Interventions for preparing patients for chemotherapy and radiotherapy: a systematic review

Waller, Amy; Forshaw, Kristy; Bryant, Jamie; Mair, Shannon

doi:10.1007/s00520-014-2303-3

Cited by 56 publications

(57 citation statements)

References 50 publications

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“…In line with the present results Waller et al [3] indicated that providing preparatory information can improve knowledge in cancer patients undergoing chemotherapy. Furthermore, Dang et al [19] recommended pre-chemotherapy counseling to improve patient knowledge and understanding of the chemotherapy regimen received.…”

Section: Resultssupporting

confidence: 91%

“…Patient who receive little or incomplete information may experience more sever side-effects. [3] Various cancer patients often do not understand and remember greatly of the information they receive within a medical consultation and state dissatisfaction with the amount and feature of information given to them about their disease and treatment. As a result of this, these patients express poorly compliance with treatment and less coping with their disease.…”

Section: Introductionmentioning

confidence: 99%

“…Face to face prechemotherapy teaching is highly acceptable by patients and was found to increase self-efficacy and reduce supportive care needs added to this it can reduce their pretreatment anxiety and enhance their confidence in coping with treatment. [3] In the recent years, the role of the nurse has been actively assimilated into the primary health care system in revealing medical care. Nurse directed medical therapy adherence clinic and counseling have shown great impact on patient compliance to the medicine prescribed.…”

Section: Introductionmentioning

confidence: 99%

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Impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer

Aboalizm

El-Sayad

2019

CNS

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Objective: Cancer’s patients receiving chemotherapy need information about the treatments and self-care that must practice in order to prevent serious complications. Purpose of the study: To determine the impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer.Methods: Quasi experimental research design was used. The study was conducted at outpatient’s chemotherapy clinic and at word of the Oncology Menoufia University Hospital, Shebin El-Kom, Egypt. A convenience sample of 100 adult patients of both sexes who were diagnosed with cancer in the Oncology outpatient clinic and would receive first time chemotherapy treatment were enrolled in this study. Three tools were used. Tool I: Chemotherapy Patients needs assessment: structured interviewing scheduled questionnaire: The tool consisted of the following 2 parts. Part 1: Sociodemographic and clinical data, Part II: Pre Chemotherapy Knowledge Assessment Sheet. Tool II: 16 attributes of cancer therapy satisfaction questionnaire (CTSQ). Tool III: Cancer Coping Questionnaire (CCQ) 21 Items Versions.Results: The study group had better knowledge, coping and satisfaction post intervention than control group. There was statistically considerable differences between study and control group concerning the mean total score of satisfaction and coping (p value < .001). There were significant positive correlation total score of cancer coping and mean score of cancer therapy satisfaction p value < .001.Conclusions: Prechemotherapy preparation to cancer patients improved patient’s knowledge, satisfaction and coping. Recommendation: Prechemotherapy education should be considered a part of routine nursing care performed for all newly diagnosed patients with cancer who would receive chemotherapy for first time.

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Section: Resultssupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer

Aboalizm

El-Sayad

2019

CNS

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“…A computerised search of major psychological, medical, and nursing literature and doctoral theses databases with a moderate degree of overlap was conducted starting at 1959 where possible as the year of first transplantation : PsycINFO (1959 to December Week 4, 2014), MEDLINE (1959 to December Week 4, 2014), EMBASE (1974 to 2014 Week 52), CINAHL (1982 to December 30, 2014), and ProQuest Theses (1959 to December 30, 2014). Search terms were identified from a range of sources including systematic reviews of psychological interventions and distress in HSCT and analogous populations and during preliminary scoping of the literature [e.g. ], and relevant subject headings via the databases.…”

Section: Methodsmentioning

confidence: 99%

Psychological interventions for distress in adults undergoing haematopoietic stem cell transplantation: a systematic review with meta‐analysis

