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Multimodal Guided Self-Help Exercise Program to Prevent Speech, Swallowing, and Shoulder Problems Among Head and Neck Cancer Patients: A Feasibility Study
by Ingrid C Cnossen, Cornelia F van Uden-Kraan, Rico NPM Rinkel, IJke J Aalders, Cees JT de Goede, Remco de Bree, Patricia Doornaert, Derek HF Rietveld, Johannes A Langendijk, Birgit I Witte, C Rene Leemans, Irma M Verdonck-de Leeuw
(Published on 06 Mar 2014)
Background: During a 6-week course of (chemo)radiation many head and neck cancer patients have to endure radiotherapy-induced toxicity, negatively affecting patients’ quality of life. Pretreatment counseling combined with self-help exercises could be provided to inform patients and possibly prevent them from having speech, swallowing, and shoulder problems during and after treatment. Objective: Our goal was to investigate the feasibility of a multimodal guided self-help exercise program entitled Head Matters during (chemo)radiation in head and neck cancer patients. Methods: Head and neck cancer patients treated with primary (chemo)radiation or after surgery were asked to perform Head Matters at home. This prophylactic exercise program, offered in three different formats, aims to...
Evaluating User Experiences of the Secure Messaging Tool on the Veterans Affairs’ Patient Portal System
by Jolie N Haun, Jason D Lind, Stephanie L Shimada, Tracey L Martin, Robert M Gosline, Nicole Antinori, Max Stewart, Steven R Simon
(Published on 06 Mar 2014)
Background: The United States Department of Veterans Affairs has implemented an electronic asynchronous “Secure Messaging” tool within a Web-based patient portal (ie, My HealtheVet) to support patient-provider communication. This electronic resource promotes continuous and coordinated patient-centered care, but to date little research has evaluated patients’ experiences and preferences for using Secure Messaging. Objective: The objectives of this mixed-methods study were to (1) characterize veterans’ experiences using Secure Messaging in the My HealtheVet portal over a 3-month period, including system usability, (2) identify barriers to and facilitators of use, and (3) describe strategies to support veterans’ use of Secure Messaging. Methods:...
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