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Assessing Physical and Cognitive Function in Individuals With Head and Neck Cancer: A Feasibility Study
Moira A Visovatti1, Mi Sook Jung, Heidi Mason
1Author Affiliations: School of Nursing, University of Michigan (Drs Visovatti, Mason, and Barton), Ann Arbor; College of Nursing, Chungnam National University (Dr Jung), Daejeon, South Korea; Department of Internal Medicine, Michigan Medicine (Drs Mason and Worden, and Ms DeRubeis), Ann Arbor; and School of Nursing, Eastern Michigan University (Dr Visovatti), Ypsilanti.
Background:
Head and neck cancer (HNC) and associated treatments have significant long-term and late adverse effects that can impair function. Therefore, there is a need for reliable common metrics to assess function in HNC that limit participant burden and are cost-effective and easy to use in clinical settings.
Objective:
The aim of this study was to assess the feasibility of using the Fitbit Zip, NIH Toolbox, and REDCap electronic data collection tool to measure function and symptoms in individuals with HNC and to explore preliminary findings.
Methods:
A prospective descriptive design with a total of 16 participants was used to assess function and symptoms pretreatment to 3 months post treatment initiation.
Results:
The enrollment rate was 49%, the retention rate was 81%, and the Fitbit Zip adherence rate was 86%. Exploratory analyses suggested a possible decline in physical activity and worsening symptom burden alongside improved attention and cognitive flexibility abilities ( P ≤ .05). There were no differences in strength, functional mobility, information processing, or perceived attentional function.
Conclusion:
The results of this study suggest that use of the Fitbit Zip, NIH Toolbox, and REDCap data collection tool in HNC is feasible. Exploratory analyses suggest that the Fitbit Zip may be a sensitive measure of physical activity in HNC.
Implications For Practice:
This study provides preliminary evidence for metrics that could be used in the clinical settings to assess function and symptom distress in HNC. Integration of these measures, upon further validation, could help providers better identify patients in need of intervention.
