Developing and Evaluating Multimedia Patient Education Tools to Better Prepare Prostate-Cancer Patients for Radiotherapy Treatment (Randomized Study)
Developing and Evaluating Multimedia Patient Education Tools to Better Prepare Prostate-Cancer Patients for Radiotherapy Treatment (Randomized Study)
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DOI：
10.1007/s13187-016-1091-5
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发表时间：
2018-06-01
影响因子：
1.6
通讯作者：
Szumacher, Ewa
中科院分区：
文献类型：
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作者：
Dawdy, Krista;Bonin, Katija;Szumacher, Ewa
本研究的目的是确定多媒体教育工具的有效性，以改善CT计划准备调强放疗（IMRT）前列腺癌。许多患者在被给予口头准备指令以使膀胱充满并且直肠排空以用于他们的IMRT时没有准备好，并且需要重新扫描，这导致患者和医院的额外成本。制作了一本小册子和视频，概述了前列腺调强放射治疗的正确准备，以减少额外的扫描和相关费用，同时提高患者满意度。进行了一项对照、随机实验组研究，以检查多媒体工具（视频和小册子）与仅使用小册子相比在患者准备计划CT预约方面的有效性。我们发现多媒体组和小册子组在患者预约准备和重新扫描率方面没有统计学差异。然而，多媒体组的患者表示，他们在观看视频后对治疗做了更多的准备，并表示他们会向其他前列腺癌患者推荐视频。此外，与等待时间较短的患者相比，等待计划CT预约时间较长的患者对材料的准备程度较低。我们建议尽可能减少预约之间的等待时间，以增加患者对计划CT的准备。我们的结论是，提供多媒体治疗信息，并尽量减少等待时间增加患者的准备，导致更积极的治疗经验，减少昂贵的重新扫描的感觉。
The purpose of this study is to determine the effectiveness of multimedia educational tools to improve CT planning preparation for intensity modulated radiotherapy (IMRT) for prostate cancer. Many patients are not prepared when given verbal preparation instructions to have a full bladder and empty rectum for their IMRT and require being rescanned, which results in additional costs for the patient and the hospital. A pamphlet and video outlining the proper preparation for prostate IMRT was created to decrease additional scans and the associated costs, while increasing patient satisfaction. A controlled, randomized experimental group study was conducted to examine the effectiveness of the multimedia tools (the video and the pamphlet), as compared to the pamphlet only, in preparing patients for their planning CT appointment. We found no statistical difference between the multimedia group and the pamphlet group in patients' preparedness for their appointments and the rescanning rate. However, patients in the multimedia group indicated that they felt more prepared about their treatment after watching the video and stated that they would recommend the video to other patients with prostate cancer. Furthermore, patients who had to wait longer for their planning CT appointment felt less prepared by the materials than those with a shorter wait time. We recommend reducing wait times between appointments as much as possible to increase patients' preparedness for the planning CT. We conclude that providing multimedia treatment information and minimizing wait times increases patients' feelings of preparedness leading to a more positive treatment experience and reducing costly rescans.