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Table 3 Questionnaire and feeding tube results for CB-EST

From: Feasibility and acceptability of combining cognitive behavioural therapy techniques with swallowing therapy in head and neck cancer dysphagia

Measure

Pre-CB-EST

Post CB-EST

3 months

ANOVA, Effect size (ES)

Pre to post [95% CI]

Pre to 3 m [95% CI]

Post to 3 m [95% CI]

MDADI

n = 25 (100%)

n = 23 (92%)

n = 24 (96%)

    
 

53.1 (15.1)

61.2 (15.6)

61.8 (16.0)

p = 0.002 (2,42) F = 8.8 ES = 0.29*

p = 0.03 [0.7–15.5]

p = 0.003 [2.6–14.6]

p = 1.0 [3.6–4.7]

QLQ-C30

n = 25 (100%)

n = 22 (88%)

n = 19 (76%)

    

Physical

63.7 (21.8)

74.1 (21.9)

74.4 (21.8)

p = 0.006 (2,34) F = 5.9 ES = 0.26

p = 0.05 [0.1–28.8]

p = 0.03 [0.7–20.8]

p = 1.0 [−8.1–7.2]

Role

48.1(38.3)

61.1(34.7)

72.2(34.3)

p = 0.03 (1,20) F = 4.8 ES = 0.22*

p = 0.5 [10.9–36.8]

p = 0.06 [1.2–49.4]

p = 0.01 [2.3–19.9]

Emotional

67.6 (31.0)

75.9 (31.7)

75.4 (24.8)

p = 0.15 (1,17) F = 2.3 ES = 0.11

p = 0.06 [0.4–17.1]

p = 0.4 [5.9–21.7]

p = 1.0 [11.9–12.9]

Cognitive

70.4 (34.6)

75.9 (34.9)

87.0 (19.4)

p = 0.06 (2,21) F = 3.8 ES = 0.18*

p = 0.2 [2.4–13.5]

p = 0.1 [2.6–35.9]

p = 0.4 [7.8–30.0]

Social

44.4 (37.0)

65.7 (36.8)

62.9 (36.8)

p = 0.004 (2,34) F = 6.5 ES = 0.28

p = 0.03 [1.1–41.4]

p = 0.01 [3.8–33.2]

p = 1.0 [12.9–18.5]

Symptoms

 Fatigue

40.7(24.9)

33.9 (26.8)

26.5(25.6)

p = 0.02 (2,34) F = 4.2 ES = 0.2

p = 0.79 [8.8–22.4]

p = 0.02 [1.4–27.0]

p = 0.2 [2.7–17.5]

 Nausea

12.9 (25.9)

5.5 (9.9)

8.3 (17.4)

p = 0.2 (2,34) F = 1.6 ES = 0.1

p = 0.41 [5.1–19.9]

p = 0.86 [−6.5–15.8]

p = 1.0 [−11.7–6.2]

 Pain

31.5 (32.3)

29.9 (34.8)

26.8 (30.3)

p = 0.71 (2,34) F = 0.3 ES = 0.02

p = 1.0 [14.4–25.5]

p = 1.0 [18.5–27.7]

p = 1.0 [12.7–14.5]

QLQ-H&N35

n = 25 (100%)

n = 22 (88%)

n = 22 (88%)

    

Oral pain

32.2 (19.8)

23.3 (22.7)

27.1 (21.9)

p = 0.29 (2,38) F = 1.3, ES = 0.06

p = 0.29 [−4.0–19.8]

p = 1.0 [−9.8–17.5]

p = 1.0 [−17.3–9.8]

Swallow

45.8 (31.2)

35.0 (26.0)

28.3 (18.2)

p = 0.006 (2,38) F = 5.9, ES = 0.24

p = 0.2 [−4.1–25.7]

p = 0.01 [3.8–31.1]

p = 0.46 [−5.1–18.4]

Senses

45.5 (29.4)

32.5 (21.2)

