Self-Management for Head and Neck Lymphedema and Fibrosis [PROMISE Trial]
Overview
The goal of this study is to evaluate the effectiveness of a standardized lymphedema and fibrosis self-management program (LEF-SMP) to improve LEF self-management and reduce LEF-associated symptom burden, functional deficits, and improve quality of life in head and neck cancer (HNC) survivors.
Detailed Description
In HNC survivors with lymphedema and fibrosis (LEF), the investigators will: 1) compare the effects of in-person LEF-SMP, telehealth LEF-SMP, and usual care on LEF severity; 2) compare the effects of in-person LEF-SMP, telehealth LEF-SMP, and usual care on LEF-related symptom burden, functional impairments, and quality of life; and 3) compare the effects of in-person LEF-SMP, telehealth LEF-SMP, and usual care on LEF-related knowledge, skills, self-efficacy, and self-care adherence.
Who Can Participate
Inclusion Criteria
>18 years of age
Post HNC primary treatment
No evidence of cancer (NED)
Completion of initial lymphedema therapy for head and neck lymphedema
Unable to obtain lymphedema therapy due to barriers noted above
History of lymphedema on the face and neck, with or without fibrosis
Ability to understand English in order to complete questionnaires
Ability to perform self-care activities for LEF management
Ability to provide informed consent
Having an electronic device (a computer, tablet, iPad, or smartphone) and internet access at home
A valid email address
Exclusion Criteria
Recurrent or metastatic cancer
Any other active cancer
Acute infection
Acute congestive heart failure
Acute renal failure
Cardiac or pulmonary edema
Sensitive carotid sinus
Severe carotid blockage
Uncontrolled hypertension
Venous thrombosis
Pregnant people
Incarcerated patients
Disclaimer
This summary is based on publicly available information from clinicaltrials.gov and is intended to help patients discuss possible trial options with their oncology care team. ClinicalTrials.gov and related public listings do not independently review or approve the safety and scientific merit of every study.
Participation decisions can be made only after review by the study team and your treating clinician.