Evidence map›Paper›PMID 42634667›Full record

ArticleCureus2026

Immersive Patient Education in Radiation Oncology: A Prospective, Randomized, Feasibility Pilot Study.

Sydney Lash, Sarah B Wisnoskie, Sam Hendley, Michelle Rokni, Nicole Carone, Sarah Cummings, Christy Hickerson, Gretchen Kessler, Kelli Reardon, Alison Amos and 2 more

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sydney LashCarolina Health Informatics Program, The University of North Carolina at Chapel Hill, Chapel Hill, USA.
Sarah B WisnoskieRadiation Oncology, Novant Health Forsyth Medical Center, Winston-Salem, USA.
Sam HendleyRadiation Oncology, City of Hope, Los Angeles, USA.
Michelle RokniRadiation Oncology, Novant Health Forsyth Medical Center, Winston-Salem, USA.
Nicole CaroneRadiation Oncology, Novant Health Forsyth Medical Center, Winston-Salem, USA.
Sarah CummingsRadiation Oncology, Novant Health Forsyth Medical Center, Winston-Salem, USA.
Christy HickersonRadiation Oncology, Novant Health Forsyth Medical Center, Winston-Salem, USA.
Gretchen KesslerRadiation Oncology, Novant Health Forsyth Medical Center, Winston-Salem, USA.
Kelli ReardonRadiation Oncology, Novant Health Forsyth Medical Center, Winston-Salem, USA.
Alison AmosRadiation Oncology, University of North Carolina Health Care, Chapel Hill, USA.
Ashlyn ZebrowskiRadiation Oncology, University of North Carolina Health Care, Chapel Hill, USA.
Alan BaydushRadiation Oncology, Novant Health Forsyth Medical Center, Winston-Salem, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective Patients undergoing external beam radiation therapy (EBRT) frequently experience anxiety, uncertainty, and difficulty understanding the treatment process. Immersive educational approaches incorporating 360° video technologies may improve patient understanding and preparedness while enhancing the overall patient experience. This study aimed to prospectively evaluate the operational feasibility and patient experience outcomes associated with implementation of a flexible immersive patient education program (IPEP) integrated into routine radiation oncology workflows for patients undergoing EBRT.  Methods  A prospective randomized pilot study was conducted to compare standard-of-care (SOC) education with an immersive education intervention integrated into routine radiation oncology workflows. Immersive educational materials consisting of 360° first-person-perspective videos were delivered through either a virtual reality (VR) headset or a flattened video format based on patient preference and tolerance. Patient-reported anxiety, understanding, and satisfaction were assessed longitudinally throughout treatment using Likert-scale survey instruments. Treatment workflow metrics including treatment time, imaging frequency, and setup shifts were also evaluated.  Results  Forty-nine patients completed the study (24 SOC and 25 intervention: eight VR, 17 flattened first-person-perspective video). The intervention group demonstrated greater reductions in treatment-related, cancer-related, and care plan-related anxiety throughout treatment. Reduction in care plan-related anxiety was significantly greater in the intervention arm (p = 0.01). Patient-reported understanding improved significantly in the intervention group compared with standard of care (p = 0.03). Satisfaction improved in both groups, with larger positive changes observed in the intervention arm. Exploratory workflow metrics demonstrated directional trends toward improved treatment efficiency in the intervention arm, including reductions in treatment time, imaging frequency, and number of setup shifts over the treatment course.  Conclusions  The implementation of an IPEP was associated with improvements in patient-reported anxiety and understanding during radiation therapy. These findings support the feasibility of integrating an IPEP into routine radiation oncology workflows and suggest potential benefits for patient experience outcomes. Larger studies are needed to determine the effectiveness of immersive education approaches and their impact on workflow efficiency.

Indexed as

external beam radiation therapyimmersive medical educationpatient education (topic)patient experiencevirtual reality (vr)

Identifiers

PMID42634667
PMCPMC13499970

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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.