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Villarreal‐Garza C, Ferrigno AS, De la Garza‐Ramos C, Vazquez‐Juarez D, Moreno‐Jaime B, Remolina‐Bonilla Y, Segura‐Gonzalez M, Mariscal‐Ramirez I, Perazzo F, Garnica‐Jaliffe G, Neciosup‐Delgado S, Conde‐Flores E, Mysler S, Hernandez‐Ayala A, Barajas‐Sanchez A, Rios Mercado MDS, Noh‐Vazquez NM, Garcia‐Rodriguez R, Platas A, Tamez‐Salazar J, Mireles‐Aguilar T, Platas A. Effect of receiving a customizable brochure on breast cancer patients' knowledge about their diagnosis and treatment: A randomized clinical trial. Cancer Med 2023; 12:15612-15627. [PMID: 37317676 PMCID: PMC10417173 DOI: 10.1002/cam4.6215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 04/04/2023] [Accepted: 05/29/2023] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND Patients' lack of knowledge about their own disease may function as a barrier to shared decision-making and well-being. This study aimed to evaluate the impact of written educational materials on breast cancer patients. METHODS This multicenter, parallel, unblinded, randomized trial included Latin American women aged ≥18 years with a recent breast cancer diagnosis yet to start systemic therapy. Participants underwent randomization in a 1:1 ratio to receive a customizable or standard educational brochure. The primary objective was accurate identification of molecular subtype. Secondary objectives included identification of clinical stage, treatment options, participation in decision-making, perceived quality of information received, and illness uncertainty. Follow-up occurred at 7-21 and 30-51 days post-randomization. CLINICALTRIALS gov identifier: NCT05798312. RESULTS One hundred sixty-five breast cancer patients with a median age of 53 years and 61 days from diagnosis were included (customizable: 82; standard: 83). At first available assessment, 52%, 48%, and 30% identified their molecular subtype, disease stage, and guideline-endorsed systemic treatment strategy, respectively. Accurate molecular subtype and stage identification were similar between groups. Per multivariate analysis, customizable brochure recipients were more likely to identify their guideline-recommended treatment modalities (OR: 4.20,p = 0.001). There were no differences between groups in the perceived quality of information received or illness uncertainty. Customizable brochure recipients reported increased participation in decision-making (p = 0.042). CONCLUSIONS Over one third of recently diagnosed breast cancer patients are incognizant of their disease characteristics and treatment options. This study demonstrates a need to improve patient education and shows that customizable educational materials increase patients' understanding of recommended systemic therapies according to individual breast cancer characteristics.
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Affiliation(s)
- Cynthia Villarreal‐Garza
- Breast Cancer Center, Hospital Zambrano Hellion TecSaludTecnologico de MonterreySan Pedro Garza GarciaMexico
- Médicos e Investigadores en la Lucha contra el Cáncer de MamaMexico CityMexico
| | - Ana S. Ferrigno
- Breast Cancer Center, Hospital Zambrano Hellion TecSaludTecnologico de MonterreySan Pedro Garza GarciaMexico
| | - Cynthia De la Garza‐Ramos
- Breast Cancer Center, Hospital Zambrano Hellion TecSaludTecnologico de MonterreySan Pedro Garza GarciaMexico
| | - Daniela Vazquez‐Juarez
- Breast Cancer Center, Hospital Zambrano Hellion TecSaludTecnologico de MonterreySan Pedro Garza GarciaMexico
| | - Brizio Moreno‐Jaime
- Hospital Regional del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)LeonMexico
| | - Yuly Remolina‐Bonilla
- Hospital de Gineco‐Obstetricia No. 4 "Luis Castelazo Ayala"Instituto Mexicano del Seguro Social (IMSS)Mexico CityMexico
| | - Manuel Segura‐Gonzalez
- Unidad Medica de Alta Especialidad del Instituto Mexicano del Seguro Social (IMSS)MeridaMexico
| | | | | | | | | | - Emilio Conde‐Flores
- Medical Oncology Research UnitMedica Sur Hospital and Clinical FoundationMexico CityMexico
| | - Shirly Mysler
- Section of OncologyCEMIC Buenos AiresBuenos AiresArgentina
| | - Arlette Hernandez‐Ayala
- Hospital Regional del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)LeonMexico
| | - Alondra Barajas‐Sanchez
- Hospital Regional del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE)LeonMexico
| | | | - Nelia Maria Noh‐Vazquez
- Unidad Medica de Alta Especialidad del Instituto Mexicano del Seguro Social (IMSS)MeridaMexico
| | - Ricardo Garcia‐Rodriguez
- Breast Cancer Center, Hospital Zambrano Hellion TecSaludTecnologico de MonterreySan Pedro Garza GarciaMexico
| | - Ana Platas
- Médicos e Investigadores en la Lucha contra el Cáncer de MamaMexico CityMexico
| | - Jaime Tamez‐Salazar
- Breast Cancer Center, Hospital Zambrano Hellion TecSaludTecnologico de MonterreySan Pedro Garza GarciaMexico
- Médicos e Investigadores en la Lucha contra el Cáncer de MamaMexico CityMexico
| | - Teresa Mireles‐Aguilar
- Breast Cancer Center, Hospital Zambrano Hellion TecSaludTecnologico de MonterreySan Pedro Garza GarciaMexico
- Médicos e Investigadores en la Lucha contra el Cáncer de MamaMexico CityMexico
| | - Alejandra Platas
- Médicos e Investigadores en la Lucha contra el Cáncer de MamaMexico CityMexico
