Eliciting the views of left breast cancer patients' receiving deep inspiration breath hold radiation therapy to inform the design of multimedia education and improve patient-centred care for prospective patients.
Deep inspiration breath hold
patient care
patient experience
radiation therapy
Journal
Journal of medical radiation sciences
ISSN: 2051-3909
Titre abrégé: J Med Radiat Sci
Pays: United States
ID NLM: 101620352
Informations de publication
Date de publication:
16 Apr 2024
16 Apr 2024
Historique:
received:
19
12
2023
accepted:
31
03
2024
medline:
16
4
2024
pubmed:
16
4
2024
entrez:
16
4
2024
Statut:
aheadofprint
Résumé
The currently accepted best practice radiation treatment for left breast cancer patients is Deep Inspiration Breath Hold (DIBH) where patients hold a deep breath to reduce late cardiac and pulmonary effects from treatment. DIBH can be challenging and induce or exacerbate anxiety in patients due to the perceived pressure to reduce radiation treatment side effects. This study explored the experiences of patients treated with Deep Inspiration Breath Hold Radiation Therapy (DIBH-RT) to improve patient-centred care and inform the design of multimedia educational tools for future patients undergoing DIBH. This descriptive qualitative study was underpinned by a social constructivist approach to create new educational and patient care approaches based on previous patients' experiences. Semi-structured interviews were conducted with patients who had completed DIBH-RT for breast cancer. Data was analysed with reflexive thematical analysis. Twenty-two patients were interviewed with five key themes identified: (1) informational needs, (2) care needs, (3) autonomy, (4) DIBH performance influencers and (5) other centredness. Recommendations were derived from these themes to improve future treatments of DIBH patients. These recommendations revolved around improvements to education, patient-centred care and strategies to improve self-efficacy with breath holding. Patients offer a wealth of knowledge regarding their lived experiences with treatment which can enhance future patients' experiences if incorporated into their education and care. Eliciting patients' views of their DIBH-RT treatment highlighted the need to improve patient self-efficacy with DIBH through familiarity with their planned treatment from new multimedia education, and foster patient care to enhance their experience.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology.
Références
Australian Institute of Health and Welfare. Cancer in Australia. Australian Institute of Health and Welfare, Canberra, ACT, 2019; 43.
Perkins CI, Hotes J, Kohler BA, Howe HL. Association between breast cancer laterality and tumor location, United States, 1994–1998. Cancer Causes Control 2004; 15: 637–645.
Lin C‐H, Lin L‐C, Que J, Ho C‐H. A seven‐year experience of using moderate deep inspiration breath‐hold for patients with early‐stage breast cancer and dosimetric comparison. Medicine 2019; 98: e15510.
Nissen HD, Appelt AL. Improved heart, lung and target dose with deep inspiration breath hold in a large clinical series of breast cancer patients. Radiother Oncol 2013; 106: 28–32.
Kim A, Kalet AM, Cao N, et al. Effects of preparatory coaching and home practice for deep inspiration breath hold on cardiac dose for left breast radiation therapy. Clin Oncol 2018; 30: 571–577.
Quintero‐Martinez JA, Cordova‐Madera SN, Villarraga HR. Radiation‐induced heart disease. J Clin Med 2021; 11: 1.
Halkett GK, Kristjanson LJ, Lobb E, et al. Information needs and preferences of women as they proceed through radiotherapy for breast cancer. Patient Educ Couns 2012; 86: 396–404.
Jensen CA, Acosta Roa AM, Lund JA, Frengen J. Intrafractional baseline drift during free breathing breast cancer radiation therapy. Acta Oncol 2017; 56: 867–873.
Mayr NA, Borm KJ, Kalet AM, et al. Reducing cardiac radiation dose from breast cancer radiation therapy with breath hold training and cognitive behavioral therapy. Top Magn Reson Imaging 2020; 29: 135–148.
Zeguers M, de Haes HC, Zandbelt LC, et al. The information needs of new radiotherapy patients: how to measure? Do they want to know everything? And if not, why? Int J Radiat Oncol Biol Phys 2012; 82: 418–424.
Bergenmar M, Johansson H, Sharp L. Patients' perception of information after completion of adjuvant radiotherapy for breast cancer. Eur J Oncol Nurs 2014; 18: 305–309.
Nguyen MH, Smets EMA, Bol N, et al. Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast‐track clinic. Acta Oncol 2019; 58: 182–188.
Gillan C, Abrams D, Harnett N, Wiljer D, Catton P. Fears and misperceptions of radiation therapy: sources and impact on decision‐making and anxiety. J Cancer Educ 2014; 29: 289–295.
Jimenez YA, Wang W, Stuart K, Cumming S, Thwaites D, Lewis S. Breast cancer patients' perceptions of a virtual learning environment for pretreatment education. J Cancer Educ 2018; 33: 983–990.
Bolderston A. Mixed messages? A comparison between the perceptions of radiation therapy patients and radiation therapists regarding patients' educational needs. Radiography 2008; 14: 111–119.
Inott T, Kennedy BB. Assessing learning styles: practical tips for patient education. Nurs Clin North Am 2011; 46: 313–320.
Halbach SM, Ernstmann N, Kowalski C, et al. Unmet information needs and limited health literacy in newly diagnosed breast cancer patients over the course of cancer treatment. Patient Educ Couns 2016; 99: 1511–1518.
