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A thematic exploration of patient and radiation therapist solutions to improve comfort during radiotherapy: A qualitative study

Goldsworthy, Simon; Latour, Jos M.; Palmer, Shea; McNair, Helen A.; Cramp, Mary

Authors

Simon Goldsworthy

Jos M. Latour

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Shea Palmer Shea.Palmer@uwe.ac.uk
Occasional Associate Lecturer - CHSS - HSW

Helen A. McNair

Mary Cramp Mary.Cramp@uwe.ac.uk
School Director of Research and Enterprise



Abstract

Purpose: Patients undergoing radiotherapy are positioned to restrict motion, ensuring treatment accuracy. Immobilisation can be uncomfortable which may impact treatment accuracy. Therapeutic radiographers (TR) are responsible for managing patient comfort, yet there is little evidence to guide practice. The objective was to explore patient and RT experience of comfort management during radiotherapy and identify solutions for how comfort may be managed. Materials and methods: Twenty-five adult patients were purposefully recruited from Somerset NHS FT (SFT NHS) from those referred for, receiving or who had received radiotherapy within 3 months. Further criteria were that treatment delivery time on the couch exceeded 10 min (the time the patient was immobilised on the radiotherapy couch). 25 practicing TRs were recruited across the United Kingdom (UK) with experience of treatment delivery times exceeding 10 min. Semi structured interviews were conducted by the researcher at SFT NHS or in patients own homes and via telephone for TRs. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was performed by SG and after familiarisation with data, generation of codes, the themes defined were reviewed by researchers and patient partners. Findings: For patients, the three themes were: Supported Coping, Modification to Position or Immobilisation and Information Communication and Preparation. For TRs three main themes emerged: Supported Coping, Supporting and Adjusting Patients to Maintain Position and Preparational Approaches. Conclusion: This qualitative paper provided a shared voice of how comfort can be best managed from the perspective of patients and TRs. Patient and TR views of how comfort is best managed has provided solutions that may be used during radiotherapy. The study has highlighted some of the positive and negative experiences of comfort solutions based on current UK practice. This information will be used to develop recommendations in a radiotherapy comfort intervention package.

Citation

Goldsworthy, S., Latour, J. M., Palmer, S., McNair, H. A., & Cramp, M. (in press). A thematic exploration of patient and radiation therapist solutions to improve comfort during radiotherapy: A qualitative study. Journal of Medical Imaging and Radiation Sciences, https://doi.org/10.1016/j.jmir.2023.07.008

Journal Article Type Article
Acceptance Date Jul 11, 2023
Online Publication Date Jul 20, 2023
Deposit Date Sep 11, 2023
Publicly Available Date Jul 21, 2024
Journal Journal of Medical Imaging and Radiation Sciences
Print ISSN 1939-8654
Electronic ISSN 1876-7982
Publisher Elsevier
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1016/j.jmir.2023.07.008
Public URL https://uwe-repository.worktribe.com/output/10985674