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Trial Title: Benefit of Paramedical Care in Accompanying Caregivers of Patients That Had Surgery for an Head and Neck Invasive Cancer

NCT ID: NCT05542706

Condition: Head and Neck Cancer

Conditions: Official terms:
Head and Neck Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: Accompanying caregivers by paramedical team
Description: At each study visit (baseline, one week after hospital discharge, 4-8 weeks after surgery, 8-12 weeks after surgery and 16-20 weeks after surgery), the paramedical team have a dedicated meeting with the caregiver of the patient (at hospital or remote) and teach them the care procedures needed in accompanying the patient and the evaluate the learning progress. The training is adapted to each caregiver, according to his/her motivation and his/her ability. The goal is to have the training regarding the enteral nutrition, prevention of dehydration, pain management.
Arm group label: Accompanying caregivers by paramedical team

Summary: Head and Neck invasive cancer usually requires surgery that is associated with modifications of the body structure of patient regarding breathing, eating and communication. These modifications are correlated with an important loss of autonomy in patients. During the study, while the patient is hospitalised after the surgery, the paramedical team will train the caregiver of the patient from experimental group a new dimension of autonomy in order to assure a safe return home. The level of learning depends on each caregiver and patient; therefore, an adapted training is provided. This study evaluates the impact of paramedical care in accompanying caregivers of patients that had surgery for an ENT invasive cancer, by comparing the experimental group (paramedical care) to the standard group (standard care). The hypothesis of the study is that a benefit will be seen in the experimental group, by reducing the caregiver burden, improving the quality of life of patients and lowering the rate of hospitalisations and prolonged hospitalisations in these patients.

Criteria for eligibility:
Criteria:
Inclusion Criteria Patients : - Age between 18 and 85 years old - ECOG ≤ 2 - Patient diagnosed with an head and neck squamous-cell carcinoma, stage T2-T4/N+, non-metastatic, localised at larynx, pharynx, oropharynx, oral cavity or maxillary, needing curative surgery, with indication of radiotherapy after surgery, in accordance to decision of the regular multidisciplinary meetings in cancerology - No ongoing measure of corrective justice for the patient - Informed consent form signed - Patient covered by health system Exclusion Criteria: - Patient scheduled for surgery after radiotherapy or for surgery on site already irradiated - Patient or caregiver that do not agree to participate in the study (the pair patient-caregiver is needed) - History of psychological or sensorial disorder or anomaly that can prevent the patient from understanding the conditions for study participation

Gender: All

Minimum age: 18 Years

Maximum age: 85 Years

Healthy volunteers: No

Locations:

Facility:
Name: Centre Henri Becquerel

Address:
City: Rouen
Country: France

Status: Recruiting

Contact:
Last name: Yveline David

Phone: +33232082542
Email: yveline.david@chb.unicancer.fr

Start date: October 31, 2022

Completion date: September 13, 2025

Lead sponsor:
Agency: Centre Henri Becquerel
Agency class: Other

Source: Centre Henri Becquerel

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05542706

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