Evidence map›Paper›PMID 29855611›Full record

Trial reportBritish journal of cancer2018

RT Prepare: a radiation therapist-delivered intervention reduces psychological distress in women with breast cancer referred for radiotherapy.

Georgia Halkett, Moira O'Connor, Michael Jefford, Sanchia Aranda, Susan Merchant, Nigel Spry, Robert Kane, Thérèse Shaw, David Youens, Rachael Moorin and 2 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06593639 (Does Prehabilitation be Able to Favorably Impact on the Pathway of Head and Neck Cancer Patients, Candidate to Surgery or Chemoradiotherapy as Primary Treatment? A Prospective Clinical Trial), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06593639 narecruitingnot on this mapstarted 2024, after this paper: background citation

Does Prehabilitation be Able to Favorably Impact on the Pathway of Head and Neck Cancer Patients, Candidate to Surgery or Chemoradiotherapy as Primary Treatment? A Prospective Clinical Trial

TypeinterventionalSponsorLaura Deborah LocatiRan2024 to 2026Enrolled60ConditionsHead and Neck CancerArmsPrehabilitation before surgery, Prehabilitation before and during CRT
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Delivering online communication skills training for radiation therapists.Technical innovations & patient support in radiation oncology · 2026
    Article
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  7. Review
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  9. Article
  10. Continuing Professional Development - Radiation Therapy.Journal of medical radiation sciences · 2024
    Article
  11. Article
  12. Impact of patient information format on the experience of cancer patients treated with radiotherapy.Technical innovations & patient support in radiation oncology · 2024
    Review
  13. Article
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  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Georgia HalkettSchool of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Curtin University, Perth, WA, Australia. g.halkett@curtin.edu.au.ORCID http://orcid.org/0000-0003-4065-4044
Moira O'ConnorSchool of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
Michael JeffordDepartment of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Sanchia ArandaCancer Council Australia, Sydney, NSW, Australia.
Susan MerchantDepartment of Radiation Oncology, Royal Adelaide Hospital, Adelaide, SA, Australia.
Nigel SpryDepartment of Radiation Oncology, Sir Charles Gairdner Hospital, Perth, WA, Australia.
Robert KaneSchool of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
Thérèse ShawTelethon Kids Institute, University of Western Australia, Perth, WA, Australia.
David YouensSchool of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
Rachael MoorinSchool of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
Penelope SchofieldDepartment of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
RT Prepare project team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aims of this study were to determine whether a radiation therapist-led patient education intervention (RT Prepare) reduced breasts cancer patients' psychological distress (primary endpoint); anxiety, depression and concerns about radiotherapy, and increased knowledge of radiotherapy and preparedness (secondary endpoints). Patient health system usage and costs were also assessed.

methodsA multiple-baseline study across three sites. The RT Prepare intervention comprised two consultations with a radiation therapist: prior to treatment planning and on the first day of treatment. Radiation therapists focused on providing sensory and procedural information and addressing patients' pre-treatment anxiety. Usual care data were collected prior to intervention commencement. Data collection occurred: after meeting their radiation oncologist, prior to treatment planning, first day of treatment and after treatment completion. Multilevel mixed effects regression models were used.

resultsIn total, 218 usual care and 190 intervention patients participated. Compared with usual care, intervention participants reported lower psychological distress at treatment commencement (p = 0.01); lower concerns about radiotherapy (p < 0.01); higher patient knowledge (p < 0.001); higher preparedness for procedural concerns (p < 0.001) and higher preparedness for sensory-psychological concerns at treatment planning (p < 0.001). Mean within-trial costs per patient were estimated at $AU159 (US$120); mean ongoing costs at $AU35 (US$26).

conclusionThe RT Prepare intervention was effective in reducing breast cancer patients' psychological distress and preparing patients for treatment. This intervention provides an opportunity for radiation therapists to extend their role into providing patients with information and support prior to treatment to reduce psychological distress.

Indexed as

AnxietyBreast NeoplasmsDepressionFemaleHumansMiddle AgedPatient Education as TopicRadiotherapyStress, PsychologicalTreatment Outcome

Identifiers

PMID29855611
PMCPMC6008448

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.