Pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy

PURPOSE Although patients receive information prior to commencing radiotherapy, they often experience anxiety and distress. We conducted a pilot randomised controlled trial to determine whether a radiation therapist led psycho-educational intervention for breast cancer patients prior to radiotherapy...

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Main Authors: Halkett, Georgia, O'Connor, Moira, Aranda, S., Jefford, M., Shaw, Therese, York, D., Spry, Nigel, Taylor, M., Schofield, P.
Format: Journal Article
Published: Springer 2013
Online Access:http://hdl.handle.net/20.500.11937/26921
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author Halkett, Georgia
O'Connor, Moira
Aranda, S.
Jefford, M.
Shaw, Therese
York, D.
Spry, Nigel
Taylor, M.
Schofield, P.
author_facet Halkett, Georgia
O'Connor, Moira
Aranda, S.
Jefford, M.
Shaw, Therese
York, D.
Spry, Nigel
Taylor, M.
Schofield, P.
author_sort Halkett, Georgia
building Curtin Institutional Repository
collection Online Access
description PURPOSE Although patients receive information prior to commencing radiotherapy, they often experience anxiety and distress. We conducted a pilot randomised controlled trial to determine whether a radiation therapist led psycho-educational intervention for breast cancer patients prior to radiotherapy is likely to be effective in reducing radiotherapy-related concerns, patient anxiety and depression. METHODS The intervention comprised two face-to-face consultations with a radiation therapist (one prior to radiation planning and the other prior to treatment). Patients completed surveys at baseline, prior to treatment planning and on the first day of treatment. Outcome measures included the Hospital Anxiety and Depression Scale, Radiation Therapy Related Patient Concerns and Radiation Therapy Knowledge Scales. RESULTS One hundred and twenty two patients completed baseline measures. Fifty-eight patients received usual care, and 64 received the intervention. After the first consultation, patient anxiety was significantly lower in the intervention group (p = 0.048), as were concerns about radiotherapy (p = 0.001). There were no differences between groups for depression. Patient knowledge for the intervention group was higher after the first consultation (p < 0.001). CONCLUSION This intervention is likely to be effective in reducing patient anxiety and concerns and increasing knowledge. Future research is required to test this intervention with a larger population.
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spelling curtin-20.500.11937-269212017-09-13T16:07:46Z Pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy Halkett, Georgia O'Connor, Moira Aranda, S. Jefford, M. Shaw, Therese York, D. Spry, Nigel Taylor, M. Schofield, P. PURPOSE Although patients receive information prior to commencing radiotherapy, they often experience anxiety and distress. We conducted a pilot randomised controlled trial to determine whether a radiation therapist led psycho-educational intervention for breast cancer patients prior to radiotherapy is likely to be effective in reducing radiotherapy-related concerns, patient anxiety and depression. METHODS The intervention comprised two face-to-face consultations with a radiation therapist (one prior to radiation planning and the other prior to treatment). Patients completed surveys at baseline, prior to treatment planning and on the first day of treatment. Outcome measures included the Hospital Anxiety and Depression Scale, Radiation Therapy Related Patient Concerns and Radiation Therapy Knowledge Scales. RESULTS One hundred and twenty two patients completed baseline measures. Fifty-eight patients received usual care, and 64 received the intervention. After the first consultation, patient anxiety was significantly lower in the intervention group (p = 0.048), as were concerns about radiotherapy (p = 0.001). There were no differences between groups for depression. Patient knowledge for the intervention group was higher after the first consultation (p < 0.001). CONCLUSION This intervention is likely to be effective in reducing patient anxiety and concerns and increasing knowledge. Future research is required to test this intervention with a larger population. 2013 Journal Article http://hdl.handle.net/20.500.11937/26921 10.1007/s00520-013-1719-5 Springer restricted
spellingShingle Halkett, Georgia
O'Connor, Moira
Aranda, S.
Jefford, M.
Shaw, Therese
York, D.
Spry, Nigel
Taylor, M.
Schofield, P.
Pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy
title Pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy
title_full Pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy
title_fullStr Pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy
title_full_unstemmed Pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy
title_short Pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy
title_sort pilot randomised controlled trial of a radiation therapist-led educational intervention for breast cancer patients prior to commencing radiotherapy
url http://hdl.handle.net/20.500.11937/26921