Cough Skill Training for Head and Neck Cancer

This trial explores a new method to help individuals with head and neck cancer improve their cough. The goal is to determine if practicing cough skills can make coughing stronger and more effective, particularly when food or drink is aspirated. Participants will use a special device to practice coughing over five sessions. Suitable candidates have had head and neck cancer, completed their cancer treatments, and can cough on command. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance the quality of life for future patients.

In a previous study, all participants attended a cough skill training session without experiencing negative side effects. The training improved their cough strength, as evidenced by a 0.77-liter-per-second increase in peak expiratory flow rate (PEFR). Another study found that participants generally liked the treatment, giving it a usability score of 70 out of 100, indicating ease of use and satisfaction.

Researchers are excited about the Cough Skill Training for head and neck cancer patients because it offers a non-invasive approach to improving cough reflex. Unlike standard treatments that may involve medications or surgeries to manage cough issues, this method uses a handheld device to help patients practice voluntary coughing. This technique could empower patients to manage their symptoms more effectively and potentially improve their quality of life without the need for additional medical interventions.

Research has shown that practicing cough skills can help people with head and neck cancer improve their coughing ability. One study found that participants increased their air expulsion speed by 0.77 liters per second. All participants completed the training without issues, indicating it is safe and feasible. In this trial, participants will engage in cough skill training using a handheld cough device during five one-hour treatment sessions. These findings suggest that practicing cough skills can help manage swallowing issues and prevent food or liquid from entering the airway.⁶⁷⁸⁹¹⁰