22.5 (26.6)

p < 0.0001 (2,38) F = 10.7, ES = 0.36

p = 0.09 [−1.8–21.2]

p = 0.003 [6.3–33.7]

p = 0.02 [1.4–18.6]

Speech

40.8 (35.6)

28.3 (35.9)

20.8 (22.8)

p = 0.01 (2,38) F = 5.1, ES = 0.21

p = 0.02 [1.1–28.9]

p = 0.04 [0.8–39.2]

p = 0.89 [−10.9–25.8]

Social eating

58.7 (37.8)

36.1(27.0)

38.3 (35.1)

p = 0.006 (2,38) F = 5.9, ES = 0.24

p = 0.03 [1.2–44.1]

p = 0.05 [−0.5–41.4]

p = 1.0 [−16.0–11.6]

Social context

31.0 (25.9)

16.3 (22.7)

15.7 (17.5)

p = 0.001 (2,38) F = 9.0, ES = 0.32

p = 0.01 [2.7–26.6]

p = 0.004 [4.5–26.1]

p = 1.0 [−8.6–9.9]

Sexuality

53.3 (44.1)

48.3 (46.2)

35.0 (46.1)

p = 0.12 (2,38) F = 0.23, ES = 0.11

p = 1.0 [−21.8–31.8]

p = 0.06 [−0.7–37.4]

p = 0.47 [−10.3–37.0]

CFS

n = 25 (100%)

n = 24 (96%)

n = 22 (88%)

    
 

20.3 (5.0)

16.2 (6.8)

15.9 (5.9)

p = 0.002 (2,42) F = 7.3, ES = 0.39

p = 0.04 [0.1–8.1]

p = 0.04 [0.1–8.1]

p = 1.0 [2.5–2.9]

WASA

n = 25 (100%)

n = 23 (92%)

n = 22 (88%)

    
 

20.0 (9.2)

13.9(11.6)

16.9 (22.5)

p = 0.34(2,40) F = 1.1, ES = 0.05*

p = 0.07 [0.5–12.7]

p = 1.0 [9.2–15.3]

p = 1.0 [9.2–15.3]

HADS

n = 25 (100%)

n = 23 (92%)

n = 22 (88%)

    

Anxiety

6.9 (4.9)

6.6 (5.9)

5.9 (4.1)

p = 0.54 (2,38) F = 0.6, ES = 0.03

p = 1.0 [−1.8–2.7]

p = 0.8 [−1.4–3.3]

p = 1.0 [−1.6–2.6]

Depression

6.0 (3.4)

5.6 (4.1)

4.9(4.1)

p = 0.49 (2,38) F = 0.7, ES = 0.37

p = 1.0 [−2.0–2.8]

p = 0.78 [−1.4–3.6]

p = 1.0 [−1.6–3.0]

Total

12.8 (7.1)

12.0 (9.6)

10.8 (3.4)

p = 0.38 (2,38) F = 1.0, ES = 0.05

p = 1.0 [−2.9–4.6]

p = 0.58 [−1.9–6.0]

p = 1.0 [−2.7–5.1]

PSS Diet

n = 25 (100%)

n = 25 (100%)

n = 24 (96%)

    
 

39.2 (19.9)

55.0 (14.4)

61.3 (18.5)

p < 0.0001 (2,46) F = 15.0, ES = 0.4*

p = 0.002 [5.3–26.4]

p = 0.001 [8.3–35.8]

p = 0.8 [0.4–12.9]

Feeding tube

n = 30

n = 25

n = 25

    

None

14 (56%)

22 (88%)

22 (88%)

    

Nasogastric

9 (30%)

1 (4%)

0

    

Gastrostomy

7 (24%)

2 (8%)

3 (12%)

    
  1. QLQ-C30, MDADI, CFS, WASA, HADS, PSS Diet higher score is better patient reported outcome. QLQ-H&N35 and HADS lower score indicates better patient reported outcome *sphercity violated for repeated measures ANOVA and adjusted using epsilon correction