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Table 4 Health Systems interventions

From: Interventions to improve quality of life (QOL) and/or mood in patients with head and neck cancer (HNC): a review of the evidence

Study Settings/Patients Study Design/Intervention Timing of intervention Assessment timepoints Measures Results Methodological Quality
van den Brink et al. (2007) [26] 145 HNC pts. in control group, 39 in intervention group; Netherlands Prospective, non-randomized control trial (intervention vs control based on location). Intervention group given electronic health information support (laptop for communication with healthcare team, information, patient forum, and home symptom monitoring). post-operatively × 6 weeks; all used intervention baseline at discharge, 6 weeks, 12 weeks QOL: Custom questionnaires contained 22 QoL subscales, of which 19 validated in prior studies; usage statistics All used system. At 6 weeks, intervention arm had improved QOL in 5 of 22 measured parameters. At 12 weeks, only 1 parameter remained significant. 6
D’Souza et al. (2013) [27] 96 HNC pts.;
Canada
Non-randomized controlled trial. Intervention group received Multimode Comprehensive Tailored Information Package by treating clinicians (booklet, interactive computer booth, computer animation, DVD, database) at one center and usual info at control center newly diagnosed HNC, not yet treated baseline (after information provision but before treatment started), 3 and 6 months post HADS Intervention group had significant improvement in anxiety; depression was not as impacted 6