Perrenoud B, Velonaki VS, Bodenmann P, Ramelet AS. The effectiveness of health literacy interventions on the informed consent process of health care users: a systematic review protocol. JBI Database System Rev Implement Rep 2015; 13: 82–94.
Darvishpour A, Mansour‐Ghanaei R, Mansouri F. The relationship between health literacy, self‐efficacy, and self‐care behaviors in older adults with hypertension in the North of Iran. Health Lit Res Pract 2022; 6: e262.
Zheng M, Jin H, Shi N, et al. The relationship between health literacy and quality of life: a systematic review and meta‐analysis. Health Qual Life Outcomes 2018; 16: 201.
Brady GC, Goodrich J, Roe JWG. Using experience‐based co‐design to improve the pre‐treatment care pathway for people diagnosed with head and neck cancer. Support Care Cancer 2020; 28: 739–745.
Australian Commission on Safety and Quality in Health Care. National Statement on Health Literacy – Taking action to improve safety and quality. Australian Commission on Safety and Quality in Health Care, Sydney, NSW, 2014.
Clinical Excellence Commission. NSW Health Literacy Framework 2019–2024. Clinical Excellence Commission, Sydney, 2019.
Northern New South Wales Local Health District. Health Literacy Handbook. Northern New South Wales Local Health District, Lismore, NSW, 2018; 10.
Smith SK, Nathan D, Taylor J, et al. Patients' experience of decision‐making and receiving information during radiation therapy: A qualitative study. Eur J Oncol Nurs 2017; 30: 97–106.
D'haese S, Vinh‐Hung V, Bijdekerke P, et al. The effect of timing of the provision of information on anxiety and satisfaction of cancer patients receiving radiotherapy. J Cancer Educ 2000; 15: 223–227.
Gómez‐Suárez M, Martínez‐Ruiz M, Martínez‐Caraballo N. Consumer‐brand relationships under the marketing 3.0 paradigm: a literature review. Front Psychol 2017; 8: 252.
Angioni E, Cabiddu F, Di Guardo MC (eds). Value‐Co‐creation Through Multichannels Distributions: The Nike ID Case. Physica‐Verlag HD, Heidelberg, 2012.
Eggins R, Fowler H, Cameron J, et al. Supportive care needs and psychosocial outcomes of rural versus urban women with breast cancer. Psychooncology 2022; 31: 1951–1957.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32‐item checklist for interviews and focus groups. International J Qual Health Care 2007; 19: 349–357.
Husson O, Mols F, van de Poll‐Franse LV. The relation between information provision and health‐related quality of life, anxiety and depression among cancer survivors: a systematic review. Ann Oncol 2011; 22: 761–772.
Fuertes E, Carsin AE, Antó JM, et al. Leisure‐time vigorous physical activity is associated with better lung function: the prospective ECRHS study. Thorax 2018; 73: 376–384.
Pelkonen M, Notkola IL, Lakka T, Tukiainen HO, Kivinen P, Nissinen A. Delaying decline in pulmonary function with physical activity: a 25‐year follow‐up. Am J Respir Crit Care Med 2003; 168: 494–499.
Brumpton BM, Langhammer A, Henriksen AH, et al. Physical activity and lung function decline in adults with asthma: the HUNT Study. Respirology 2017; 22: 278–283.
Bulsara C, Ward A, Joske D. Haematological cancer patients: achieving a sense of empowerment by use of strategies to control illness. J Clin Nurs 2004; 13: 251–258.
Wang R, Zhou C, Wu Y, et al. Patient empowerment and self‐management behaviour of chronic disease patients: a moderated mediation model of self‐efficacy and health locus of control. J Adv Nurs 2022; 78: 1055–1065.
Aliakbari F, Tavassoli E, Alipour FM, Sedehi M. Promoting health literacy and perceived self‐efficacy in people with chronic obstructive pulmonary disease. Iran J Nurs Midwifery Res 2022; 27: 331–336.
Papadakos JK, Hasan SM, Barnsley J, et al. Health literacy and cancer self‐management behaviors: a scoping review. Cancer 2018; 124: 4202–4210.
Sutherland J. Patient information in radiation therapy: strategies to meet patient needs.
Silva M, Marques M, Texeira P. Testing theory in practice: the example of self‐determination theory‐based interventions. Eur Health Psychol 2014; 16: 171–180.
Ng JY, Ntoumanis N, Thøgersen‐Ntoumani C, et al. Self‐determination theory applied to health contexts: a meta‐analysis. Perspect Psychol Sci 2012; 7: 325–340.
Thiessen M, Sinclair S, Tang PA, Raffin BS. Information access and use by patients with cancer and their friends and family: development of a grounded theory. J Med Internet Res 2020; 22: e20510.
Cable TA, Meland E, Søberg T, Slagsvold S. Lessons from the Oslo study diet and anti‐smoking trial: a qualitative study of long‐term behaviour change. Scand J Public Health 1999; 27: 206–212.
Shukla U, Sueyoshi M, Diamond B, et al. Disparities in radiation therapy: practice patterns analysis of deep inspiratory breath hold use in non‐english speakers. Int J Radiat Oncol Biol Phys 2022; 113: 21–25.