Implementing a patient engagement framework to enhance nutritional status in outpatients receiving radiotherapy for head and neck cancer
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BACKGROUND/OBJECTIVES: This study aimed to investigate the impact of implementing a ‘Patient Engagement Framework (PEF)’ on outpatients undergoing radiation therapy for head and neck cancer (HNC). The framework utilizes electronic information methods to actively involve patients in nutrition management and symptom control. SUBJECTS/METHODS: Sixty-seven HNC patients receiving outpatient radiotherapy (RT) were divided into an intervention group (n = 35) using the PEF and a control group (n = 32) receiving standard care. The intervention involved patients using an electronic platformfor daily self-assessments and collaborating with medical staff on personalized symptom management. Outcomes assessed included oral mucositis (OM), nutritional status, and other RT-related adverse effects at 4 and 7 weeks of treatment. RESULTS: The intervention group had significantly lower incidence of severe OM compared to controls (14.3% vs. 40.6%, P < 0.05). Onset of OM was also delayed in the intervention group. At weeks 4 and 7, the intervention group showed less weight loss and body mass index reduction (P < 0.05). By week 7, the intervention group had less decline in albumin and hemoglobin levels (P < 0.05). The intervention group also experienced lower rates of moderate to severe pain, nausea and vomiting, . CONCLUSION: Implementing the PEF, which actively involves patients in nutrition and symptom management via electronic methods, effectively improved nutritional status and reduced adverse effects of RT in HNC outpatients. This approach shows promise for enhancing self-management and outcomes in this patient population.
Abstract
BACKGROUND/OBJECTIVES: This study aimed to investigate the impact of implementing a ‘Patient Engagement Framework (PEF)’ on outpatients undergoing radiation therapy for head and neck cancer (HNC). The framework utilizes electronic information methods to actively involve patients in nutrition management and symptom control. SUBJECTS/METHODS: Sixty-seven HNC patients receiving outpatient radiotherapy (RT) were divided into an intervention group (n = 35) using the PEF and a control group (n = 32) receiving standard care. The intervention involved patients using an electronic platformfor daily self-assessments and collaborating with medical staff on personalized symptom management. Outcomes assessed included oral mucositis (OM), nutritional status, and other RT-related adverse effects at 4 and 7 weeks of treatment. RESULTS: The intervention group had significantly lower incidence of severe OM compared to controls (14.3% vs. 40.6%, P < 0.05). Onset of OM was also delayed in the intervention group. At weeks 4 and 7, the intervention group showed less weight loss and body mass index reduction (P < 0.05). By week 7, the intervention group had less decline in albumin and hemoglobin levels (P < 0.05). The intervention group also experienced lower rates of moderate to severe pain, nausea and vomiting, . CONCLUSION: Implementing the PEF, which actively involves patients in nutrition and symptom management via electronic methods, effectively improved nutritional status and reduced adverse effects of RT in HNC outpatients. This approach shows promise for enhancing self-management and outcomes in this patient population.