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Table 3 Completeness of swallowing outcome measures across time-points for both groups

From: SIP SMART: a parallel group randomised feasibility trial of a tailored pre-treatment swallowing intervention package compared with usual care for patients with head and neck cancer

Measure

Obtained Intervention [INT] no (%)

Obtained Care as usual [CAU] no(%)

Comments or reasons for non-completion – (researcher diary)

Baseline (T0) [expected INT = 16, CAU =16]

  

One patient did not complete questionnaires at appointment, and did not respond to requests to return them at next visit.

FACT

16 (100)

15 (94)

MDADI

16 (100)

15 (94)

PSS (normalcy of diet)

16 (100)

16 (100)

100 mL WST

16 (100)

16 (100)

FIGS (swallowing)

16 (100)

16 (100)

MIO (jaw opening)

16 (100)

16 (100)

One Month (T1)

[expected INT =16, CAU = 15]

  

*100 mL WST - Clinical notes indicate that several patients reported that they were unable to drink continuously at 1-month post treatment, or clinicians felt it was unsafe to ask them to do so. These patients were given a score of zero and still rated complete.

FACT

13 (81)

15 (100)

MDADI

13 (81)

15 (100)

PSS

14 (88)

14 (93)

100 mL WST

*13 (81)

*10 (67)

FIGS

14 (88)

14 (93)

MIO

14 (88)

12 (80)

Three Months (T2) [expected INT = 15, CAU = 15]

  

*100 mL WST – As above. Additionally, it was noted that clinicians sometimes did not attempt this measure if the water cooler in the clinic was not working (n = 3) – availability of resources.

FACT

11 (73)

12 (75)

Four patients did not attend their 3-month follow-up visit, but did not wish to drop out of the study.

MDADI

11 (73)

12 (75)

PSS

11 (73)

8 (53)

100 mL WST

*8 (53)

*8 (53)

FIGS

11 (73)

8 (53)

MIO

11 (73)

8 (53)

Six Months (T3) [expected INT =15, CAU =14]

  

Improvement in collection of most measures in comparison to 3-months as patients were attending for their MBS swallow assessment at the same time as clinical measures were taken.

FACT

12 (80)

13 (93)

Due to an unavoidable technical issue (power surge causing loss of exams) **MBS exams could not be rated for 7 patients (INT =4, CAU =3), although for both groups > 70% completed the procedure.

MDADI

12 (80)

13 (93)

PSS

13 (87)

12 (86)

100 mL WST

13 (87)

12 (86)

3 patients declined to have the 6-month MBS (INT = 2, CAU =1)

FIGS

13 (87)

12 (86)

MIO

13 (87)

12 (86)

**MBS Impairment Profile Score

9 (60) 87

10 (71) 93

PAS Score

9 (60) 87

10 (71) 93

  1. Notes: FACT Functional Assessment of Cancer Therapy, MDADI MD Anderson Dysphagia Inventory, PSS Performance Status Scale, WST Water Swallow Test, FIGS Functional Intra-oral Glasgow Scale, MIO Maximum Incisor Opening, MBS Modified Barium Swallow, PAS Penetration-Aspiration Scale