ORIGINAL ARTICLE
Prospective Trial of a Video Educational Tool for Radiation Oncology Patients Carol A. Hahn, MD,* Laura J. Fish, MPH,† Renee H. Dunn, PhD,‡ and Edward C. Halperin, MD*
Objectives: Prospective assessment of the informational needs of radiation oncology patients and efficacy of an educational video in meeting them. Methods: Subjects completed baseline self-administered questionnaires and subsequently viewed the patient education video. Posttesting was performed after initiation of therapy and subjects rated their satisfaction with the video, its relevance, and their emotional response. Analyses were performed with respect to patient and disease characteristics. Results: Fifty-three subjects were enrolled and completed both before and after video measures. The mean age of participants was 58 years (range, 33 to 83). Pretreatment, ⬎90% of patients reported specific information needs. One hundred percent of patients watched the video and 77% rated it as highly relevant. High levels of satisfaction (⬎90%) were reported with video information describing radiation and simulation. Older subjects (58 years and older) found video information significantly more relevant than those younger (55% versus 27%, P ⫽ 0.04) and rated greater satisfaction with side effect information (78% versus 41%, P ⫽ 0.006). Subjects with breast cancer exhibited a trend towards feeling better informed by the video. Conclusions: Radiation oncology patients reported informational needs unmet by standard educational measures. High levels of satisfaction were reported with video education. It promoted better understanding of radiotherapy. Older patients found the video to be significantly more relevant and informative. Key Words: patient education, radiation therapy, video education (Am J Clin Oncol 2005;28: 609 – 612)
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pproximately half of all cancer patients receive radiotherapy as a part of their cancer management. Radiotherapy produces physical side effects and can have severe psychologic consequences, which may be exacerbated by uncertainty. The need for information among radiation therapy patients is high.1–3
From the *Departments of Radiation Oncology, †Cancer Prevention, Detection and Control Research Program, and the ‡Brain Tumor Center at Duke, Duke University Medical Center, Durham, NC. Reprints: Carol A. Hahn, MD, Department of Radiation Oncology, Duke University Medical Center, Box 3085, Durham, NC 27710. E-mail: hahn@radonc.duke.edu. Copyright © 2005 by Lippincott Williams & Wilkins ISSN: 0277-3732/05/2806-0609 DOI: 10.1097/01.coc.0000182417.94669.a0
The initial radiation oncology consultation facilitates the assessment of the patient in terms of their oncologic history and physical examination, explanation of therapeutic options and treatment recommendations. It also begins the process of patient education regarding therapeutic radiation: what it is, how it is delivered, and the reason for its use in their cancer therapy. Unfortunately, however, patients often have inadequate information, comprehension, and retention.4 Standard education as part of a routine clinical consultation typically involves patient counseling and providing written materials. Published studies have described the efficacy of different forms of patient education.5–12 Educational videos improve patient recall of information about particular types of therapy.9,10,13 Videos also help reduce patient anxiety when approaching unfamiliar situations.9,11,13 This study sought to prospectively evaluate the educational needs of patients seen in initial consultation in the Department of Radiation Oncology of the Duke University Health System and ascertain the extent to which a patient education video met these needs.
MATERIALS AND METHODS All new adult cancer patients seen at 5 clinical sites of the Duke University Health System’s Department of Radiation Oncology were eligible to participate in the study. Enrollment followed completion of a new patient consultation and after obtaining informed consent. After enrolling in the study, subjects completed pretesting with a baseline self-administered 5 question questionnaire concerning specific informational needs. Subjects were asked to rate the importance of information on: possible side effects of radiation therapy, side effects to report to their doctor or nurse, prevention of side effects, what will happen during radiation therapy, and how they will feel during radiation therapy. Responses were rated on a Liekert 1 to 5 scale, with 1 ⫽ not at all important to 5 ⫽ extremely important. Subjects were subsequently provided with both standard written educational materials and the patient educational video. The script for the video, “Your Treatment with Radiation Therapy,” was written by faculty members of the Department of Radiation Oncology at Duke University Medical Center and produced by the Instructional Television Division of Duke Educational Media Services. It was filmed within Duke’s Department of Radiation Oncology and featured members of the physician and dosimetry staff. The video was the winner of the First Place Silver Telly Award in 2001 in the non-network television and video competition.
American Journal of Clinical Oncology • Volume 28, Number 6, December 2005
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