Institute of Health & Society

Staff Profile

Dr Joanne Patterson

NIHR Clinical Lecturer

Background


I am a clinical academic speech & language therapist and have over 25 years of clinical experience. I am a NIHR Clinical Lecturer and Macmillan Principal Speech & Language Therapist (SLT), funded jointly by City Hospitals Sunderland and a NIHR personal award. I completed my PhD (NIHR RDC award) in 2010, which reported on swallowing outcomes following head and neck cancer treatment. My clinical and research interests include head and neck cancer dysphagia, functional outcome measures,  cancer survivorship, medically unexplained dysphagia, cricopharyneal dysfunction and swallowing intervention development.



Speech and Language Therapist representative for

1)  NIHR Ear Nose and Throat Specialty National Group

2) HANA (National Head and Neck cancer Audit)

3) RCSLT Specialist Advisor in Head and Neck Oncology

4) Head and Neck Oncology Special Interest Group RCSLT (Chair 2002-2004, Treasurer 1997-1998, Secretary 2012-14, Research lead 2015-current)

5) Council member for British Association of Head and Neck Oncologists (BAHNO)







Research

I have a number of current research projects, under the theme of eating and drinking following head and neck cancer

1) As part of my NIHR Clinical Lecturer award, I am conducting a feasibility study to develop a swallowing therapy intervention which draws on cognitive behavioural therapy techniques (CB-EST). This intervention aims to provide a more holistic rehabilitation approach, which addresses the physiological as well as the emotional, cognitive and behavioural changes in adjusting to living with swallowing difficulties after head and neck cancer treatment.

2) I am a co-applicant and steering group member for a randomised controlled trial of pre-treatment gastrostomy tube versus oral feeding plus as-needed nasogastric tube feeding in patients undergoing chemoradiation for head and neck cancer. This study is funded by NIHR HTA 

3) I am a co-applicant and steering group member for PATHOS: a phase II/III trial of risk-stratified, reduced intensity adjuvant treatment in patients undergoing transoral surgery for Human papillomavirus (HPV) positive oropharyngeal cancer. This is a multi-centre study, funded by Cancer Research UK. The primary outcome measure is a swallowing outcome. This is the first large scale UK based head and neck cancer study, which incorporates instrumental swallowing evaluation (Videofluoroscopy)

4) I am a collaborator for  a randomised multicentre study of dysphagia optimized intensity modulated radiotherapy versus standard intensity modulated radiotherapy in head and neck cancer (DARS). This is a multi-centre study, funded by Cancer Research UK. PATHOS and DARS have aligned swallowing outcome measures and are working in close collaboration

5) I am a co-applicant and steering group member for a multi-centre study for SIP: Improving quality of life and swallowing function in patients with head and neck cancer: Development and feasibility of a Swallowing Intervention Package. This has been funded by Chief Scientist Office Research Grant Scotland

6) I am a co-applicant and member of the steering group for Resources for Living Pilot, which is exploring the potential of progressive cuisine for quality of life improvement for head and neck cancer survivors. This is funded by the RfPB

7) I am co-leading a project to develop hypnosis for taste dysfunction; a proof of concept study. Funder MRC Confidence in Concept, Newcastle University (joint lead applicant) 

8) I supervise a locally funded project, to develop a taste dysfunction patient reported outcome measure for head and neck cancer patients

I have a number of national and international collaborations. I am part of a SLT group (Canada, Australia, UK) conducting a systematic review of swallowing tools. I am working with researchers in Australia to develop SOS-Dysphagia - a questionnaire to identify the impact of swallowing difficulties on carers. I have been part of a research group led by Prof Hutcheson, MD Anderson Texas to develop a reliable and valid measurement tool for dysphagia.

                           

                     

Teaching

I have developed and co-lead the MSc module in dysphagia (first intake October 2015) at Newcastle University. I contribute to the module on 'Writing for Publication' MSc Clinical Research. I have been invited to talk at a variety of clinical and academic meetings, including

  • Swallowing exercises – can they help head and neck cancer patients? Cancer and Exercise Study Day, University of Hull 2006
  • Rehabilitation of the patient undergoing treatment for pharyngeal carcinoma. Key advances in Head and Neck Cancer Royal College of Physicians 2006
  • Swallowing following non-surgical treatment of head and neck cancer. Head and Neck Oncology Special Interest Group Nottingham 2006
  • Chemoradiotherapy for Advanced Laryngeal Cancer – the functional outcome. Surgical Voice Restoration Conference University of Durham 2006
  • Swallowing Rehabilitation; the U.K. perspective. ENT Special Interest Day, Kerela Medical School, India 2007
  • Psychosocial care and dysphagia. NE Dysphagia interest group, Newcastle 2007
  • Application of ethnographic research methodology to eating and drinking. NE Dysphagia interest group, Newcastle 2007
  • Tube feeding in head & neck cancer. Northern Head & Neck Research Group, Newcastle 2007
  • Post (chemo)radiotherapy swallowing outcomes; changes over time. Scottish Head & Neck Oncology Special Interest Group 2008
  • Swallowing outcomes in head & neck cancer. SW Head & Neck Oncology Special Interest Group 2008
  • Oedema following non-surgical treatment of head and neck cancer. British Academic Conference of Otorhinolaryngologists 2006
  • Long term swallowing outcomes in head and neck cancer. British Academic Conference of Otorhinolaryngologists 2009
  • Functional outcomes after surgery and organ preservation protocols for oropharyngeal cancer. UK Evidence Based Conference on Oropharyngeal Cancer Newcastle 2010
  • Swallowing outcomes following chemoradiation in head and neck cancer. RCSLT Special Interest Group South 2011
  • Swallowing outcomes following chemoradiation in head and neck cancer. RCSLT Special Interest Group North 2011
  • Videofluoroscopy: Head and neck cancer – the speech & language therapist’s perspective. Gastro Intestinal Radiographers Special Interest group National Conference 2011
  • Managing dysphagia in head & neck carcinoma. British Academic Conference of Otorhinolaryngologists 2012
  • Swallowing assessment and Outcomes. 12th International Conference on Quality of Life in Head and Neck Cancer 2012
  • Swallowing in Head and Neck Cancer. Scottish SALT meeting October 2013
  • Oropharyngeal cancer and swallowing outcome. Wales Cancer Network November 2013
  • Psychosocial impact of dysphagia in head & neck cancer. UK Swallowing Research Group conference February 2014
  • Assessment of Dysphagia. World Larynx Congress Cairns Australia July 2015
  • Dysphagia Outcomes and Interventions’.EuroHNC Conference Birmingham October 2015
  • CBT and head and neck cancer dysphagia’ British Academic Conference of Otorhinolaryngologists 2015
  • Cricopharyneal dysfunction: diagnosis British Laryngology Conference October 2015
  • Post-radiotherapy dysphagia British Laryngology Conference October 2015
  • Dysphagia outcome measures and interventions European HNC conference Birmingham 2015



Publications