Measuring multi-dimensional wellness after total laryngectomy among people younger than 55 years of age

This study described how younger adults' (i.e., <55 years of age) wellness outcomes are impacted after having a total laryngectomy (TL) and assessed the relationship between wellness and communication participation. A survey was distributed to individuals with head and neck cancer (HNC) via online Facebook support groups, professional contacts, and vendor newsletters. This survey included the Five Factor Wellness Inventory (FFWEL) to measure participants comprehensive wellbeing and the Communication Participation Item Bank (CPIB). Younger laryngectomees' total wellness scores were statistically compared to that of the normative FFWEL sample and to older laryngectomee participants (i.e. > 65 years of age). A Pearson correlation coefficient was calculated to assess the relationship between wellness and communication participation. Results indicated that younger laryngectomees had significantly lower wellness characteristics as measured by the FFWEL than the normative population sample. Additionally, older laryngectomees had significantly lower wellness outcomes for most wellness characteristics than younger laryngectomees. Finally, communication participation for younger laryngectomees was significantly associated with a subset of wellness factors although explanations for some of the relationships were not always apparent. In conclusion, increased comprehensive wellness support is imperative for both younger and older individuals post TL.