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Gbadebo SO, Oke GA, Dosumu OO. A study protocol for a single-centred randomized trial to investigate the effect of pre-treatment communication methods on dental anxiety among adult dental patients. SAGE Open Med 2023; 11:20503121231171995. [PMID: 37181275 PMCID: PMC10170596 DOI: 10.1177/20503121231171995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Accepted: 04/10/2023] [Indexed: 05/16/2023] Open
Abstract
Objective Optimal oral health is an essential component of good quality of life. However, this may be hindered by dental anxiety (DA), thereby, affecting the utilization of dental services. DA could be alleviated by pre-treatment information; however, the method of delivering this information is yet to be explored. It is, therefore, necessary to assess the modes of presenting pre-treatment information to ascertain the one with significant effect on DA. This will improve treatment outcomes and quality of life for individuals. Hence, the primary objective is to assess the effect of audiovisual and written forms of pre-treatment information on DA, while the secondary objective will compare the subjective and objective methods of assessing DA with psychometric anxiety scale (Index of Dental Anxiety and Fear (IDAF)-4C+) and salivary alpha-amylase respectively. Study design Single-centred, single-blind, parallel-group, four-arm randomized clinical trial. Methods The study will compare the effects of audiovisual and written forms of pre-treatment information on DA among adults. Patients 18 years and above scheduled for dental treatment will be screened for eligibility. Written informed consent will be sought before participation. Participants will be allocated randomly using block randomization, to the groups; G1: audiovisual and G2: a written form of pre-treatment information. At the visit, participants will complete the DA questionnaires (IDAF-4C+, Modified Dental Anxiety Scale and Visual Analogue Scale). Physiological anxiety-related changes of salivary alpha-amylase will be measured using a point-of-care kit (iPro oral fluid collector) at baseline, and 10 min after intervention. Furthermore, blood pressure will be taken at baseline and 20 min into the treatment. The mean changes of physiologic anxiety levels and 95% confidence intervals will be compared between the methods of pre-treatment information. Discussion This study hopes to establish pre-treatment information as a method for reducing DA among the populace. Also, to assess the relationship between questionnaire-based and physiologic methods of assessing DA.
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Affiliation(s)
- Shakeerah Olaide Gbadebo
- Department of Restorative Dentistry, Faculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Oyo, Nigeria
| | - Gbemisola Aderemi Oke
- Department of Periodontology and Community Dentistry, Faculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Oyo, Nigeria
| | - Oluwole Oyekunle Dosumu
- Department of Restorative Dentistry, Faculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Oyo, Nigeria
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Sakai H, Katsumata N, Takahashi M. Providing written information increases patient satisfaction: a web-based questionnaire survey of Japanese cancer survivors. Jpn J Clin Oncol 2017; 47:611-617. [PMID: 28369566 DOI: 10.1093/jjco/hyx043] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2016] [Accepted: 03/08/2017] [Indexed: 12/22/2022] Open
Abstract
Purpose The Institute of Medicine (IOM) of the United States recommends that all cancer survivors be provided with a survivorship care plan (SCP), which includes a patient treatment summary and a follow-up care plan. However, SCPs have not been widely adopted in Japan. To provide basic data necessary for implementing SCPs in Japan, we aimed to investigate the forms of clinical and survivorship-related information that Japanese cancer survivors receive from their healthcare providers, and to examine whether written information increases their satisfaction. Methods We performed a cross-sectional online survey of cancer survivors who underwent acute cancer treatment and had at least one follow-up with a physician in the past year. Cancer survivors provided the elements and forms (verbally and/or written) of information they received, as well as the degree of satisfaction with the information provided. Results Responses were obtained from 545 cancer survivors. Information elements such as surgical procedure (98.3%), surgical outcome (98.1%), and names of administered chemotherapy agents (97.8%) were commonly provided, whereas mental care resources and providers (29.7%), effects on marital relationship and sexual health (35.7%), and effects on fertility (43.4%) were less common. A large proportion of cancer survivors received verbal information only. For 18 of 20 elements, except for effects on fertility and duration of hormonal therapy, satisfaction was significantly higher when both forms of information were provided (P < 0.05). Conclusions Providing written and verbal explanations of clinical and survivorship-related information can better meet the needs of Japanese cancer survivors.
