Almerdhemah Hussain, Mulla Zaheeda, Muamenah Hane Mohammad, Weber Amina, Boubakra Tarik, Taha Hiba, Habibullah Hanadi Fouad, Albeirouti Bassim Tahseen, Ahmed Ahmed Mohamed Ameen Mohamed
King Faisal Specialist Hospital & Research Centre (KFSHRC), Jeddah, Oncology Department, Radiation Oncology Section, Jeddah, Kingdom of Saudi Arabia (KSA).
Sohag University Hospital, Department of Clinical Oncology, Sohag, Egypt.
Adv Radiat Oncol. 2021 Oct 26;6(6):100742. doi: 10.1016/j.adro.2021.100742. eCollection 2021 Nov-Dec.
The study assessed the effectiveness of a site-specific video educational material in improving patient understanding and confidence regarding radiation therapy trajectory.
A quasi experimental longitudinal pretest posttest study was conducted at a referral radiation therapy center from May 2020 to September 2020. It included 52 adult patients admitted for a first course radical radiation therapy. One generic and 6 site-specific (breast, pelvis, head and neck, brain, chest and abdomen, and bladder) animated cartoon videos were developed in house to provide concise overview of the overall patient's trajectory in radiation therapy, with full visual description of the procedures and specific preparation measures. A 14-item questionnaire was designed to assess pre- and postintervention levels of understanding and confidence of patients, with calculation of and an understanding and confidence score (UCS), range 0-14.
The mean (standard deviation) UCS in pre- and postintervention was 9.36 (2.48) and 11.92 (1.34) out of 14, respectively, indicating a mean increase of 2.57 subsequent to the intervention ( < .001). The effect size was large with a Cohen's = 1.01. Of the 14 dimensions explored, 8 were observed to have remarkable improvement, notably understanding the purpose of the tattoo mark, reason of daily or weekly imaging, and what to expect with radiation therapy. Participants with poor reading ability had greater increase in UCS (ΔUCS = 4.25 vs ≤2.33) and in 5 out of 8 dimensions with remarkable improvement.
The use of digital educational material in radiation oncology meets the urgent need for providing patients with concise and site-specific information, while sparing extra hospital visits to meet education coordinators during the COVID-19 crisis. Additional studies are warranted to assess both the clinical and long-term effectiveness of the educational material, using a longitudinal controlled design.
本研究评估了特定部位视频教育材料在提高患者对放射治疗疗程的理解和信心方面的有效性。
2020年5月至2020年9月在一家转诊放射治疗中心进行了一项准实验性纵向前后测研究。研究纳入了52名接受首次根治性放射治疗的成年患者。内部制作了1部通用和6部特定部位（乳房、骨盆、头颈部、脑部、胸部和腹部以及膀胱）的动画视频，以简要概述患者在放射治疗中的整个疗程，并对程序和具体准备措施进行全面的视觉描述。设计了一份包含14个条目的问卷，以评估患者干预前后的理解水平和信心，并计算理解和信心得分（UCS），范围为0至14分。
干预前和干预后的平均（标准差）UCS分别为9.36（2.48）和11.92（1.34）（满分14分），表明干预后平均提高了2.57分（P<0.001）。效应量较大，科恩d值为1.01。在探索的14个维度中，有8个维度有显著改善，尤其是对纹身标记的目的、每日或每周成像的原因以及放射治疗的预期效果的理解。阅读能力较差的参与者的UCS提高幅度更大（ΔUCS = 4.25，而其他参与者≤2.33），并且在8个有显著改善的维度中有5个维度是如此。
在放射肿瘤学中使用数字教育材料满足了为患者提供简洁且特定部位信息的迫切需求，同时在2019冠状病毒病危机期间避免了患者额外前往医院与教育协调员见面。有必要进行更多研究，采用纵向对照设计来评估教育材料的临床效果和长期效果。
