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Supportive Care in Cancer

, Volume 21, Issue 7, pp 2007–2015 | Cite as

Evaluation of an educational video to improve the understanding of radiotherapy side effects in head and neck cancer patients

  • Wilfredo Alejandro González-Arriagada
  • Marco Aurélio Carvalho de Andrade
  • Lara Maria Alencar Ramos
  • Jose Ribamar Sabino Bezerra
  • Alan Roger Santos-Silva
  • Marcio Ajudarte LopesEmail author
Original Article

Abstract

Purpose

Side effects of head and neck radiotherapy are common and can interfere with treatment. However, scientific information on a patient’s understanding of these complications is scarce and confusing. Therefore, the aim of this study was to assess the effect of an educational video on improving the understanding of head and neck cancer patients undergoing radiotherapy about treatment complications.

Methods

A 6-min video about head and neck radiotherapy side effects was produced by a multidisciplinary oncology team. A controlled clinical study was performed with two groups: the control group (N = 19), which received verbal information, and the video group (N = 19), which received verbal information and watched the video. Two questionnaires were given to both groups, one before the beginning of radiotherapy and the other after finishing radiotherapy.

Results

Thirty-eight patients were included in the study (mean age of 59.7 years in the video group and 57.9 in the control group). Thirty-one patients had an education level less than high school education. All patients of the video group answered correctly why they were undergoing radiotherapy. On the other hand, three patients of the control group did not know the reason for the treatment. More patients of the video group demonstrated better knowledge about radiotherapy side effects than patients of the control group. Only one patient of the video group had doubts about the treatment, compared to seven of the control group.

Conclusions

The present study showed that an educational video may improve patient understanding of head and neck radiotherapy and its side effects despite their education level.

Keywords

Education Video Radiotherapy Patient Head and neck cancer Understanding 

Notes

Acknowledgments

This study was developed in the Oncology Center of Fornecedores de Cana Hospital of Piracicaba, São Paulo, Brazil. We are grateful for the cooperation and help of its oncology team composed of physicians, nurses, speech therapists, psychologists, physiotherapists, and nutritionists. The authors gratefully acknowledge the patients who participated in the study.

Conflict of interest

We, the authors of this manuscript, declare that there is no financial relationship with any other organization. We also state that we have full control of all primary data and we agree to allow the journal to review the data if requested.