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Affiliation(s)
- Hitomi Sakai
- Department of Medical Oncology, Nippon Medical School Musashikosugi Hospital
| | - Noriyuki Katsumata
- Department of Medical Oncology, Nippon Medical School Musashikosugi Hospital
| | - Miyako Takahashi
- Division of Cancer Survivorship Research, Center for Cancer Control and Information Services, National Cancer Center, Japan
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Tong V, Raynor DK, Aslani P. Receipt and use of spoken and written over-the-counter medicine information: insights into Australian and UK consumers' experiences. Int J Pharm Pract 2017; 26:129-137. [PMID: 28544204 DOI: 10.1111/ijpp.12382] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Accepted: 04/19/2017] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To explore Australian and UK consumers' receipt and use of spoken and written medicine information and examine the role of leaflets for consumers of over-the-counter (OTC) medicines. METHODS Semistructured interviews were conducted with 37 Australian and 39 UK consumers to explore information received with their most recent OTC medicine purchase, and how information was used at different times post-purchase. Interviews were audio-recorded, transcribed verbatim and thematically analysed. KEY FINDINGS Similarities were evident between the key themes identified from Australian and UK consumers' experiences. Consumers infrequently sought spoken information and reported that pharmacy staff provided minimal spoken information for OTC medicines. Leaflets were not always received or wanted and had a less salient role as an information source for repeat OTC purchases. Consumers tended not to read OTC labels or leaflets. Product familiarity led to consumers tending not to seek information on labels or leaflets. When labels were consulted, directions for use were commonly read. However, OTC medicine information in general was infrequently revisited. CONCLUSIONS As familiarity is not an infallible proxy for safe and effective medication use, strategies to promote the value and use of these OTC medicine information sources are important and needed. Minimal spoken information provision coupled with limited written information use may adversely impact medication safety in self-management.
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Affiliation(s)
- Vivien Tong
- Faculty of Pharmacy, The University of Sydney, Sydney, NSW, Australia
| | | | - Parisa Aslani
- Faculty of Pharmacy, The University of Sydney, Sydney, NSW, Australia
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Hart RI, Ng WF, Newton JL, Hackett KL, Lee RP, Thompson B. What impact does written information about fatigue have on patients with autoimmune rheumatic diseases? Findings from a qualitative study. Musculoskeletal Care 2016; 15:230-237. [PMID: 27860255 PMCID: PMC5600097 DOI: 10.1002/msc.1164] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVES Although fatigue is a common symptom for people with rheumatic diseases, limited support is available. This study explored the impact of written information about fatigue, focusing on a booklet, Fatigue and arthritis. METHODS Thirteen patients with rheumatic disease and fatigue were recruited purposively from a rheumatology outpatient service. They were interviewed before and after receiving the fatigue booklet. Two patients, plus six professionals with relevant interests, participated in a focus group. Transcripts were analysed thematically and a descriptive summary was produced. RESULTS Interviewees consistently reported that fatigue made life more challenging, and none had previously received any support to manage it. Reflecting on the booklet, most said that it had made a difference to how they thought about fatigue, and that this had been valuable. Around half also said that it had affected, or would affect, how they managed fatigue. No one reported any impact on fatigue itself. Comments from interviewees and focus group members alike suggested that the research process may have contributed to the changes in thought and behaviour reported. Its key contributions appear to have been: clarifying the booklet's relevance; prompting reflection on current management; and introducing accountability. CONCLUSIONS This study indicated that written information can make a difference to how people think about fatigue and may also prompt behaviour change. However, context appeared to be important: it seems likely that the research process played a part and that the impact of the booklet may have been less if read in isolation. Aspects of the research appearing to facilitate impact could be integrated into routine care, providing a pragmatic (relatively low-cost) response to an unmet need.
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Affiliation(s)
| | - Wan-Fai Ng
- Newcastle University, Newcastle-upon-Tyne, UK.,Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
| | - Julia L Newton
- Newcastle University, Newcastle-upon-Tyne, UK.,Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
| | - Katie L Hackett
- Newcastle University, Newcastle-upon-Tyne, UK.,Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
| | | | - Ben Thompson
- Newcastle University, Newcastle-upon-Tyne, UK.,Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
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Abstract
OBJECTIVE The purpose of this study was to determine how well patients could correctly recognize and comprehend the various information items in over-the-counter (OTC) medications package leaflets in Saudi Arabia. METHODS Leaflets from 20 most commonly sold OTC medications were examined by experts to evaluate the leaflet layout, language, and content. The same leaflets were also evaluated by patients who had their medicines dispensed at 2 hospitals and 8 community pharmacies in Al Kharj, Saudi Arabia. A questionnaire was used for the patients' examination. RESULTS A total of 479 questionnaires were included in the study. Each package leaflet was examined by at least 20 participants. The results indicate poor comprehensibility, for many items, particularly items regarding "drug interactions" and "contraindications." CONCLUSION The participants had some difficulty recognizing and comprehending certain information items in the package leaflets that are supplied with OTC medications in Saudi Arabia.
