An online self-care education program to support patients after total laryngectomy: feasibility and satisfaction

Ingrid C Cnossen, Cornelia F. van Uden-Kraan, Simone E J Eerenstein, Femke Jansen, Birgit I. Witte, Martin Lacko, José A U Hardillo, Jimmie Honings, Gyorgy B Halmos, Noortje L Q Goedhart-Schwandt, Remco de Bree, C René Leemans, Irma M Verdonck de Leeuw

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37 Citations (Scopus)


PURPOSE: The purpose of this study was to investigate the feasibility of an online self-care education program supporting early rehabilitation of patients after total laryngectomy (TLPs) and factors associated with satisfaction.

METHODS: Health care professionals (HCPs) were invited to participate and to recruit TLPs. TLPs were informed on the self-care education program "In Tune without Cords" (ITwC) after which they gained access. A study specific survey was used (at baseline T0 and postintervention T1) on TLPs' uptake. Usage, satisfaction (general impression, willingness to use, user-friendliness, satisfaction with self-care advice and strategies, Net Promoter Score (NPS)), sociodemographic, and clinical factors were analyzed.

RESULTS: HCPs of 6 out of 9 centers (67% uptake rate) agreed to participate and recruited TLPs. In total, 55 of 75 TLPs returned informed consent and the baseline T0 survey and were provided access to ITwC (73% uptake rate). Thirty-eight of these 55 TLPs used ITwC and completed the T1 survey (69% usage rate). Most (66%) TLPs were satisfied (i.e., score ≥7 (scale 1-10) on 4 survey items) with the self-care education program (mean score 7.2, SD 1.1). NPS was positive (+5). Satisfaction with the self-care education program was significantly associated with (higher) educational level and health literacy skills (P = .004, P = .038, respectively). No significant association was found with gender, age, marital status, employment status, Internet use, Internet literacy, treatment modality, time since total laryngectomy, and quality of life.

CONCLUSION: The online self-care education program ITwC supporting early rehabilitation was feasible in clinical practice. In general, TLPs were satisfied with the program.

Original languageEnglish
Pages (from-to)1261-1268
Number of pages8
JournalSupportive Care in Cancer
Issue number3
Publication statusPublished - 26 Aug 2015


  • Adult
  • Aged
  • Cross-Sectional Studies
  • Employment
  • Female
  • Health Literacy
  • Humans
  • Internet
  • Journal Article
  • Laryngeal Neoplasms
  • Laryngeal cancer
  • Laryngectomy
  • Male
  • Middle Aged
  • Patient Education as Topic
  • Patient Satisfaction
  • Quality of Life
  • Research Support, Non-U.S. Gov't
  • Self Care
  • Self-care
  • Surveys and Questionnaires
  • Total laryngectomy
  • eHealth

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