Home-based telehealth service for swallowing and nutrition management following head and neck cancer treatment

Journal of Telemedicine and Telecare
Annette CollinsDaniel Best

Abstract

Introduction Following (chemo)radiotherapy (C/RT) for head and neck cancer (HNC), patients return to hospital for regular outpatient reviews with speech pathology (SP) and nutrition and dietetics (ND) for acute symptom monitoring, nutritional management, and swallowing and communication rehabilitation. The aim of the current study was to determine the feasibility of a home-based telehealth model for delivering SP and ND reviews, to provide patients with more convenient access to these appointments. Methods Service outcomes, costs, and consumer satisfaction were examined across 30 matched participants: 15 supported via the standard model of care (SMOC), and 15 via the home-based telehealth model of care (TMOC). Results All patients were successfully managed via telehealth. The TMOC was more efficient, with a reduced number ( p < 0.003) and duration ( p < 0.01) of appointments required until discharge. Significant patient cost savings ( p = 0.002) were reported for the TMOC due to decreased travel requirements. While staff costs were reduced, additional telehealth equipment levies resulted in a lower but non-significant overall cost difference to the health service when using the TMOC. High satisfaction was reported by all partic...Continue Reading

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Citations

Oct 22, 2019·Journal of Telemedicine and Telecare·Madeline RaatzClare L Burns
Jul 13, 2020·International Journal of Language & Communication Disorders·Kelli L HancockAnne E Hill
Oct 16, 2019·International Journal of Language & Communication Disorders·Kelli L HancockAnne E Hill
Jun 14, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·M AaproS Porzig
Dec 20, 2018·International Journal of Language & Communication Disorders·Rebecca SutherlandJacqueline Roberts
Feb 9, 2021·American Journal of Speech-language Pathology·Georgia A MalandrakiJaime Bauer Malandraki
Mar 19, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Neha D ShahMeagan F Moyer
Nov 27, 2020·Journal of Stomatology, Oral and Maxillofacial Surgery·J BouaoudP Saintigny
Apr 24, 2021·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Katherine H BarlowElizabeth A Johnston
Jun 2, 2021·American Journal of Speech-language Pathology·Madeline RaatzClare L Burns
Jul 20, 2021·Family Practice·Sara Carrillo de AlbornozAnthony Harris
Dec 31, 2021·Disability and Rehabilitation·Alisa GrigorovichBrian C F Chan
Jan 12, 2022·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Kelly Lambert, Jordan Stanford

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