McEwen Sara E, Dunphy Colleen, Rios Jorge N, Davis Aileen M, Jones Jennifer, Martino Rosemary, Poon Ian, Ringash Jolie
Sunnybrook Research Institute, St. John's Rehab Research Program, Toronto, Ontario, Canada.
Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Head Neck. 2018 Jul;40(7):1415-1424. doi: 10.1002/hed.25113. Epub 2018 Mar 22.
The rehabilitation planning consult (RPC) is a novel, transdisciplinary rehabilitation intervention for survivors of head and neck cancer. The study aimed to: (1) estimate recruitment and withdrawal rates, and adverse events; and (2) estimate the effect on rehabilitation indicators in survivors of head and neck cancer.
A single group pre-post study with follow-up was conducted with survivors of head and neck cancer who had completed treatment within 18 months. Outcome measures included goal attainment and quality of life indicators.
Thirty participants (30) completed the RPC, and 20 completed follow-up. The average age was 59.8 years (SD 13.3), 23 were men, and 23 set rehabilitation goals. At follow-up, there was a large effect on goal performance (d = 1.5) and satisfaction (d = 1.5), and on the Short Form Health Survey-36 (SF-36) physical role and social functioning subscales (d = 1.0 and 0.8). There was a small to moderate effect on most other outcomes.
The RPC is a promising transdisciplinary rehabilitation intervention warranting further study with a controlled trial.
康复规划咨询（RPC）是一种针对头颈癌幸存者的新型跨学科康复干预措施。该研究旨在：（1）估计招募率、退出率和不良事件；（2）评估对头颈癌幸存者康复指标的影响。
对在18个月内完成治疗的头颈癌幸存者进行了一项单组前后对照研究并进行随访。结果指标包括目标达成情况和生活质量指标。
30名参与者完成了RPC，20名完成了随访。平均年龄为59.8岁（标准差13.3），23人为男性，23人设定了康复目标。在随访时，目标达成情况（d = 1.5）、满意度（d = 1.5）以及简短健康调查问卷-36（SF-36）身体功能和社会功能分量表（d = 1.0和0.8）有较大改善。对大多数其他结果有小到中等程度的影响。
RPC是一种有前景的跨学科康复干预措施，值得通过对照试验进行进一步研究。
