Development and pre-testing of a rehabilitation planning consultation for head-and-neck cancer

Background In contrast with other major chronic conditions such as heart disease and stroke, cancer care does not routinely integrate evidence-based rehabilitation services within the standard continuum. The objectives of the present project were to develop a rehabilitation planning consultation (RPC) for survivors of head-and-neck (HN) cancer, to test its feasibility, and to make refinements. Methods Using intervention mapping, the RPC-alpha was developed by examining potential theoretical methods and practical applications relative to the program objectives. During feasibility testing, a single case series was conducted with survivors of HN cancer who had completed their cancer treatment within the preceding 11 months; iterative refinements were made after each case. Results The RPC-alpha was led by a rehabilitation professional and was based on self-management principles. The initial consultation included instruction in a global cognitive strategy, goal-setting, introduction to available resources, action planning, and coping planning. A follow-up consultation was conducted a few weeks later. Of 9 participants recruited, 5 completed post-intervention assessments. Participants reported that the RPC helped them to make rehabilitation plans. Conclusions The RPC was feasible to use and satisfactory to a small group of HN cancer survivors. A pilot test of the refined version is in process.