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The Effect of Video-Based Education on Anxiety of Patients Receiving Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy

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Abstract

Patients receiving stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) may have an anxiety due to unknown aspects of the treatment. We aimed to reduce patient anxiety by using video-based education. Forty patients were divided into 2 groups, with one-to-one information session (n = 20) and one-to-one information session plus video-based education (n = 20). The patients completed the State-Trait Anxiety Inventory (STAI) and visual facial anxiety scale before and after information sessions and after treatment. The setup time and disruptions during treatment sessions were recorded for patients receiving treatment with Novalis® and Cyberknife®, respectively. The patient characteristics and STAI scores before education were similar between groups. The anxiety level was significantly lower in group 1 after treatment (median 38, interquartile range (IQR) 27–45) compared to before (median 43, IQR 36–47) (p = 0.003) and after information sessions (median 42, IQR 36–47) (p = 0.004); however, any difference was not observed in anxiety levels between before and after information sessions (p = 0.317). The anxiety level was significantly lower in group 2 after video-based education (median 25, IQR 22–33) and after treatment (median 25, IQR 20–30) compared to before video-based education (median 35, IQR 31–42) (p < 0.001 for both), while there was no significant difference in anxiety levels between after video-based education and after the treatment (p = 0.407). The interruptions during treatment were observed in 9 (60%) patients in group 1 and 6 (40%) patients in group 2 (p = 0.038). Video-based educations significantly reduce patient anxiety before SRS/SBRT and increase their compliance with the treatment.

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References

  1. Leksell L (1951) The stereotaxic method and radiosurgery of the brain. Acta Chir Scand 102(4):316–319

    CAS  PubMed  Google Scholar 

  2. Bijlani A, Aguzzi G, Schaal DW, Romanelli P (2013) Stereotactic radiosurgery and stereotactic body radiation therapy cost-effectiveness results. Front Oncol 3:77. https://doi.org/10.3389/fonc.2013.00077

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Solberg TD, Balter JM, Benedict SH et al (2012) Quality and safety considerations in stereotactic radiosurgery and stereotactic body radiation therapy: executive summary. Pract Radiat Oncol 2(1):2–9. https://doi.org/10.1016/j.prro.2011.06.014

    Article  PubMed  PubMed Central  Google Scholar 

  4. Clover K, Oultram S, Adams C, Cross L, Findlay N, Ponman L (2011) Disruption to radiation therapy sessions due to anxiety among patients receiving radiation therapy to the head and neck area can be predicted using patient self-report measures. Psychooncology 20(12):1334–1341. https://doi.org/10.1002/pon.1854

    Article  PubMed  Google Scholar 

  5. Nima Aghdam AP, Johnson C, Danner M, Ayoob M, Yung TM, Lei S, Collins BT, Dritschilo A, Suy S, Lynch J, Collins SP (2018) Patient-reported anxiety with localized prostate cancer treated with stereotactic body radiation therapy (SBRT). J Clin Oncol 36(6):52. https://doi.org/10.1200/JCO.2018.36.6_suppl.52 (Journal of Clinical Oncology 36, no.6_suppl (February 20, 2018) 52-52)

    Article  Google Scholar 

  6. Savage K, Arif S, Smoke M, Farrell T (2017) Preferences in learning styles and modes of information delivery in patients receiving first-day education for radiation therapy. J Med Imaging Radiat Sci 48(2):193–198. https://doi.org/10.1016/j.jmir.2016.10.011

    Article  PubMed  Google Scholar 

  7. Dunn J, Steginga SK, Rose P, Scott J, Allison R (2004) Evaluating patient education materials about radiation therapy. Patient Educ Couns 52(3):325–332. https://doi.org/10.1016/S0738-3991(03)00108-3

    Article  PubMed  Google Scholar 

  8. Haggmark C, Bohman L, Ilmoni-Brandt K, Naslund I, Sjoden PO, Nilsson B (2001) Effects of information supply on satisfaction with information and quality of life in cancer patients receiving curative radiation therapy. Patient Educ Couns 45(3):173–179. https://doi.org/10.1016/s0738-3991(01)00116-1

    Article  CAS  PubMed  Google Scholar 

  9. Tan ML, Lee KH, Yong WS, Rodgers C (2018) The effects of a video-based education in women with newly diagnosed breast cancer in Singapore. Support Care Cancer 26(11):3891–3897. https://doi.org/10.1007/s00520-018-4258-2

    Article  PubMed  Google Scholar 

  10. Hahn CA, Fish LJ, Dunn RH, Halperin EC (2005) Prospective trial of a video educational tool for radiation oncology patients. Am J Clin Oncol 28(6):609–612. https://doi.org/10.1097/01.coc.0000182417.94669.a0

    Article  PubMed  Google Scholar 

  11. Suresh K (2011) An overview of randomization techniques: an unbiased assessment of outcome in clinical research. J Hum Reprod Sci 4(1):8–11. https://doi.org/10.4103/0974-1208.82352

