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dc.contributor.authorGoldsworthy, S
dc.contributor.authorPalmer, S
dc.contributor.authorLatour, Jos M
dc.contributor.authorMcNair, H
dc.contributor.authorCramp, M
dc.date.accessioned2020-04-12T08:34:53Z
dc.date.issued2020-03-31
dc.identifier.issn1078-8174
dc.identifier.issn1532-2831
dc.identifier.urihttp://hdl.handle.net/10026.1/15556
dc.description.abstract

OBJECTIVES: The aim of this review was to search existing literature to identify comfort interventions that can be used to assist an adult patient to undergo complex radiotherapy requiring positional stability for periods greater than 10 min. The objectives of this review were to; 1) identify comfort interventions used for clinical procedures that involve sustained inactivity similar to radiotherapy; 2) define characteristics of comfort interventions for future practice; and 3) determine the effectiveness of identified comfort interventions. The Preferred Reporting Items for Systematic Reviews and meta-analyses statement and the Template-for-Intervention-Description-and Replication guide were used. KEY FINDINGS: The literature search was performed using PICO criteria with five databases (AMED, CINAHL EMBASE, MEDLINE, PsycINFO) identifying 5269 titles. After screening, 46 randomised controlled trials met the inclusion criteria. Thirteen interventions were reported and were grouped into four categories: Audio-visual, Psychological, Physical, and Other interventions (education/information and aromatherapy). The majority of aromatherapy, one audio-visual and one educational intervention were judged to be clinically significant for improving patient comfort based on anxiety outcome measures (effect size ≥ 0.4, mean change is greater than the Minimal-Important-Difference and low-risk-of-bias). Medium to large effect sizes were reported in many interventions where differences did not exceed the Minimal-Important-Difference for the measure. These interventions were deemed worthy of further investigation. CONCLUSION: Several interventions were identified that may improve comfort during radiotherapy assisting patients to sustain and endure the same position over time. This is crucial for the continual growth of complex radiotherapy requiring a need for comfort to ensure stability for targeted treatment. IMPLICATIONS FOR PRACTICE: Further investigation of comfort interventions is warranted, including tailoring interventions to patient choice and determining if multiple interventions can be used concurrently to improve effectiveness.

dc.format.extent314-324
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherElsevier
dc.subjectClinical significance
dc.subjectComfort interventions
dc.subjectRadiotherapy
dc.subjectRandomised controlled trial
dc.subjectSystematic review
dc.subjectAdult
dc.subjectAnxiety
dc.subjectHumans
dc.subjectPatient Comfort
dc.subjectPatient Compliance
dc.titleA systematic review of effectiveness of interventions applicable to radiotherapy that are administered to improve patient comfort, increase patient compliance, and reduce patient distress or anxiety
dc.typejournal-article
dc.typeJournal Article
dc.typeResearch Support, Non-U.S. Gov't
dc.typeReview
dc.typeSystematic Review
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/32245711
plymouth.issue4
plymouth.volume26
plymouth.publication-statusPublished
plymouth.journalRadiography
dc.identifier.doi10.1016/j.radi.2020.03.002
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeNetherlands
dcterms.dateAccepted2020-03-05
dc.rights.embargodate2021-3-31
dc.identifier.eissn1532-2831
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.radi.2020.03.002
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-03-31
rioxxterms.typeJournal Article/Review


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