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A systematic review of effectiveness of interventions applicable to radiotherapy that are administered to improve patient comfort, increase patient compliance, and reduce patient distress or anxiety

Goldsworthy, S.; Palmer, S.; Latour, J. M.; McNair, H.; Cramp, M.

A systematic review of effectiveness of interventions applicable to radiotherapy that are administered to improve patient comfort, increase patient compliance, and reduce patient distress or anxiety Thumbnail


Authors

S. Goldsworthy

Profile Image

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

J. M. Latour

H. McNair

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



Abstract

Objectives: The aim of this review was to search existing literature to identify comfort interventions that can be used to assist an adult patient to undergo complex radiotherapy requiring positional stability for periods greater than 10 min. The objectives of this review were to; 1) identify comfort interventions used for clinical procedures that involve sustained inactivity similar to radiotherapy; 2) define characteristics of comfort interventions for future practice; and 3) determine the effectiveness of identified comfort interventions. The Preferred Reporting Items for Systematic Reviews and meta-analyses statement and the Template-for-Intervention-Description-and Replication guide were used. Key findings: The literature search was performed using PICO criteria with five databases (AMED, CINAHL EMBASE, MEDLINE, PsycINFO) identifying 5269 titles. After screening, 46 randomised controlled trials met the inclusion criteria. Thirteen interventions were reported and were grouped into four categories: Audio–visual, Psychological, Physical, and Other interventions (education/information and aromatherapy). The majority of aromatherapy, one audio–visual and one educational intervention were judged to be clinically significant for improving patient comfort based on anxiety outcome measures (effect size ≥ 0.4, mean change is greater than the Minimal-Important-Difference and low-risk-of-bias). Medium to large effect sizes were reported in many interventions where differences did not exceed the Minimal-Important-Difference for the measure. These interventions were deemed worthy of further investigation. Conclusion: Several interventions were identified that may improve comfort during radiotherapy assisting patients to sustain and endure the same position over time. This is crucial for the continual growth of complex radiotherapy requiring a need for comfort to ensure stability for targeted treatment. Implications for practice: Further investigation of comfort interventions is warranted, including tailoring interventions to patient choice and determining if multiple interventions can be used concurrently to improve effectiveness.

Citation

Goldsworthy, S., Palmer, S., Latour, J. M., McNair, H., & Cramp, M. (2020). A systematic review of effectiveness of interventions applicable to radiotherapy that are administered to improve patient comfort, increase patient compliance, and reduce patient distress or anxiety. Radiography, 26(4), 314-324. https://doi.org/10.1016/j.radi.2020.03.002

Journal Article Type Review
Acceptance Date Mar 5, 2020
Online Publication Date Mar 31, 2020
Publication Date Nov 1, 2020
Deposit Date May 22, 2020
Publicly Available Date Mar 29, 2024
Journal Radiography
Print ISSN 1078-8174
Electronic ISSN 1532-2831
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 26
Issue 4
Pages 314-324
DOI https://doi.org/10.1016/j.radi.2020.03.002
Keywords Radiology Nuclear Medicine and imaging
Public URL https://uwe-repository.worktribe.com/output/5872824

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A systematic review of effectiveness of interventions applicable to radiotherapy that are administered to improve patient comfort, increase patient compliance, and reduce patient distress or anxiety (217 Kb)
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http://creativecommons.org/licenses/by-nc-nd/4.0/

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Copyright Statement
This is the author’s accepted manuscript. The published version can be found on the publishers website here: https://doi.org/10.1016/j.radi.2020.03.002


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Licence
http://creativecommons.org/licenses/by-nc-nd/4.0/

Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the author’s accepted manuscript. The published version can be found on the publishers website here: https://doi.org/10.1016/j.radi.2020.03.002




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