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Tech Innov Patient Support Radiat Oncol. 2017 Jul 24;3:7-12. doi: 10.1016/j.tipsro.2017.06.003. eCollection 2017.

Development and psychometric testing of an instrument to measure the patient's experience of external radiotherapy: The Radiotherapy Experience Questionnaire (RTEQ).

Technical innovations & patient support in radiation oncology

Kristina Olausson, Annette Holst Hansson, Björn Zackrisson, David Edvardsson, Ulrika Östlund, Tufve Nyholm

Affiliations

  1. Umeå University, Department of Radiation Sciences, Umeå, Sweden.
  2. Department of Care Sciences, Faculty of Health and Society, Malmö, Sweden.
  3. Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Lund, Sweden.
  4. La Trobe University/Austin Health Clinical School of Nursing, Melbourne, Australia.
  5. Umeå University, Department of Nursing, Umeå, Sweden.
  6. Centre for Research & Development, Uppsala University/Region Gävleborg, Sweden.
  7. Centre for Collaborative Palliative Care, Linnaeus University, Kalmar, Sweden.
  8. Department of Immunology, Genetics and Pathology, Medical Radiation Science, Uppsala University, Uppsala, Sweden.

PMID: 32095560 PMCID: PMC7033812 DOI: 10.1016/j.tipsro.2017.06.003

Abstract

BACKGROUND: The patient's perception of external radiotherapy (RT) procedures and equipment is important to evaluate as a complement to endpoints such as treatment outcome and reproducibility. There is a lack of a proper, psychometrically robust instrument to evaluate the patient's comfort and experience of the external RT procedure. Hence, this study aimed to develop and test an instrument to measure the patient's experience during external RT.

MATERIAL AND METHODS: A preliminary 34-item questionnaire was generated from research literature, expert consultations and patient interviews, and it was distributed to patients (

RESULTS: Most items were highly skewed towards positive responses. Scree plot analyses of the 34-item correlation matrix identified six underlying themes explaining 68% of the total variance. After item reduction, the 6 themes explained 73% of the variance in a 23-item questionnaire. Cronbach's alpha was satisfactory for all themes (between 0.79 and 0.9). Significant differences between treatment areas were found for two scales: situational unease and situational repose.

CONCLUSION: The RT Experience Questionnaire is a tentatively valid and reliable instrument to measure how patients experience the external RT session process and the environment in the treatment room.

© 2017 The Authors. Published by Elsevier Ireland Ltd on behalf of European Society for Radiotherapy & Oncology.

Keywords: Instrument; Patient experience; Questionnaire; Radiotherapy

References

  1. Eur J Cancer. 2010 Oct;46(15):2726-38 - PubMed
  2. Psychooncology. 2012 Mar;21(3):307-15 - PubMed
  3. Int J Radiat Oncol Biol Phys. 2000 Oct 1;48(3):657-65 - PubMed
  4. Radiat Oncol. 2014 Jan 22;9:29 - PubMed
  5. Med Dosim. 2010 Winter;35(4):287-96 - PubMed
  6. Int J Radiat Oncol Biol Phys. 2011 May 1;80(1):281-90 - PubMed
  7. Eur J Cancer Care (Engl). 2010 Jul;19(4):538-47 - PubMed
  8. Acta Psychiatr Scand. 1983 Jun;67(6):361-70 - PubMed
  9. Cancer. 2005 Sep 15;104(6):1129-37 - PubMed
  10. Int J Radiat Oncol Biol Phys. 2005 Jan 1;61(1):250-6 - PubMed
  11. Cancer Nurs. 2001 Aug;24(4):255-63 - PubMed
  12. Radiat Oncol. 2007 Nov 25;2:43 - PubMed
  13. Radiother Oncol. 2015 Jan;114(1):35-41 - PubMed
  14. Eur J Oncol Nurs. 2016 Feb;20:113-8 - PubMed
  15. Disabil Rehabil. 2007 Oct 30-Nov 15;29(20-21):1555-65 - PubMed
  16. Strahlenther Onkol. 2012 Jan;188(1):84-90 - PubMed
  17. J Adv Nurs. 2008 Aug;63(3):302-9 - PubMed
  18. Int J Clin Oncol. 2010 Oct;15(5):457-61 - PubMed
  19. Psychooncology. 2011 Dec;20(12):1334-41 - PubMed
  20. Multivariate Behav Res. 1966 Apr 1;1(2):245-76 - PubMed
  21. J Appl Clin Med Phys. 2014 Nov 08;15(6):5192 - PubMed

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