1
|
Tagliaferri L, Fionda B, Casà C, Cornacchione P, Scalise S, Chiesa S, Marconi E, Dinapoli L, Di Capua B, Chieffo DPR, Marazzi F, Frascino V, Colloca GF, Valentini V, Miccichè F, Gambacorta MA. Allies not enemies-creating a more empathetic and uplifting patient experience through technology and art. Strahlenther Onkol 2024:10.1007/s00066-024-02279-7. [PMID: 39259348 DOI: 10.1007/s00066-024-02279-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Accepted: 07/07/2024] [Indexed: 09/13/2024]
Abstract
OBJECTIVE To understand whether art and technology (mainly conversational agents) may help oncology patients to experience a more humanized journey. METHODS This narrative review encompasses a comprehensive examination of the existing literature in this field by a multicenter, multidisciplinary, and multiprofessional team aiming to analyze the current developments and potential future directions of using art and technology for patient engagement. RESULTS We identified three major themes of patient engagement with art and three major themes of patient engagement with technologies. Two real-case scenarios are reported from our experience to practically envision how findings from the literature can be implemented in different contexts. CONCLUSION Art therapy and technologies can be ancillary supports for healthcare professionals but are not substitutive of their expertise and responsibilities. Such tools may help to convey a more empathetic and uplifting patient journey if properly integrated within clinical practice, whereby the humanistic touch of medicine remains pivotal.
Collapse
Affiliation(s)
- Luca Tagliaferri
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
- Dipartimento di Scienze Radiologiche ed Ematologiche, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Bruno Fionda
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - Calogero Casà
- UOC di Radioterapia Oncologica, Ospedale Isola Tiberina-Gemelli Isola, Rome, Italy.
- Università Cattolica del Sacro Cuore, Rome, Italy.
| | - Patrizia Cornacchione
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - Sara Scalise
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - Silvia Chiesa
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - Elisa Marconi
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
- UOS di Psicologia Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - Loredana Dinapoli
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
- UOS di Psicologia Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - Beatrice Di Capua
- Centro di Eccellenza Oncologia Radioterapica e Medica e Radiologia, Ospedale Isola Tiberina-Gemelli Isola, Rome, Italy
| | - Daniela Pia Rosaria Chieffo
- UOS di Psicologia Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
- Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Fabio Marazzi
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - Vincenzo Frascino
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - Giuseppe Ferdinando Colloca
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
| | - Vincenzo Valentini
- Centro di Eccellenza Oncologia Radioterapica e Medica e Radiologia, Ospedale Isola Tiberina-Gemelli Isola, Rome, Italy
| | - Francesco Miccichè
- UOC di Radioterapia Oncologica, Ospedale Isola Tiberina-Gemelli Isola, Rome, Italy
| | - Maria Antonietta Gambacorta
- UOC di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy
- Dipartimento di Scienze Radiologiche ed Ematologiche, Università Cattolica del Sacro Cuore, Rome, Italy
| |
Collapse
|
2
|
Hübner J, Rudolph I, Wozniak T, Pietsch R, Margolina M, Garcia I, Mayr-Welschlau K, Schmidt T, Keinki C. Evaluation of a Virtual Dance Class for Cancer Patients and Their Partners during the Corona Pandemic-A Real-World Observational Study. Curr Oncol 2023; 30:4427-4436. [PMID: 37232795 DOI: 10.3390/curroncol30050337] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 04/11/2023] [Accepted: 04/21/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND During the corona pandemic, all courses on physical activity for cancer patients were canceled. The aim of our study was to evaluate the feasibility of switching dancing classes for patients and their partners to online classes. METHODS Patients and partners from courses at four different locations who consented to the online course offer were asked to fill in a pseudonymous questionnaire on access to the training, technical challenges, acceptance and well-being (1-item visual analog scale from 1 to 10) before and after the training. RESULTS Sixty-five participants returned the questionnaire (39 patients and 23 partners). Fifty-eight (89.2%) had danced before, and forty-eight (73.8%) had visited at least one course of ballroom dancing for cancer patients before. The first access to the online platform was difficult for 39 participants (60%). Most participants (57; 87.7%) enjoyed the online classes, but 53 (81.5%) rated them as less fun than the real classes as direct contact was missing. Well-being increased significantly after the lesson and remained improved for several days. CONCLUSION Transforming a dancing class is feasible for participants with digital experience and goes along with technical difficulties. It is a substitute for real classes if mandatory and improves well-being.
