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During radiation, all participants met twice with a speech pathologist for swallowing assessment and reinforcement of exercises. Intervention participants met weekly with a counselor in\u2010person or by phone. At 6\u2010week post\u2010radiation follow\u2010up, all participants completed a follow\u2010up assessment of self\u2010reported adherence, which was then corroborated with medical record documentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Newly diagnosed pharyngeal and laryngeal cancer patients without distant metastases were randomized (<jats:italic>n<\/jats:italic>\u2009=\u2009265; 135 to intervention, and 130 to usual care). Intervention participants were more likely to adhere to exercises during radiation compared to the control group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The weekly in\u2010person adherence intervention program significantly increased patient's adherence to preventive swallowing exercises during radiation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27832","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T09:56:11Z","timestamp":1718358971000},"page":"2878-2889","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Self\u2010management intervention improves patient adherence to swallowing exercises during radiation for head and neck cancer"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3220-7423","authenticated-orcid":false,"given":"Eileen H.","family":"Shinn","sequence":"first","affiliation":[{"name":"Department of Behavioral Science The University of Texas M. D. Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7926-2641","authenticated-orcid":false,"given":"Adam S.","family":"Garden","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology The University of Texas M. D. Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minxing","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Biostatistics The University of Texas M. D. Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Basen\u2010Engquist","sequence":"additional","affiliation":[{"name":"Department of Behavioral Science The University of Texas M. D. 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