2015

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ObjectivesTo investigate the characteristics, methodology, quality, and efficacy of psychological interventions for distress in adult patients undergoing haematopoietic stem cell transplantation (HSCT). MethodsA systematic review of relevant studies was conducted using six databases with supplementary hand searching. Included studies employed an experimental or quasiexperimental design, interventions included at least one psychological component, and outcomes involved psychological distress in affective terms. Data were abstracted and study quality was assessed using Cochrane Foundation criteria amended to include confounder and common factors control. Data were examined and synthesised using a narrative approach and meta-analysis. ResultsEleven articles for nine interventions met the inclusion criteria out of 11741 abstracts.The studies varied in quality, general, intervention, and methodological characteristics while findings were mixed. Interventions tended to show better efficacy when incorporating a major psychological component involving cognitive behavioural or emotional processing methods with substantial interventionist input. However, this was also associated with methodological limitations and threats to internal validity such as poor confounder and common factors control. A meta-analysis yielded a small but significant pooled effect size estimate in favour of interventions with inconsequential heterogeneity. Risk of bias remained a concern. ConclusionsPsychological interventions may provide some benefit in alleviating distress in HSCT but conclusions remain tentative in light of methodological limitations and risk of bias.Further research is needed to evidence the individual contribution of intervention components and mechanism of change together with improving intervention efficiency and methodological quality. Psychological distress in HSCT and its sequelaeIn light of the physical burden, it is not surprising that patients experience considerable psychological distress. Patients report a consuming effort to prepare and an ongoing struggle, describing the procedure as "walk to hell and back" or "really, really hard" [8, p. 404]. Studies in adult HSCT have observed considerable psychological distress, particularly during hospitalisation, with up to a quarter of patients meeting clinical criteria for anxiety and/or depression [3,[9][10][11][12][13]. Following transplantation, psychological distress improves but can persist with up to 40% of patients experiencing depression and up to 30% anxiety even one year later [14].Apart from psychological well-being, distress also appears to affect physical wellbeing and recovery although research remains limited and correlational. Studies have observed associations between psychological distress and worse treatment adherence, reduced pain and symptom tolerance, longer hospital stay, and higher mortality [11,12,15].In addition, stress has been associated with greater subsequent incidence of illness, harmful physiological changes, greater pain perceptio...

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“…A recent systematic review on interventions for preparing patients for chemotherapy and radiotherapy highlighted the need for rigorous studies to provide further evidence to guide the preparation of patients for radiotherapy 22. Although a number of researchers have developed information resources (eg, videos and written information) for patients who require radiotherapy,23–26 the aim of these studies has been to provide general information about radiotherapy and side effects rather than specific information on what to expect at each stage and focusing on addressing patients’ anxiety.…”

Section: Introductionmentioning

confidence: 99%

Protocol for the RT Prepare Trial: a multiple-baseline study of radiation therapists delivering education and support to women with breast cancer who are referred for radiotherapy

et al. 2014

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IntroductionThere is limited evidence to guide the preparation of patients for radiotherapy. This paper describes the protocol for an evaluation of a radiation therapist led education intervention delivered to patients with breast cancer in order to reduce psychological distress.MethodsA multiple-baseline study is being used. Usual care data is being collected prior to the start of the intervention at each of three sites. The intervention is delivered by radiation therapists consulting with patients prior to their treatment planning and on the first day of treatment. The intervention focuses on providing sensory and procedural information to patients and reducing pretreatment anxiety. Recruitment is occurring in three states in Australia. Eligible participants are patients who have been referred for radiotherapy to treat breast cancer. 200 patients will be recruited during a usual care phase and, thereafter, 200 patients in the intervention phase. Measures will be collected on four occasions—after meeting with their radiation oncologist, prior to treatment planning, on the first day of treatment and after treatment completion. The primary hypothesis is that patients who receive the radiotherapy preparatory intervention will report a significantly greater decrease in psychological distress from baseline to prior to radiotherapy treatment planning in comparison with the usual care group. Secondary outcome measures include concerns about radiotherapy, patient knowledge of radiotherapy, patient preparedness and quality of life. Patient health system usage and costs will also be measured. Multilevel mixed effects regression models will be applied to test for intervention effects.EthicsEthics approval has been gained from Curtin University and the three recruiting sites.DisseminationResults will be reported in international peer reviewed journals.Trial registration numberAustralian and New Zealand Clinical Trials Registration: ACTRN12611001000998.

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Interventions for preparing patients for chemotherapy and radiotherapy: a systematic review

Cited by 56 publications

References 50 publications

Impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer

Impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer

Psychological interventions for distress in adults undergoing haematopoietic stem cell transplantation: a systematic review with meta‐analysis

Protocol for the RT Prepare Trial: a multiple-baseline study of radiation therapists delivering education and support to women with breast cancer who are referred for radiotherapy

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