Table 5.
Treatment of Body Image Disturbance in Patients with Head and Neck Cancer.
| Author | Year | Country | Design | Inclusion Criteria | Time of Measurement | Sample Size | Sex (Female), % | HN Subsite, % | HNC Treatment Modality, % | PROM of BID | Intervention Arms | Study Results | Quality Rating |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Chen et al 22 | 2017 | Taiwan | RCT | 1. Patients with HNC 2. Female sex 3. >3 months posttreatment 4. >20 years old 5. Confirmed facial disfigurement by plastic surgeon |
Pre- and postintervention (at 3 months) | Intervention: 32 Control: 34 | 100 | OC: 86 Other: 14 | S + RT: 20 S + CRT: 80 | BIS | Intervention: Skin camouflage program Control: Routine care | Intervention: Preintervention, mean (SE)
BIS: 4.8 (0.7)a Postintervention, mean (SE) BIS: 2.7 (l.0)a Control:Preintervention, mean (SE) BIS: 6.6 (0.9)a Postintervention, mean (SE) BIS: 5.8 (l.4)a F value interaction between groups and within pre- and postintervention: 2.196 (P = .052) |
Good |
| Huang and Liu42 | 2008 | Taiwan | Prospective, single-blind, quasi- experimental study | 1. OC cancer 2. Free flap reconstruction 3. >2 months posttreatment 4. > 18 years old 5. No cosmetic allergies |
Pre- and postintervention (at 6 and 12 weeks) | Intervention: 22 Control: 22 | 7 | OC: 100 | S ± RT/CRT: 100 | MBSRQ-AS | Intervention: Cosmetic rehabilitation program Control: Routine care | No statistical difference in MBSRQ-AS scores between the cosmetic rehabilitation program and control cohorts (P > .05) preintervention and at both postintervention time periodsb | Fair |
Abbreviations: BID, body image disturbance; BIS, Body Image Scale; CRT, chemoradiotherapy; HN, head and neck; HNC, head and neck cancer; MBSRQ-AS, Multidimensional Body-Self Relations Questionnaire- Appearance Scales; OC, oral cavity; PROM, patient-reported outcome measure; RCT, randomized controlled trial; RT, radiotherapy; S, surgery; SE, standard error.
a
BIS scores were standardized to the traditional scale by multiplying reported individual item mean and standard deviation by 10.
b
Total MBSRQ-AS scores were not reported for the control and intervention groups. Only the subscale scores were reported.