Open AccessDevelopment and Evaluation of a Navigation-Based, Multilevel Intervention to Improve the Delivery of Timely, Guideline-Adherent Adjuvant Therapy for Patients With Head and Neck Cancer
Author(s) -
Evan M. Graboyes,
Katherine R. Sterba,
Hong Li,
Graham Warren,
Anthony J. Alberg,
Elizabeth A. Calhoun,
Brian Nussenbaum,
Jessica McCay,
Courtney H. Marsh,
Nosayaba Osazuwa-Peters,
David M. Neskey,
John M. Kaczmar,
Anand K. Sharma,
Jennifer L. Harper,
Terry A. Day,
Chanita HughesHalbert
Publication year - 2021
Publication title -
jco oncology practice
Language(s) - English
Resource type - Journals
eISSN - 2688-1535
pISSN - 2688-1527
DOI - 10.1200/op.20.00943
Subject(s) - medicine , guideline , psychological intervention , referral , port (circuit theory) , radiation therapy , intervention (counseling) , health care , emergency medicine , surgery , family medicine , nursing , pathology , electrical engineering , economic growth , economics , engineering
More than half of patients with head and neck squamous cell carcinoma (HNSCC) experience a delay initiating guideline-adherent postoperative radiation therapy (PORT), contributing to excess mortality and racial disparities in survival. However, interventions to improve the delivery of timely, equitable PORT among patients with HNSCC are lacking. This study (1) describes the development of NDURE (Navigation for Disparities and Untimely Radiation thErapy), a navigation-based multilevel intervention (MLI) to improve guideline-adherent PORT and (2) evaluates its feasibility, acceptability, and preliminary efficacy.