Étude de faisabilité : l’utilisation de l’imagerie médicale en éducation thérapeutique en radiothérapie.

Cancer pulmonaire; Imagerie médicale; Lung neoplasm; Medical imaging; Patient Education; Radiotherapy; Radiothérapie; Éducation thérapeutique du patient; Oncology; Radiology, Nuclear Medicine and Imaging

Abstract :

[en] PURPOSE: Assess the feasibility of a randomized controlled trial (RCT) exploring the use of medical imaging as a therapeutic education (TPE) intervention in external radiation therapy. MATERIALS AND METHODS: Experimental feasibility trial of "RCT" type carried out in a single-center, between November 2019 and March 2020, following adult patients treated by thoracic radiotherapy. In addition to the information usually given, the experimental group benefited from an intervention consisting in the visualization of their own medical images using the open-source software "Stone of Orthanc". RESULTS: Forty-nine patients were recruited with a refusal rate of 8.16% (4/49). 20 patients were withdrawn from the study for health reasons (COVID), 10 for medical reasons. All the remaining 15 participants completed the process. Although not significant, the experimental group showed a median gain in the perception of knowledge compared to the control group (+ 1.9 (1.6 - 2.2)) vs (+ 1.4 (1.4 - 1.8)), as well as a decrease in scores related to anxiety (- 3.0 (-4.5 - (-2.0)) vs - 1.0 (-5.0 - 0.0)) and emotional distress ((- 5.0 (- 7.5 - (- 3.5)) vs (- 2.0 (- 5.0 - (- 1.0)) A significant reduction (p=0.043) is observed for the depression score ((- 2.0 (-3.0 - (-1.5)) vs (0.0 (0.0 - 0.0)). CONCLUSION: This study demonstrates the feasibility of the project, with promising preliminary results. Some adaptations in order to conduct a larger-scale RCT are highlighted.

Disciplines :

Public health, health care sciences & services

Author, co-author :

Kirkove, Delphine ; Université de Liège - ULiège > Département des sciences de la santé publique > Education thérapeutique du patient au service des soins intégrés

Barthelemy, Nicole ; Centre Hospitalier Universitaire de Liège - CHU > > Direction médicale

Coucke, Philippe ; Université de Liège - ULiège > Unités de recherche interfacultaires > Research Unit for a life-Course perspective on Health and Education (RUCHE)

MIEVIS, Carole ; Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiothérapie

Ben Mustapha, Selma ; Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiothérapie

Jodogne, Sébastien ; Université de Liège - ULiège > GIGA > GIGA CRC In vivo Imaging - Neuroimaging, data acquisition and processing ; Institute of Information and Communication Technologies, Electronics and Applied Mathematics, Louvain School of Engineering, 1348 Louvain-la-Neuve, Belgique

Dardenne, Nadia ; Université de Liège - ULiège > Santé publique : de la Biostatistique à la Promotion de la Santé

Donneau, Anne-Françoise ; Université de Liège - ULiège > Santé publique : de la Biostatistique à la Promotion de la Santé

Pétré, Benoît ; Université de Liège - ULiège > Département des sciences de la santé publique

Language :

French

Title :

Étude de faisabilité : l’utilisation de l’imagerie médicale en éducation thérapeutique en radiothérapie.

Alternative titles :

[en] Feasibility study: The medical imaging as a tool for therapeutic education in radiotherapy.

Publication date :

14 July 2022

Journal title :

Cancer Radiotherapie

ISSN :

1278-3218

eISSN :

1769-6658

Publisher :

Elsevier Masson s.r.l., France

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://api.elsevier.com/content/article/PII:S1278321822000890?httpAccept=text/xml

Funding text :

Nous remercions Mme Laura Lovato, gestionnaire informatique au service de radiodiagnostic au CHU de Liège, pour l'aide technique apportée ainsi que Dr Julia Jaminet, médecin assistante en radiothérapie-oncologie au CHU de Liège, pour sa participation aux interventions d’éducation thérapeutique du patient. Ce travail a fait l'objet d'une communication orale au congrès de la Société d'Education Thérapeutique Européenne le 28/05/21.

Available on ORBi :

since 11 August 2022

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