This study evaluates the development, implementation and effectiveness of a nurse-led eHealth support tool designed to improve quality of life and survivorship outcomes among adults treated for head and neck cancer. The intervention integrates symptom monitoring, self-management education, and structured survivorship support into routine follow-up care. Outcomes will include patient-reported quality of life, symptom burden, and healthcare utilization.

Head and neck cancer (HNC) survivors experience significant long-term physical, functional, and psychosocial sequelae including dysphagia, speech impairment, fatigue, pain, and psychological distress. Traditional follow-up models rely on periodic clinic visits and may not adequately support self-management.

This study involves three phases:

Development of a co-designed eHealth support platform.

Implementation of the intervention within survivorship care pathways.

Evaluation of clinical effectiveness using patient-reported outcomes and healthcare utilization metrics.

The intervention integrates:

Symptom tracking Educational resources Self-management tools Structured nurse-guided follow-up

The primary hypothesis is that structured digital survivorship support will improve global quality of life compared to usual follow-up care.

Inclusion Criteria:

Adults ≥18 years Diagnosed with head and neck cancer Completed primary treatment (surgery, radiotherapy, chemotherapy or combination) Within 12 months post-treatment Access to smartphone/tablet/internet Able to provide informed consent

Exclusion Criteria:

Recurrent or metastatic disease requiring active treatment Significant cognitive impairment Inability to use digital device Non-English speakers (if tool not multilingual)