors that matched with the HNSAM subscales. Good internal consistency (Cronbach's α = 0.72–0.96) and test–retest reliability (intraclass correlation = 0.76–0.91) were found. Both dysphagic and nondysphagic participants reported difficulties with saliva‐related issues and were not able to enjoy food/drinks that they previously enjoyed.
Conclusions
HNC survivors experience mealtime changes after cancer treatment. These initial validity data support the potential for the HNSAM to help HNC survivors' identify changes to the mealtime experience. Validation of the English version of the tool is now required.
Level of Evidence: 2c
Laryngoscope, 129:1572–1578, 2019
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