Affiliation SRH /Newcastle Uni Lay summary Name Jo Patterson Affiliation SRH /Newcastle Uni Lay summary HNC treatment results in eating /drinking difficulties. 50% of patients present with anxiety and/or depression. SLT evidence has focused on exercises. CBT is an effective psychological treatment. A combination of CBT and swallowing therapy (CB-EST) may be a useful approach for rehabilitation Question/Rationale IsIs a Cognitive Behavioural Therapy enhanced swallowing intervention feasible for Head and Neck cancer (HNC) patients with swallowing difficulties? What are you doing? Focus groups Identify usual care CBT training CB-EST recruitment (30) & intervention Evaluation quantitative & qualitative What will you find out? 1) Assess patient adherence and satisfaction with CB-EST 2) Assess patients’ willingness to participate 3) Evaluate a SALT’s ability to deliver a CB-EST 4) Identify an appropriate assessment package for eligibility 5) Appropriate outcome measures to capture intervention outcomes Next steps: Continue with recruitment and intervention. Begin qualitative evaluation Implications: If feasible, evaluate effectiveness of CB-EST and progress to a pilot RCT