Development and validation of the pre-operative counselling module for total laryngectomy-an interprofessional approach

S. Sheela, S. Kiran, P. B. Anupama, R. Balakrishnan, Venkataraja U. Aithal, B. Rajashekhar, Gagan Bajaj

Research output: Contribution to journalArticle

Abstract

Background: Total laryngectomy (TL) is necessary for patients with malignant tumor on the larynx. This could however cause a devastating situation affecting patients’ quality of life. A comprehensive pre-operative counselling could reduce their anxiety and prepare them for TL. Laryngectomy rehabilitation requires a team approach and we aimed at developing (Phase 1) and validating (Phase 2) the pre-operative counselling module for TL, using an interprofessional (IP) approach. Material and Method: Phase 1: Development of the pre-operative counselling module through the literature review and discussions among the IP team consisting of a speech-language pathologist, head neck surgeon, psychologist and physiotherapist. Phase 2: Validation of the module by another IP team having a minimum of five years clinical experience in alaryngeal rehabilitation. The changes done to an item following specific “ratings” by at least two experts were as follows: “highly appropriate”-item exactly retained; “just appropriate”-minor modification; “inappropriate”-major modification, and “highly inappropriate”-excluded. Findings: Phase 1 resulted in the module having six domains (D) focusing on speech subsystems, oncological aspects, physical limitations, respiratory, phonatory, swallowing changes and their management. Following phase 2, the items under all domains were retained as they were, except for D3.7 which was rated as “inappropriate”. Discussion and Conclusion: The item D3.7 i.e., ‘progressive resistance strengthening with thera-bands’ was rated as ‘highly inappropriate’ by two experts, and ‘inappropriate’ by another two. Therefore, the item was excluded. However, as per the suggestion of two experts ‘post-isometric relaxation techniques’ and ‘myofascial release of cervical region’ were included as D3.7. The finalized module has four items each under D1, D2, D4, D5, and eight items under D3 beneficial in providing comprehensive information for patients undergoing TL. Future studies can focus on comparing anxiety levels of patients undergoing TL, before and after counselling using the module presented.

Original languageEnglish
Pages (from-to)176-180
Number of pages5
JournalIndian Journal of Public Health Research and Development
Volume10
Issue number9
DOIs
Publication statusPublished - 09-2019

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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