    Article  PubMed  PubMed Central  Google Scholar 

  12. Oner NL-CA (1985) Handbook of the State-Trait Anxiety Inventory [in Turkish], 2nd edn. Bogazici University Press, Istanbul

    Google Scholar 

  13. Gros DF, Antony MM, Simms LJ, McCabe RE (2007) Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): comparison to the State-Trait Anxiety Inventory (STAI). Psychol Assess 19(4):369–381. https://doi.org/10.1037/1040-3590.19.4.369

    Article  PubMed  Google Scholar 

  14. Julian LJ (2011) Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken) 63(Suppl 11):S467-472. https://doi.org/10.1002/acr.20561

    Article  PubMed  Google Scholar 

  15. Lewis F, Merckaert I, Lienard A et al (2014) Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: a longitudinal study. Radiother Oncol 111(2):276–280. https://doi.org/10.1016/j.radonc.2014.03.016

    Article  PubMed  Google Scholar 

  16. Stiegelis HE, Ranchor AV, Sanderman R (2004) Psychological functioning in cancer patients treated with radiotherapy. Patient Educ Couns 52(2):131–141. https://doi.org/10.1016/s0738-3991(03)00021-1

    Article  PubMed  Google Scholar 

  17. Lewis F, Merckaert I, Lienard A et al (2015) Anxiety at the first radiotherapy session for non-metastatic breast cancer: key communication and communication-related predictors. Radiother Oncol 114(1):35–41. https://doi.org/10.1016/j.radonc.2014.07.017

    Article  PubMed  Google Scholar 

  18. Nima Aghdam AP, Johnson C, Danner M, Ayoob M, Yung TM, Lei S, Collins BT, Dritschilo A, Suy S, Lynch J, Collins SP (2018) Patient-reported anxiety with localized prostate cancer treated with stereotactic body radiation therapy (SBRT). J Clin Oncol 6:52. https://doi.org/10.1200/JCO.2018.36.6_suppl.52 (Journal of Clinical Oncology 36, no. 6_suppl (February 20, 2018) 52-52)

    Article  Google Scholar 

  19. Cao X, Yumul R, Elvir Lazo OL et al (2017) A novel visual facial anxiety scale for assessing preoperative anxiety. PLoS ONE 12(2):e0171233. https://doi.org/10.1371/journal.pone.0171233

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Streiner DLNG (2003) Health measurement scales-a practical guide to their development and use, 3rd edn. Oxford University Press Inc., New York

    Google Scholar 

  21. Butow P, Brindle E, McConnell D, Boakes R, Tattersall M (1998) Information booklets about cancer: factors influencing patient satisfaction and utilization. Patient Educ Couns 33(2):129–141. https://doi.org/10.1016/s0738-3991(97)00071-2

    Article  CAS  PubMed  Google Scholar 

  22. Matsuyama RK, Lyckholm LJ, Molisani A, Moghanaki D (2013) The value of an educational video before consultation with a radiation oncologist. J Cancer Educ 28(2):306–313. https://doi.org/10.1007/s13187-013-0473-1

    Article  PubMed  PubMed Central  Google Scholar 

  23. Kumar KA, Balazy KE, Gutkin PM et al (2020) Association between patient education videos and knowledge of radiation treatment. Int J Radiat Oncol Biol Phys. https://doi.org/10.1016/j.ijrobp.2020.11.069

    Article  PubMed  PubMed Central  Google Scholar 

  24. Tarhan H, Cakmak O, Unal E et al (2014) The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy. Can Urol Assoc J 8(11–12):E894-900. https://doi.org/10.5489/cuaj.2208

    Article  PubMed  PubMed Central  Google Scholar 

  25. Drokow EK, Effah CY, Agboyibor C et al (2021) The impact of video-based educational interventions on cervical cancer, pap smear and HPV vaccines. Front Public Health 9:681319. https://doi.org/10.3389/fpubh.2021.681319

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Hacettepe University, Faculty of Medicine, Department of Radiation Oncology, Altındağ, Ankara, 06100, Turkey

    Caglayan Selenge Beduk Esen, Gozde Yazici, Pervin Hurmuz, Gokhan Ozyigit & Faruk Zorlu

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  1. Caglayan Selenge Beduk Esen
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  2. Gozde Yazici
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  3. Pervin Hurmuz
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  4. Gokhan Ozyigit
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  5. Faruk Zorlu
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Correspondence to Caglayan Selenge Beduk Esen.

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This study was approved by our institution’s Internal Review Board (IRB) (KA-20035).

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Informed consent was obtained from all individual participants included in this study.

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Patients signed informed consent regarding publishing their data and photographs.

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The authors declare no competing interests.

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Esen, C.S.B., Yazici, G., Hurmuz, P. et al. The Effect of Video-Based Education on Anxiety of Patients Receiving Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy. J Canc Educ 38, 426–430 (2023). https://doi.org/10.1007/s13187-022-02135-1

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