References

  1. 1.
    Greenlee RT, Murray T, Bolden S, Wingo PA (2000) Cancer statistics, 2000. CA Cancer J Clin 50(1):7–33PubMedCrossRefGoogle Scholar
  2. 2.
    Rosales AC, Esteves SC, Jorge J, Almeida OP, Lopes MA (2009) Dental needs in Brazilian patients subjected to head and neck radiotherapy. Braz Dent J 20(1):74–77PubMedCrossRefGoogle Scholar
  3. 3.
    Bhide SA, Newbold KL, Harrington KJ, Nutting CM (2012) Clinical evaluation of intensity-modulated radiotherapy for head and neck cancers. Br J Radiol 85(1013):487–494PubMedCrossRefGoogle Scholar
  4. 4.
    Bourhis J, Etessami A, Lusinchi A (2005) New trends in radiotherapy for head and neck cancer. Ann Oncol 16(Suppl 2):ii255–ii257PubMedCrossRefGoogle Scholar
  5. 5.
    Ohrn KE, Sjoden PO, Wahlin YB, Elf M (2001) Oral health and quality of life among patients with head and neck cancer or haematological malignancies. Support Care Cancer 9(7):528–538PubMedCrossRefGoogle Scholar
  6. 6.
    Specht L (2002) Oral complications in the head and neck radiation patient. Introduction and scope of the problem. Support Care Cancer 10(1):36–39PubMedCrossRefGoogle Scholar
  7. 7.
    Vissink A, Jansma J, Spijkervet FK, Burlage FR, Coppes RP (2003) Oral sequelae of head and neck radiotherapy. Crit Rev Oral Biol Med 14(3):199–212PubMedCrossRefGoogle Scholar
  8. 8.
    Sciubba JJ, Goldenberg D (2006) Oral complications of radiotherapy. Lancet Oncol 7(2):175–183PubMedCrossRefGoogle Scholar
  9. 9.
    González Arriagada WA, Santos-Silva AR, Carvalho de Andrade MA, Elias RA, Lopes MA (2010) Pre-radiotherapy dental evaluation criteria and treatment needs of oral side effects after head and neck radiotherapy (in Spanish). Int J Odontostomat 4(3):255–266CrossRefGoogle Scholar
  10. 10.
    Jham BC, Reis PM, Miranda EL, Lopes RC, Carvalho AL, Scheper MA, Freire AR (2008) Oral health status of 207 head and neck cancer patients before, during and after radiotherapy. Clin Oral Investig 12(1):19–24PubMedCrossRefGoogle Scholar
  11. 11.
    Guchelaar HJ, Vermes A, Meerwaldt JH (1997) Radiation-induced xerostomia: pathophysiology, clinical course and supportive treatment. Support Care Cancer 5(4):281–288PubMedCrossRefGoogle Scholar
  12. 12.
    Schiodt M, Hermund NU (2002) Management of oral disease prior to radiation therapy. Support Care Cancer 10(1):40–43PubMedCrossRefGoogle Scholar
  13. 13.
    Miller EH, Quinn AI (2006) Dental considerations in the management of head and neck cancer patients. Otolaryngol Clin North Am 39(2):319–329PubMedCrossRefGoogle Scholar
  14. 14.
    Bennenbroek FT, Buunk BP, Stiegelis HE, Hagedoorn M, Sanderman R, Van den Bergh AC, Botke G (2003) Audiotaped social comparison information for cancer patients undergoing radiotherapy: differential effects of procedural, emotional and coping information. Psychooncology 12(6):567–579PubMedCrossRefGoogle Scholar
  15. 15.
    Chen SC, Lai YH, Liao CT, Chang JT, Lin CY, Fan KH, Huang BS (2012) Supportive care needs in newly diagnosed oral cavity cancer patients receiving radiation therapy. Psychooncology. doi: 10.1002/pon.3126
  16. 16.
    Dunn J, Steginga SK, Rose P, Scott J, Allison R (2004) Evaluating patient education materials about radiation therapy. Patient Educ Couns 52(3):325–332PubMedCrossRefGoogle Scholar
  17. 17.
    Knox R, Butow PN, Devine R, Tattersall MH (2002) Audiotapes of oncology consultations: only for the first consultation? Ann Oncol 13(4):622–627PubMedCrossRefGoogle Scholar
  18. 18.
    Lamb B, Green JS, Vincent C, Sevdalis N (2011) Decision making in surgical oncology. Surg Oncol 20(3):163–168PubMedCrossRefGoogle Scholar
  19. 19.
    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):609–612PubMedCrossRefGoogle Scholar
  20. 20.
    Smith MY, Redd WH, Peyser C, Vogl D (1999) Post-traumatic stress disorder in cancer: a review. Psychooncology 8(6):521–537PubMedCrossRefGoogle Scholar
  21. 21.
    Fallowfield L, Jenkins V (1999) Effective communication skills are the key to good cancer care. Eur J Cancer 35(11):1592–1597PubMedCrossRefGoogle Scholar
  22. 22.
