The Feasibility of Patient-Reported Outcomes, Physical Function, and Mobilization in the Care Pathway for Head and Neck Cancer Surgical Patients: A Mixed-Methods Study

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dc.contributor.advisorCulos-Reed, Susan Nicole
dc.contributor.authorDaun, Julia Teresa
dc.contributor.committeememberDort, Joseph C.
dc.contributor.committeememberCapozzi, Lauren C.
dc.contributor.committeememberWatson, Linda C.
dc.date2020-11
dc.date.accessioned2020-07-28T21:17:43Z
dc.date.available2020-07-28T21:17:43Z
dc.date.issued2020-07-24
dc.description.abstractHead and neck cancer (HNC) surgical patients experience difficult treatment, high symptom burden, and complex and lengthy recoveries. Initial research has found physical activity (PA) and exercise to be feasible and beneficial post-surgery through to survivorship, yet no studies have addressed the role of PA or exercise in the earlier stages of clinical care. Exercise prehabilitation is a promising tool for this population. Considering the unique nature of the HNC surgical trajectory, it is necessary to first establish whether the number and types of assessments are feasible with this population in advance of piloting an exercise prehabilitation program. The purpose of this work was to therefore explore the feasibility of measuring patient-reported outcomes (PROs), physical function, and in-hospital mobilization as part of the care pathway in HNC surgical patients. A mixed-methods study gathered quantitative and qualitative information from patients and healthcare providers (HCPs) on the feasibility of conducting assessments throughout the clinical timeline for HNC surgical patients. Participants were HNC patients scheduled for oncologic resection with free-flap reconstruction, and HCPs were those involved in immediate HNC patient care. Quantitative data was collected from patients, and included PROs and measures of physical function and in-hospital mobilization. Feasibility included tracking recruitment numbers and completion of measures. Qualitative data captured perspectives around the acceptability of assessment completion and perceptions of a future exercise prehabilitation program. HCPs also provided information on clinical logistics of exercise prehabilitation. The quantitative study revealed that most assessments were feasible, except for pre-operative measures of physical function. The qualitative study demonstrated that both patients and HCPs found the assessments to be acceptable and necessary, and additionally value the potential for an exercise prehabilitation program in the HNC surgical timeline. Based on findings from this study, new workflows were implemented to support recruitment and assessment of outcomes across the HNC surgical timeline, facilitating implementation of a future exercise prehabilitation intervention.en_US
dc.identifier.citationDaun, J. T. (2020). The Feasibility of Patient-Reported Outcomes, Physical Function, and Mobilization in the Care Pathway for Head and Neck Cancer Surgical Patients: A Mixed-Methods Study (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/38044
dc.identifier.urihttp://hdl.handle.net/1880/112341
dc.language.isoengen_US
dc.publisher.facultyKinesiologyen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjecthead and neck canceren_US
dc.subjectexercise oncologyen_US
dc.subjectprehabilitationen_US
dc.subjectfeasibilityen_US
dc.subject.classificationEducation--Healthen_US
dc.subject.classificationMedicine and Surgeryen_US
dc.subject.classificationOncologyen_US
dc.subject.classificationRehabilitation and Therapyen_US
dc.titleThe Feasibility of Patient-Reported Outcomes, Physical Function, and Mobilization in the Care Pathway for Head and Neck Cancer Surgical Patients: A Mixed-Methods Studyen_US
dc.typemaster thesisen_US
thesis.degree.disciplineKinesiologyen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameMaster of Science (MSc)en_US
ucalgary.item.requestcopytrueen_US
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