Couple-based communication intervention for head and neck cancer: a randomized pilot trial

Area of Science:

• Oncology
• Psychosocial Oncology
• Communication Studies

Background:

• Head and neck cancer (HNC) significantly impacts patients and their partners.
• Supportive communication interventions can mitigate psychosocial distress in cancer patients.
• Limited research exists on couple-based interventions during HNC treatment.

Purpose of the Study:

• To assess the feasibility and preliminary efficacy of a couple-based supportive communication (CSC) intervention.
• To evaluate the intervention's impact on individual and relationship functioning for HNC patients and their partners.
• To explore the acceptability of CSC delivered during active oncology treatment.

Main Methods:

• A randomized controlled trial involving 20 couples affected by HNC.
• Couples were assigned to either a four-session CSC intervention or treatment-as-usual (TAU).
• Intervention focused on emotional disclosure, supportive listening, and social support; outcomes measured at baseline, post-intervention, and 6-month follow-up.

Main Results:

• High adherence with 98% of CSC sessions completed.
• Couples reported significant satisfaction with the CSC intervention.
• Patients and partners in the CSC group demonstrated improved individual and relationship functioning compared to the TAU group.

Conclusions:

• Couple-based supportive communication interventions are feasible and acceptable for HNC patients undergoing treatment.
• The CSC intervention shows preliminary efficacy in enhancing individual and relationship functioning.
• Findings align with social-cognitive processing and intimacy theories, suggesting benefits for couple well-being.