ASPO Abstracts
Perceived Symptom Related Barriers and Associated Quality of Life in Head and Neck Cancer Survivors
Category: Survivorship & Health Outcomes/Comparative Effectiveness Research, Behavioral Science & Health Communication
Conference Year: 2018
Abstract Body:
Purpose: The objective of this research was to examine associations between perceived symptom-related barriers to eating and quality of life (QOL) in post-treatment head and neck cancer (HNC) survivors who participated in a dietary intervention trial. Methods: This was an exploratory analysis of 23 post-treatment HNC survivors who had previously participated in a 12-week randomized dietary intervention trial to assess the feasibility of increasing cruciferous (CV) and green leafy vegetable (GLV) intake. For this analysis, both treatment groups were combined into one. Participants completed a pre-intervention survey that assessed HNC-specific QOL (FACT-HN) and ranked self-perceived symptom-related barriers to eating on a 5-point Likert scale (1 = “never” to 5 = “very often”). A summary score for all symptom-related barriers was computed (maximum of 80 points) and Pearson correlations between the summary score and QOL were examined. Pearson correlations were also examined between scores for individual symptom-related barriers and QOL. Results: A lower symptom-related barrier summary score was significantly correlated with improved physical, emotional, and functional QOL (p < 0.01 for all). Lower individual symptom- related barrier scores for dry mouth, food does not taste good, feeling full too quickly, choking, phlegm production in mouth, difficulty swallowing, and lack of appetite were significantly associated with improved physical QOL (p < 0.05 for all). Symptom-related barrier summary score was not correlated with overall QOL. Conclusions: In this analysis of post-treatment HNC survivors, the degree of perceived symptom related barriers was associated with reduced QOL in several domains. Many individual perceived symptom related barriers were positively correlated with the physical domain of QOL. Although this was a small and exploratory secondary data analysis, these results suggest that perceived symptom related barriers and reduced QOL may be unmet needs in this survivor population and a larger study is warranted.
Keywords: Head and neck cancer; dietary intervention; quality of life