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Supportive Care in Cancer

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01-01-2016 | Original Article

Effects of a case management program on patients with oral precancerous lesions: a randomized controlled trial

Authors: Hsiu-Ying Lin, Shu-Ching Chen, Hsi-Ling Peng, Mu-Kuan Chen

Published in: Supportive Care in Cancer | Issue 1/2016

Abstract

Purpose

The aim of this study is to identify the effects of a case management program on knowledge about oral cancer, preventive behavior for oral cancer, and level of uncertainty for patients with oral precancerous lesions.

Methods

A randomized controlled trial was conducted with two groups, using a pre- and posttest design. The experimental group received a case management program and telephone follow-up sessions; the control group received routine care. Patients were assessed at three time points: first visit to the otolaryngology clinic for biopsy examination (T0), and then at 2 weeks (T1) and 4 weeks (T2) after the biopsy examination.

Results

Patients in both groups had significantly higher levels of knowledge about oral cancer, preventive behavior for oral cancer, and lower level of uncertainty at T2 compared to T0. At T2, participants in the experimental group had significantly greater knowledge about oral cancer, more preventive behavior for oral cancer, and less uncertainty compared to those in the control group.

Conclusions

The case management program with telephone counseling effectively improved knowledge about oral cancer, preventive behavior for oral cancer, and uncertainty levels in patients with oral precancerous lesions in the four weeks after receiving a biopsy examination. The case management program can be applied with positive results to patients receiving different types of cancer screening, including colorectal, breast, and cervical screening.

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Title: Effects of a case management program on patients with oral precancerous lesions: a randomized controlled trial
Authors: Hsiu-Ying Lin
Shu-Ching Chen
Hsi-Ling Peng
Mu-Kuan Chen
Publication date: 01-01-2016
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 1/2016
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-015-2787-5

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