Therapy Manuals for Clinically Implementing Proactive and Reactive Swallowing Therapies During Head and Neck Radiotherapy: Using the TIDieR Framework to Disseminate PRO-ACTIVE Trial Interventions.

The purpose of this report is to describe swallowing therapy delivered before or during head and neck radiotherapy (RT) to promote swallowing preservation. Three models of therapy that were tested in the Comparing the Effectiveness of PROphylACTic swallow InterVEntion for patients receiving Radiatio...

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Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 10; no. 6; pp. 2032 - 2049
Autores principales: Hutcheson, Katherine A., Martino, Rosemary
Formato: consumer/patient teaching materials pictorial review tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2025_PERSP-25-00093
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        atl: Therapy Manuals for Clinically Implementing Proactive and Reactive Swallowing Therapies During Head and Neck Radiotherapy: Using the TIDieR Framework to Disseminate PRO-ACTIVE Trial Interventions.
      aug:
        au:
          Hutcheson, Katherine A.
          Martino, Rosemary
        affil: Division of Radiation Oncology, Head & Neck Surgery Department, MD Anderson Cancer Center, Houston, TX
      sug:
        subj:
          Head and Neck Neoplasms Radiotherapy
          Swallowing Therapy Methods
          Preventive Health Care
          Treatment Outcomes
          Speech-Language Pathologists
          Teaching Materials
          Cancer Patients Education
          Deglutition Disorders Rehabilitation
          Radiation Injuries Rehabilitation
          Exercise Intensity
          Conceptual Framework
          Implementation Science
          Diffusion of Innovation
          Deglutition Evaluation
          Patient Education
      ab: The purpose of this report is to describe swallowing therapy delivered before or during head and neck radiotherapy (RT) to promote swallowing preservation. Three models of therapy that were tested in the Comparing the Effectiveness of PROphylACTic swallow InterVEntion for patients receiving Radiation Therapy for Head and Neck Cancer (PRO-ACTIVE) randomized clinical trial (NCT03455608) are described according to the Template for Intervention Description and Replication (TIDieR) framework. PRO-ACTIVE compared the relative effectiveness of different timing and intensity of delivering EAT and EXERCISE swallowing therapies during head and neck RT. Therapy manuals used by speech-language pathologists participating in the trial are disseminated in this report as a resource for the clinical implementation of trial results. The therapy models represent different timing (proactive vs. reactive) and intensity (± swallowing exercise) of implementing swallowing therapies to promote maximal pharyngeal activity during head and neck RT. Swallowing therapies integrated standardized assessment and monitoring techniques, the Eat All Through Radiotherapy and/or swallowing exercises.
      pubtype: Academic Journal
      doctype:
        consumer/patient teaching materials
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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