{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T08:56:30Z","timestamp":1793350590867,"version":"4.5.0"},"reference-count":60,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T00:00:00Z","timestamp":1578268800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009844","name":"PA Research Foundation","doi-asserted-by":"publisher","award":["Project Grant"],"award-info":[{"award-number":["Project Grant"]}],"id":[{"id":"10.13039\/100009844","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intensive prophylactic swallowing therapy can mitigate dysphagia in patients with oropharyngeal (OP) SCC, however, presents service challenges. This trial investigated the clinical efficacy of three service models delivering prophylactic swallowing therapy during (chemo)radiotherapy ([C]RT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients (n = 79) with OPSCC receiving (C)RT were were randomized to: (a) clinician\u2010directed face\u2010to\u2010face therapy (n = 26); (b) telepractice therapy via \u201c\n                      <jats:italic>SwallowIT<\/jats:italic>\n                      \u201d (n = 26); or (c) patient self\u2010directed therapy (n = 27). Swallowing, nutritional, and functional status were compared at baseline, 6\u2010weeks, and 3\u2010months post\u2010(C)RT. Patients' perceptions\/preferences for service\u2010delivery were collated posttreatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Service\u2010delivery mode did not affect clinical outcomes, with no significant (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u2009.05) between\u2010group differences or group\u2010by\u2010time interactions observed for swallowing, nutrition, or functional measures. Therapy adherence declined during (C)RT in all groups.\n                      <jats:italic>SwallowIT<\/jats:italic>\n                      and clinician\u2010directed models were preferred by significantly (\n                      <jats:italic>P<\/jats:italic>\n                      = .002) more patients than patient\u2010directed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:italic>SwallowIT<\/jats:italic>\n                      provided clinically equivalent outcomes to traditional service models.\n                      <jats:italic>SwallowIT<\/jats:italic>\n                      and clinician\u2010directed therapy were preferred by patients, likely due to higher levels of therapy support.\n                    <\/jats:p>\n                  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