Optimising communication function in primary brain tumour: a randomised controlled trial of CanCommunicate.

IF 2.2 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-18 DOI:10.1080/09638288.2026.2644114

Emma Finch, Erin Kelly, Philippa Butler, Tamara Ownsworth, Mark B Pinkham, Jennifer Fleming, Emmah Doig, Leisa Turkington, Clare Burns, Anna Farrell, John E Pierce, Rachel Wenke, John Paul Kuwornu, David Copland, Steven McPhail, Sonia Brownsett

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引用次数: 0

Abstract

Purpose: To evaluate the efficacy of CanCommunicate for improving perceived communication disability and quality of life in people with brain tumour, compared to usual care.

Materials & methods: A randomised trial with a waitlist control was used. Participants were randomised to CanCommunicate (immediate intervention) or a wait list (control). CanCommunicate involved a 7-week communication intervention guided by Goal Attainment Scaling with group and individualised sessions. Participants completed the Comprehensive Aphasia Test Disability Questionnaire (CAT DQ), Functional Assessment of Cancer Therapy - General (FACT-G), La Trobe Communication questionnaire (LCQ) and semi-structured interviews at baseline and post-intervention.

Results: 39 people participated (Immediate intervention n = 24, waitlist n = 15). There was a significant between-group difference on the CAT DQ over time (p = 0.04) in favour of the intervention group, but not for the LCQ (p = 0.58) or FACT-G (p = 0.80). When data were combined for all participants who completed CanCommunicate (n = 23), ratings were significantly improved on the CAT-DQ (p < 0.001) and LCQ (p = 0.04) at 6-week follow-up. Participants perceived CanCommunicate favourably and made suggestions for further optimisation.

Conclusion: The current study supports the benefits of communication intervention for people with brain tumour and reinforces the need for tailored, goal-based interventions.

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优化原发性脑肿瘤的沟通功能：cancommunication的随机对照试验。

目的：评价与常规护理相比，cancommunication在改善脑肿瘤患者感知性沟通障碍和生活质量方面的疗效。材料与方法：采用随机对照试验。参与者被随机分配到cancommunication组（立即干预组）或等候组（对照组）。cancommunication包括一项为期7周的沟通干预，由目标实现量表指导，包括小组和个性化会议。参与者在基线和干预后完成了综合失语测试残疾问卷（CAT DQ），癌症治疗功能评估-一般（FACT-G），拉筹伯沟通问卷（LCQ）和半结构化访谈。结果：39人参与（即刻干预24人，候补15人）。随着时间的推移，CAT DQ组间差异显著（p = 0.04），有利于干预组，但LCQ （p = 0.58）或FACT-G （p = 0.80）组间差异不显著。当所有完成cancommunication的参与者（n = 23）的数据合并时，在6周的随访中，CAT-DQ评分显着提高（p p = 0.04）。与会者认为cancommunication很好，并提出了进一步优化的建议。结论：目前的研究支持沟通干预对脑肿瘤患者的好处，并强调了量身定制、目标为基础的干预的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.