Collapse
Affiliation(s)
- Jutta Hübner
- Medizinische Klinik II, Hämatologie und Internistische Onkologie, Universitätsklinikum Jena, Am Klinikum 1, 07747 Jena, Germany
| | - Ivonne Rudolph
- Waldburg-Zeil Kliniken, Rehabilitationsklinik Bad Salzelmen, Badepark 5, 39218 Schönebeck, Germany
| | - Tobias Wozniak
- Working Group Prevention and Integrative Oncology, German Cancer Society, Kuno-Fischer-Str. 8, 14057 Berlin, Germany
| | - Ronny Pietsch
- Working Group Prevention and Integrative Oncology, German Cancer Society, Kuno-Fischer-Str. 8, 14057 Berlin, Germany
| | - Mascha Margolina
- Working Group Prevention and Integrative Oncology, German Cancer Society, Kuno-Fischer-Str. 8, 14057 Berlin, Germany
| | - Isabel Garcia
- Working Group Prevention and Integrative Oncology, German Cancer Society, Kuno-Fischer-Str. 8, 14057 Berlin, Germany
| | - Katharina Mayr-Welschlau
- Working Group Prevention and Integrative Oncology, German Cancer Society, Kuno-Fischer-Str. 8, 14057 Berlin, Germany
| | - Thorsten Schmidt
- Cancer Center North, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, 24105 Kiel, Germany
| | - Christian Keinki
- Medizinische Klinik II, Hämatologie und Internistische Onkologie, Universitätsklinikum Jena, Am Klinikum 1, 07747 Jena, Germany
| |
Collapse
|
3
|
Keinki C, Rudolph I, Wozniak T, Pietsch R, Margolina M, Garcia I, Mayr-Welschlau K, Schmidt T, Hübner J. A virtual dance sport class for cancer patients: the trainer perspective. J Cancer Res Clin Oncol 2023; 149:1079-1083. [PMID: 35253086 PMCID: PMC9984500 DOI: 10.1007/s00432-022-03913-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 12/31/2021] [Indexed: 12/01/2022]
Abstract
PURPOSE Due to the corona, pandemic classes with physical activity for cancer patients were postponed. For an ongoing program with ballroom dancing classes for patients and their partners, the training was switched to a digital format. METHODS We evaluated the training by structured written interviews of the trainers including an open report part concerning the development and realization of the project, the teaching and training concept and their experiences as trainers. RESULTS 5 trainers reported data from 6 different classes including 65 participants. All in all, digital dance training is feasible and a substantial part of the participants of former face-to-face training took part. Yet, digital training imposes some restrictions to the movements taught and the interactions with and between the participants. Trainers have to invest time in a new conception of the training and additional time in guiding participants with lower experience in technical issues. CONCLUSION Participants in virtual training rooms need more support and social interactions in digital training are less and different from ballroom lessons and trainers which puts more strain on trainers to motivate cancer patients.
Collapse
Affiliation(s)
- Christian Keinki
- Medizinische Klinik II, Hämatologie und Internistische Onkologie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Germany.
| | - Ivonne Rudolph
- Waldburg- Zeil Kliniken, Rehabilitationsklinik Bad Salzelmen, Badepark 5, 39218, Schönebeck, Germany
| | - Tobias Wozniak
- Working Group Prevention and Integrative Oncology, German Cancer Society, 14057, Berlin, Germany
| | - Ronny Pietsch
- Working Group Prevention and Integrative Oncology, German Cancer Society, 14057, Berlin, Germany
| | - Mascha Margolina
- Working Group Prevention and Integrative Oncology, German Cancer Society, 14057, Berlin, Germany
| | - Isabel Garcia
- Working Group Prevention and Integrative Oncology, German Cancer Society, 14057, Berlin, Germany
| | - Katharina Mayr-Welschlau
- Working Group Prevention and Integrative Oncology, German Cancer Society, 14057, Berlin, Germany
| | - Thorsten Schmidt
- Cancer Center North, University Hospital Schleswig-Holstein; Campus Kiel, Arnold-Heller-Straße 3, 24105, Kiel, Germany
| | - Jutta Hübner
- Medizinische Klinik II, Hämatologie und Internistische Onkologie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Germany
| |
Collapse
|
4
|
Vulcan M, Shuper Engelhard E. Open studio in dance movement therapy: application and enhancement. BODY MOVEMENT AND DANCE IN PSYCHOTHERAPY 2022. [DOI: 10.1080/17432979.2022.2122564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Maya Vulcan
- Head Dance Movement Therapy Programme, Graduate School of Creative Art Therapies, Faculty of Humanities & Social Sciences, Kibbutzim College of Education, Tel Aviv, Israel
- Graduate School of Creative Art Therapies, Faculty of Social Welfare & Health Sciences, Emili Sagol Creative Arts Therapies Research Center, University of Haifa, Mt. Carmel, Israel
