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Although spouses\/partners can help by encouraging patient self\u2010management (eg, self\u2010care) during RT, they often experience high psychological distress rates, lack basic health care knowledge and skills, and report increased marital conflict regarding patient self\u2010management. The current pilot study examined the feasibility and acceptability of a 6\u2010session telephone\u2010based intervention called\n                      <jats:styled-content>S<\/jats:styled-content>\n                      pouses coping with the\n                      <jats:styled-content>H<\/jats:styled-content>\n                      ead\n                      <jats:styled-content>A<\/jats:styled-content>\n                      nd neck\n                      <jats:styled-content>R<\/jats:styled-content>\n                      adiation\n                      <jats:styled-content>E<\/jats:styled-content>\n                      xperience (SHARE), which teaches self\u2010management, communication, and coping skills to patients with HNC and their spouses. The treatment effects of SHARE compared with usual medical care (UMC) in controlling patient physical symptoms and improving patient\/spouse psychological and marital functioning also were examined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty patients who initiated RT and their spouses (60 participants; 40% of whom were racial\/ethnic minorities) were randomized to SHARE or UMC, and preintervention and postintervention assessments were completed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Solid recruitment (70%) and low attrition rates (7%) demonstrated feasibility. Strong program evaluations and homework completion rates (72%) supported acceptability. Significant treatment effects (medium in magnitude) were observed for SHARE compared with UMC with regard to HNC\u2010specific physical symptom burden (Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      , \u20100.89) and symptom interference (Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      , \u20100.86). Medium to large effects favoring SHARE also were found for patient and spouse depressive symptoms (Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      , \u20100.84) and cancer\u2010specific distress (Cohen\u2019s\n                      <jats:italic>d<\/jats:italic>\n                      , \u20101.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings of the current study support the feasibility, acceptability, and preliminary efficacy of SHARE. They also suggest that programs that empower HNC couples with the necessary skills to coordinate care and manage the challenges of RT together hold great promise for controlling a patient\u2019s physical symptoms and improving the psychological functioning of both partners.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.31906","type":"journal-article","created":{"date-parts":[[2018,12,6]],"date-time":"2018-12-06T15:09:25Z","timestamp":1544108965000},"page":"1176-1184","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Self\u2010management intervention for head and neck cancer couples: Results of a randomized pilot trial"],"prefix":"10.1002","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4549-9111","authenticated-orcid":false,"given":"Hoda","family":"Badr","sequence":"first","affiliation":[{"name":"Department of Medicine Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista","family":"Herbert","sequence":"additional","affiliation":[{"name":"Department of Psychology Rowan University Glassboro New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karishma","family":"Chhabria","sequence":"additional","affiliation":[{"name":"Department of Medicine Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vlad C.","family":"Sandulache","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth Y.","family":"Chiao","sequence":"additional","affiliation":[{"name":"Department of Medicine Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Wagner","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21387"},{"key":"e_1_2_8_3_1","unstructured":"Network National Comprehensive Cancer.NCCN clinical practice guidelines in oncology: head and neck cancers version 2.2013.http:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/head-and-neck.pdf. 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