Table 1.
Study | Settings/Patients | Study Design/Intervention | Timing of intervention | Assessment timepoints | Measures | Results | Methodological Qualitya |
---|---|---|---|---|---|---|---|
Katz et al. (2004) [16] | 19 HNC pts. (10 experimental, 9 control); Canada | RCT. Intervention group received 2 sessions with research nurse (60-90 min each) with educational booklet covering info on diagnosis and surgery, what to expect physically post-surgery, effective coping strategies. | Newly diagnosed oral cavity cancer pre-treatment; sessions were pre-operatively then pre-discharge from hospital | baseline, pre-hospital discharge, 3 months | Knowledge, State-trait anxiety inventory (STAI), CES-D, affect balance scale, Atkinson Life Happiness rating scale, illness intrusiveness ratings scale, EORTC QLQ-30; satisfaction with intervention survey | Experimental group showed gain in knowledge, less body image disturbance, lower anxiety | 5 |
Duffy et al. (2006) [17] | 184 HNC pts. randomized; pts. had at least one of the following: smoking, alcohol use, or depression; Michigan | RCT. Intervention group received sessions with a nurse consisting of cognitive behavioral therapy with workbook and phone calls plus medications as needed for smoking cessation or depression. | Any time after diagnosis (0 to 282 months; mean 24 months from diagnosis) | baseline and 6 months | Alcohol use: Alcohol Use Disorder Identification Test; Depression: Geriatric Depression Scale-Short Form | Significant differences in 6 month smoking cessation rates. No significant difference in 6 month depression/alcohol use. | 7 |
Semple et al. (2009) [18] | 54 HNC pts., meeting cutoffs for psychosocial dysfunction (hospital depression scale, work and social adjustment scale-WASA); Ireland | Non-randomized, controlled trial. Intervention group was self-selected and received one-on-one home visits with clinical nurse specialist for an individualized, problem-focused program with bibliotherapy as adjunct. Controls were those who self-selected not to participate. | Post-treatment (no time frame given, no details of treatment), 2–6 home sessions (avg 4), up to 90 min each with 2 weeks between sessions | baseline, 1 week post intervention, 3 months | Psychological dysfunction: HADS; WASA and QOL: HRQOL by UWQOL v. 4; Work and Social Adjustment Scale | Significant improvement in psychological distress, social functioning and some QOL scores, sustained in 3 month follow up period | 6 |
van der Meulen et al. (2014) [19] | 205 HNC pts. HNC cancer | RCT. Intervention group received 6 bimonthly, problem focused counseling sessions (45 min each) with a nurse addressing physical, psychological, and social consequences of HNC. | Enrolled before treatment started but sessions started after treatment ended | baseline, 3, 6, 9, and 12 months after treatment completion | Depression: CES-D; QOL: EORTC QLQ | Depression levels were significantly lower in the intervention group at 1 year and physical symptoms also decreased in the intervention group compared to control | 6 |
aCriteria for assessing the methodological and statistical quality of the studies were adapted from Longacre et al., where one point was given for each criteria met of the following categories: (A) Sample characteristics, (B) Sample size, (C) Data collection, (D) Response rates, (E) Outcome measurement, (F) Comparison groups, and (G) Statistical analyses. A total of 7 points was possible such that higher points were higher quality studies