Table 1.
Phase 4: determinants | Phase 3: behavioural and environmental factors | Phase 2: body structures and functions | Phase 1: function, participation, and health | |
---|---|---|---|---|
Modifiable | Knowledge about condition | Goal setting and action planning | Swallowing | Decreased functional status, |
Fatigue | ||||
Knowledge about symptom management and resources | Health care professionals knowledge about rehab and HNC treatment | Muscle strength, joint mobility | Decreased health status, Decreased participation and engagement in personally-meaningful life areas | |
Cardiovascular capacity | ||||
Knowledge about metacognitive strategy use | Expectations | Dental issues | ||
Energy budgeting | Mouth opening | |||
Neck and arm range of motion | Decreased psychosocial function | |||
Knowledge about association among needs/issues? | Coping habits | Speech | ||
Exercise habits | Anxiety | Decreased role function | ||
Dietary habits | Dry mouth | |||
Substance use, particularly smoking | Neuropathies/sensory issues | Decreased employment | ||
Local processes | Fibrosis | |||
Physician referral processes | Action planning | Pain | ||
Problem solving | Cardiovascular capacity | |||
Developing strategies | ||||
Self efficacy | ||||
Communication style | Self regulation/self evaluation | Digestive system functioning | ||
Coping style | Rehab resources | Weight loss | ||
Pre-existing mood/behaviour | Community resources | Cognitive impairments | ||
Access to resources | Personality changes | |||
Emotional issues | ||||
Intimacy | ||||
Body image/body satisfaction | ||||
Lymphedema | ||||
Late effects | ||||
Non-modifiable | Disease site | Hospital type (eg cancer centre vs tertiary care centre) | Aesthetic outcomes | |
Treatment received | ||||
Age | ||||
Sex | ||||
Education level | ||||
Socioeconomic status/finances | ||||
Personality |
Items in italics are targeted for change.