| | - Einat Shuper Engelhard
- Head Dance Movement Therapy Programme, Graduate School of Creative Art Therapies, Faculty of Social Welfare & Health Sciences, Emili Sagol Creative Arts Therapies Research Center, University of Haifa, Mt. Carmel, Israel
- Graduate School of Creative Art Therapies, Faculty of Humanities & Social Sciences, Kibbutzim College of Education, Tel Aviv, Israel
| |
Collapse
|
5
|
Schmidt T, Rudolph I, Wozniak T, Ruetters D, Van Mackelenbergh MT, Huebner J. Effect of ballroom dancing on the well-being of cancer patients: Report of a pilot project. Mol Clin Oncol 2018; 9:342-346. [PMID: 30112180 DOI: 10.3892/mco.2018.1663] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Accepted: 06/08/2018] [Indexed: 12/14/2022] Open
Abstract
The present study aimed to evaluate the feasibility of ballroom dancing for patients with cancer and their partners, and develop a simple method for assessing its effects on the patients' well-being. A total of 11 pairs (14 patients and 8 healthy partners) participated. Participation was open, and there were no restrictions in terms of the type of cancer, treatment or comorbidities. An anonymous standardized questionnaire allowing participants to rate their well-being on a visual analogue scale (VAS) from 1 to 10 was used. This rating was repeated at defined time points over 1 week. No adverse events occurred during the study, and the teaching methods appeared to be feasible for the patients. The well-being of all patients remained stable or increased during the class, and returned to the initial level within the following days. A total of 3 patients with a low well-being rating prior to class experienced a strong improvement during the class, which continued until the last day of observation for 2 patients. These results confirm the effectiveness of a VAS-based method for the evaluation of ballroom dancing in patients with different types of cancer undergoing different treatments, and its positive effect on the patients' well-being.
Collapse
Affiliation(s)
- Thorsten Schmidt
- Cancer Center North, Schleswig-Holstein University Hospital, D-24105 Kiel, Germany
| | - Ivonne Rudolph
- Hematology and Oncology Department, Jena University Hospital, D-04774 Jena, Germany
| | - Tobias Wozniak
- Hematology and Oncology Department, Jena University Hospital, D-04774 Jena, Germany
| | - Dana Ruetters
- Hematology and Oncology Department, Jena University Hospital, D-04774 Jena, Germany
| | | | - Jutta Huebner
- Hematology and Oncology Department, Jena University Hospital, D-04774 Jena, Germany
| |
Collapse
|
6
|
Szalai M, Szirmai A, Füge K, Makai A, Erdélyi G, Prémusz V, Bódis J. Special aspects of social support: Qualitative analysis of oncologic rehabilitation through a belly dancing peer support group. Eur J Cancer Care (Engl) 2017; 26. [PMID: 28194904 DOI: 10.1111/ecc.12656] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2016] [Indexed: 11/29/2022]
Abstract
Tumour-related peer support groups (PSGs) show long-term development in quality of life and coping, and decrease distress in cancer care. To clarify channels of social support in oncologic rehabilitation by combined exercise and psychosocial therapy, individual semi-structured interviews were conducted after 1 year additional belly dance rehabilitation in a closed PSG among 51 patients with malignant tumour diagnosis in Budapest, Hungary. Interview data were transcribed and analysed using qualitative content analysis (ATLAS.ti 6 Win). Results suggest that group experience provides emotional-, practical- and informational support. We could point out specific social effects of "role model" function and extend the coping model. The group dispose all the features of effective suggestion and may be effectively applied as additional therapy for patients with malignancies. The extended coping model and the introduction of "role model" function could be useful for PSGs' efficacy assessment.
Collapse
Affiliation(s)
- M Szalai
- Department of Head and Neck Surgery, National Institute of Oncology, Budapest, Hungary.,Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - A Szirmai
- Doctoral School of Psychology, Faculty of Humanities, Eötvös Loránd University, Budapest, Hungary
| | - K Füge
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - A Makai
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - G Erdélyi
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - V Prémusz
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - J Bódis
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.,Department of Obstetrics and Gynaecology, Medical School, University of Pécs, Pécs, Hungary
| |
Collapse
|