Halkett Georgia K B, Schofield Penelope, O'Connor Moira, York Debra, Jefford Michael, Jiwa Moyez, Spry Nigel, Taylor Mandy, Aranda Sanchia
WA Centre for Cancer and Palliative Care, Curtin University, Health Research Campus, GPO Box U1987, Perth, WA 6845, Australia.
Asia Pac J Clin Oncol. 2012 Sep;8(3):e1-8. doi: 10.1111/j.1743-7563.2012.01520.x. Epub 2012 Apr 25.
To describe the development of the content and pilot testing of a radiation therapist-led educational intervention for breast cancer patients about to commence radiotherapy. Pilot testing consisted of testing the intervention for appropriateness, feasibility and acceptance.
A tailored intervention consisting of two face-to-face meetings with a radiation therapist (one before radiation planning, the other before treatment) was developed using Level I evidence for preparing patients for potentially threatening procedures. Training of intervention radiation therapists consisted of two communication skills workshops. Radiation therapists' consultations were tape-recorded and analyzed. The feasibility of the intervention was assessed by response rates and feedback from patients and radiation therapists. Patients completed surveys at baseline and following each intervention delivery. The main outcome measures were anxiety and depression, patient concerns and knowledge about radiotherapy.
Response rates were considered acceptable. Twelve patients were enrolled and completed baseline measures. Nine patients completed follow-up measures following the second consultation. Preliminary results showed a trend for a decrease in anxiety and depression levels following the first consultation. There was also a decrease in concerns about radiotherapy and an increase in patients' knowledge. The instruments showed variability at baseline and discriminated between different responses over time. Radiation therapists adhered to providing the interventions. Interviews with radiation therapists and patients demonstrated that the intervention was feasible and acceptable.
This pilot study demonstrated that this new intervention is both feasible and acceptable to radiation therapists and patients. The intervention is now being assessed using a randomized controlled trial.
描述由放射治疗师主导的、针对即将开始放疗的乳腺癌患者的教育干预措施的内容制定及预试验情况。预试验包括对该干预措施的适宜性、可行性和可接受性进行测试。
利用一级证据为患者准备潜在威胁性程序，制定了一项量身定制的干预措施，包括与放射治疗师进行两次面对面会议（一次在放疗计划前，另一次在治疗前）。干预放射治疗师的培训包括两次沟通技巧工作坊。对放射治疗师的咨询进行录音和分析。通过患者和放射治疗师的回复率及反馈来评估干预措施的可行性。患者在基线时以及每次干预实施后完成调查问卷。主要结局指标为焦虑和抑郁、患者的担忧以及对放疗的了解。
回复率被认为是可接受的。12名患者入组并完成了基线测量。9名患者在第二次咨询后完成了随访测量。初步结果显示，第一次咨询后焦虑和抑郁水平有下降趋势。对放疗的担忧也有所减少，患者的知识有所增加。这些工具在基线时显示出变异性，并且能够区分不同时间的不同反应。放射治疗师坚持提供干预措施。对放射治疗师和患者的访谈表明，该干预措施是可行且可接受的。
这项预试验表明，这种新的干预措施对放射治疗师和患者来说都是可行且可接受的。目前正在通过随机对照试验对该干预措施进行评估。
