Information needs and preferences of women as they proceed through radiotherapy for breast cancer

Halkett, Georgia; Kristjanson, Linda J.; Lobb, Elizabeth; Little, John; Shaw, Thérèse; Taylor, Mandy; Spry, Nigel

doi:10.1016/j.pec.2011.05.010

Cited by 116 publications

(112 citation statements)

References 29 publications

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“…Radiotherapy may generate many fears [1][2][3] that persist after the start of treatment and despite information transmission [1]. Although some studies have shown that radiotherapy is generally better accepted than what may be expected [3,4] and than other treatments [5], other studies have also shown that it can be associated with emotional distress [6][7][8] and especially anxiety [3,5,7,9].…”

Section: Introductionmentioning

confidence: 99%

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Merckaert

Liénard

et al. 2014

Radiotherapy and Oncology

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a b s t r a c tPurpose: To our knowledge, no study has specifically assessed the time course of anxiety during radiotherapy (RT). The objective of this study was to assess anxiety time courses in patients with nonmetastatic breast cancer. Material and methods: This multicenter, descriptive longitudinal study included 213 consecutive patients with breast cancer who completed visual analog scales (VASs) assessing state anxiety before and after the RT simulation and the first and last five RT sessions. Results: Pre-and post-session anxiety mean levels were highest at the RT simulation (respectively, 2.9 ± 2.9 and 1.6 ± 2.5) and first RT session (respectively, 3.4 ± 2.9 and 2.0 ± 2.4), then declined rapidly. Clinically relevant mean differences (P1 cm on the VAS) between pre-and post-simulation/session VAS scores were found only for the RT simulation (À1.3 ± 2.7; p < 0.001) and first RT session (À1.4 ± 2.4; p < 0.001). Five percent to 16% of patients presented clinically relevant anxiety (pre-and post-simulation/session VAS scores P 4 cm) throughout treatment. Conclusions: To optimize care, RT team members should offer all patients appropriate information about treatment at the simulation, check patients' understanding, and identify patients with clinically relevant anxiety requiring appropriate support throughout RT.

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Section: Introductionmentioning

confidence: 99%

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Merckaert

Liénard

et al. 2014

Radiotherapy and Oncology

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“…The following restrictions should be considered in interpreting the study results: This is a cross-sectional study and no causal conclusions can therefore be drawn. Information requirements change over the course of the illness [37]. This study recorded only the information needs of breast cancer patients during their inpatient hospitalisation.…”

Section: Concomitant Illnesses (N)mentioning

confidence: 99%

Psychosocial Information Requirements for Multimorbid Breast Cancer Patients in Breast Centres in North Rhine Westphalia

Schmitz

Ernstmann

2015

Geburtshilfe Frauenheilkd

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“…First, radiotherapy is a highly technical treatment; second, treatment delivery is invisible; and third, side-effects often have a delayed onset or can fluctuate throughout treatment [5]. As a result, patients often express numerous concerns regarding radiotherapy treatment and its side effects [6][7][8][9][10]. Furthermore, many patients experience feelings of anxiety at the start of their treatment [6,11].…”

Section: Introductionmentioning

confidence: 99%

Is it possible to improve communication around radiotherapy delivery: A randomized study to assess the efficacy of team training?

Liénard

Razavi

Gibon

et al. 2016

Radiotherapy and Oncology

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a b s t r a c tBackground and purpose: The aim of this study was to assess the efficacy of a 38-h communication skills training program designed for multidisciplinary radiotherapy teams. Materials and methods: Four radiotherapy teams were randomly assigned to a training program or to a waiting list. Assessments were scheduled at baseline (T1) and then after the training was completed or four months later (T2), respectively. Communication around radiotherapy delivery was assessed based on audio recordings of the first and last radiotherapy sessions in order to assess team members' communication skills and the expression of concerns by breast cancer patients (analyzed with content analysis software LaComm). Results: 198 radiotherapy sessions were recorded. During the first radiotherapy sessions, members of the trained teams exhibited more assessment skills (p = 0.048), provided more setting information (p < 0.001), and used more social words (p = 0.019) compared to the members of the untrained teams. During the last radiotherapy session, members of the trained teams used more assessment skills (p = 0.004) and patients interacting with members of the trained teams expressed more sadness words (p = 0.023). Conclusion: Training of multidisciplinary teams has the potential to transfer skills that affect the short exchanges that take place around radiotherapy delivery.

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Information needs and preferences of women as they proceed through radiotherapy for breast cancer

Cited by 116 publications

References 29 publications

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

Psychosocial Information Requirements for Multimorbid Breast Cancer Patients in Breast Centres in North Rhine Westphalia

Is it possible to improve communication around radiotherapy delivery: A randomized study to assess the efficacy of team training?

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