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The investigators aim to verify the effects of pre-operative Speech-Language Pathology (SLP) counselling on patients undergoing total laryngectomy in terms of levels of distress, post-traumatic stress symptoms, anxious-depressive symptoms, acquisition and acceptance of the new voice.
This is a randomized controlled trial (RCT) of patients undergoing total laryngectomy and primary tracheoesophageal puncture. Patients will be randomized into two groups: an Experimental group that will receive a pre-operative SLP counselling session and a Control group that will not receive it. The investigators will administer a structured interview and three questionnaires: the Impact of Event Scale - Revised (IES-R), the Psychological Distress Inventory (PDI), the Hospital Anxiety and Depression Scale (HADS). The data will be collected between the 5th and 7th day after surgery (T0), 1-month (T1) and 3-months (T2) after being discharged from hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental |
| |
| Control group | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pre-operative counselling | Other | pre-operative Speech-Language Pathology (SLP) counselling before Total Laryngectomy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Impact of Event Scale-revised | presence of post-traumatic symptoms | Between the fifth and seventh post-operative day (T0) |
| Impact of Event Scale-revised | presence of post-traumatic symptoms | one month after being discharged from hospital (T1) |
| Impact of Event Scale-revised | presence of post-traumatic symptoms | three months after being discharged from hospital (T2) |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological Distress Inventory | psychological distress levels | Between the fifth and seventh post-operative day (T0) |
| Psychological Distress Inventory | psychological distress levels |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Longobardi | Otolaryngology department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondazione Policlinico Universitario A.Gemelli IRCCS | Roma | 00168 | Italy |
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| one month after being discharged from hospital (T1) |
| Psychological Distress Inventory | psychological distress levels | three months after being discharged from hospital (T2) |
| Hospital Anxiety and Depression Scale | anxiety and depression levels | Between the fifth and seventh post-operative day (T0) |
| Hospital Anxiety and Depression Scale | anxiety and depression levels | one month after being discharged from hospital (T1) |
| Hospital Anxiety and Depression Scale | anxiety and depression levels | three months after being discharged from hospital (T2) |