Allison, P. J., Nicolau, B., Edgar, L., Archer, J., Black, M., & Hier, M. (2004). Teaching head and neck cancer patients coping strategies: results of a feasibility study. Oral Oncology, 40, 538–544.

To test the feasibility of providing a psychoeducational intervention for people with head and neck cancer.

The NuCare coping strategies program used a self-study book and audiocassette designed to enhance personal control and teach emotional and instrumental coping responses. It consisted of training in problem solving, relaxation, coping skills, goal setting, communication, social support, and lifestyle factors. Three participants chose to receive it in a small group format, 33 chose one-on-one sessions with a therapist, and 23 chose a home format with no therapist. The outcomes measured were quality of life (QOL), anxiety, and depression.

• The study was comprised of 66 patients with head and neck cancer; 59 completed the program and 50 gave outcome data.
• No age, gender, race, or ethnicity demographics were provided.

The study was conducted at the head and neck oncology outpatient clinic of the Montreal Jewish General Hospital, Quebec, Canada.

Patients were undergoing the active treatment phase of care and were evaluated at baseline and three-month follow-up.

This was a prospective, nonrandomized, one-group, feasibility study.

The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLC-C30) was used to measure QOL and sleep.

Patients reported improvement in physical and social functioning and global QOL, sleep disturbance, fatigue, and depressive symptoms.

• Patients were able to choose which format was used.
• The pilot study was not designed to test the effectiveness of the intervention.
• Special training of the research nurse was required.
• There was no cost to patients.