    van der Meulen IC, de Leeuw JR, Gamel CJ, Hafsteinsdottir TB (2012) Educational intervention for patients with head and neck cancer in the discharge phase. Eur J Oncol Nurs Aug 13 [Epub ahead of print]Google Scholar
  23. 23.
    Bouton ME, Nodora J, Hsu CH, Green A, Martinez ME, Komenaka IK (2010) Understanding of breast cancer concepts in an undereducated county hospital population. J Surg Oncol 102(5):398–403PubMedCrossRefGoogle Scholar
  24. 24.
    Bouton ME, Shirah GR, Nodora J, Pond E, Hsu CH, Klemens AE, Martinez ME, Komenaka IK (2012) Implementation of educational video improves patient understanding of basic breast cancer concepts in an undereducated county hospital population. J Surg Oncol 105(1):48–54PubMedCrossRefGoogle Scholar
  25. 25.
    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):129–141PubMedCrossRefGoogle Scholar
  26. 26.
    Thomas R, Thornton H, Mackay J (1999) Patient information materials in oncology: are they needed and do they work? Clin Oncol (R Coll Radiol) 11(4):225–231CrossRefGoogle Scholar
  27. 27.
    Du W, Mood D, Gadgeel S, Simon MS (2009) An educational video to increase clinical trials enrollment among breast cancer patients. Breast Cancer Res Treat 117(2):339–347PubMedCrossRefGoogle Scholar
  28. 28.
    Poroch D (1995) The effect of preparatory patient education on the anxiety and satisfaction of cancer patients receiving radiation therapy. Cancer Nurs 18(3):206–214PubMedCrossRefGoogle Scholar
  29. 29.
    Hagopian GA (1996) The effects of informational audiotapes on knowledge and self-care behaviors of patients undergoing radiation therapy. Oncol Nurs Forum 23(4):697–700PubMedGoogle Scholar
  30. 30.
    Jegu J, Binder-Foucard F, Borel C, Velten M (2012) Trends over three decades of the risk of second primary cancer among patients with head and neck cancer. Oral Oncol 49(1):9–14PubMedCrossRefGoogle Scholar
  31. 31.
    Langevin SM, Michaud DS, Eliot M, Peters ES, McClean MD, Kelsey KT (2012) Regular dental visits are associated with earlier stage at diagnosis for oral and pharyngeal cancer. Cancer Causes Control 23(11):1821–1829PubMedCrossRefGoogle Scholar
  32. 32.
    Argiris A, Karamouzis MV, Raben D, Ferris RL (2008) Head and neck cancer. Lancet 371(9625):1695–1709PubMedCrossRefGoogle Scholar
  33. 33.
    Chen JY, Diamant AL, Thind A, Maly RC (2008) Determinants of breast cancer knowledge among newly diagnosed, low-income, medically underserved women with breast cancer. Cancer 112(5):1153–1161PubMedCrossRefGoogle Scholar
  34. 34.
    Hack TF, Pickles T, Ruether JD, Weir L, Bultz BD, Mackey J, Degner LF (2010) Predictors of distress and quality of life in patients undergoing cancer therapy: impact of treatment type and decisional role. Psychooncology 19(6):606–616PubMedGoogle Scholar
  35. 35.
    Mesters I, van den Borne B, De Boer M, Pruyn J (2001) Measuring information needs among cancer patients. Patient Educ Couns 43(3):253–262PubMedCrossRefGoogle Scholar
  36. 36.
    Semple CJ, Dunwoody L, George Kernohan W, McCaughan E, Sullivan K (2008) Changes and challenges to patients' lifestyle patterns following treatment for head and neck cancer. J Adv Nurs 63(1):85–93PubMedCrossRefGoogle Scholar
  37. 37.
    Stryker JE, Wray RJ, Emmons KM, Winer E, Demetri G (2006) Understanding the decisions of cancer clinical trial participants to enter research studies: factors associated with informed consent, patient satisfaction, and decisional regret. Patient Educ Couns 63(1–2):104–109PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Wilfredo Alejandro González-Arriagada
    • 1
    • 2
  • Marco Aurélio Carvalho de Andrade
    • 3
  • Lara Maria Alencar Ramos
    • 1
  • Jose Ribamar Sabino Bezerra
    • 1
  • Alan Roger Santos-Silva
    • 1
  • Marcio Ajudarte Lopes
    • 1
    • 4
    Email author
  1. 1.Oral Diagnosis Department, Semiology and Oral Pathology, Piracicaba Dental SchoolState University of Campinas (UNICAMP)PiracicabaBrazil
  2. 2.Oral Pathology and Diagnosis, Dental SchoolUniversidad de ValparaísoValparaísoChile
  3. 3.OdontoclínicaMarinha do BrazilBrazil
  4. 4.Área de Semiologia, Faculdade de Odontologia de Piracicaba-UNICAMPPiracicabaBrazil

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