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Affiliation(s)
- Sinaa Alaqeel
- 1 Clinical Pharmacy Department, King Saud University, Riyadh, Saudi Arabia
| | - Nahed Al Obaidi
- 2 Pharmacy services Department, King Khalid Hospital, Al Kharj, Saudi Arabia
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Papachristou I, Hickeys G, Iliffe S. Involving Caregivers of People With Dementia to Validate Booklets on Food-Related Activities: A Qualitative Think-Aloud Study. J Appl Gerontol 2016; 37:644-664. [PMID: 27496141 DOI: 10.1177/0733464816661946] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study is the first to explore informal dementia caregivers' perceptions and outlook on written materials about all food-related processes: shopping, food preparation, and eating. The aim of the study was to develop and evaluate the content, format, and usefulness of two separate booklets (one newly developed and one existing) on food-related processes. Twenty dementia caregivers were provided with one of the two booklets, and a Think-Aloud method was used to gather information about their views on the booklets. The findings indicated that incorporating all three food processes in a new booklet could be beneficial for the participant. Shopping, purchasing food, driving, and dangers in the kitchen were addressed only in the developed booklet, and participants regarded them as important and useful areas to address. Therefore, this study has shown that tailored information may enhance caregivers' confidence and support them in making decisions to help them adapt to food-related changes.
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Affiliation(s)
| | - Gary Hickeys
- 2 Kingston University, Surrey, BC, Canada.,3 St George's, University of London, London, UK
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Grime J, Dudley B. Developing written information on osteoarthritis for patients: facilitating user involvement by exposure to qualitative research. Health Expect 2011; 17:164-73. [PMID: 22070445 DOI: 10.1111/j.1369-7625.2011.00741.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION In developing a guidebook on osteoarthritis (OA), we collaborated with people who have chronic joint pain (users). But to advise, users need to be aware of and sensitive about their own state of knowledge and educationalists argue that adults sometimes lack such awareness. This paper will report on our experience of providing users with findings from qualitative research to increase awareness of their level of knowledge. METHOD A summary of the results from qualitative research into people's experiences of living with chronic pain was sent to individual members of two groups of users. It was then used to structure group meetings held to help identify information needed for the guidebook. FINDINGS Some users found the summary difficult to read and suggested how to simplify it. Nevertheless, it helped most users to become aware of the experiences and views of others who have OA and thus become more sensitive to their own level of knowledge. It also helped them recall experiences that stimulated practical suggestions for managing joint pain in everyday life and provided a way of gently challenging the views of users when they appeared to assume that their views were widely held. The discussions brought to light gaps in the research literature. CONCLUSION We believe this way of involving users by exposing them to qualitative research findings about lay experiences of living with OA effectively facilitated the users' contributions to the needs of those who have to live with OA, and we believe it has wider applications.
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Affiliation(s)
- Janet Grime
- Research Fellow, Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, StaffsMember of Research Users Group, Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Staffs, UK
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Abstract
Objective. To compare the efficacy of verbal, written and, combined verbal and written information about selective serotonin reuptake inhibitors in patients with depression. Method. Patients with a diagnosis of major depression who were prescribed selective serotonin reuptake inhibitors (n=104) were randomly allocated to verbal (n=34, 18F 16M), written (n=38, 19F 19 M) and verbal and written information (n=32, 18F 14M) groups, the content of the verbal and written information being exactly the same. Beck depression inventory was used to evaluate the depressive symptoms. Patients were called back after 10-14 days and their retention of the knowledge was measured. Results. The total retention scores of the verbal group, written group and the combined written and verbal group were 12.85±2.19, 7.39±2.85, and 13.19±2.12, respectively. The total scores of the verbal and the combined verbal and written information groups were significantly higher than those of the written group. The information scores had a significant positive correlation with education level. Conclusion. The retention of verbal information given to patients with low levels of depression concerning the effects and side effects of serotonin reuptake inhibitors is higher than written information. Further studies with more severely depressed patients, comparing the basal information level and the information level after the intervention and the effect of information on compliance are needed.
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Affiliation(s)
- Duru Gundogar
- Psychiatry Department, Suleyman Demirel University, Isparta, Turkey
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Lempert P. A randomised controlled trial of written information. Br J Ophthalmol 2003; 87:517-8. [PMID: 12642337 PMCID: PMC1771591 DOI: 10.1136/bjo.87.4.517-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- P Lempert
- Cornell University School of Veterinary Medicine, Ithaca, NY 14850, USA;
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