Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patients

Abstract Background Patients diagnosed with cancer are at higher risk of anxiety, depression, and overall distress. These mood disturbances are risk factors for non-adherence to cancer treatment, increased length of stay during hospital admissions, increased number of visits to the emergency departm...

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Main Authors: Bohdan Baralo, Mahati Paravathaneni, Akhil Jain, Bhanusowmya Buragamadagu, Aliza Khanam, Sabah Iqbal, Samia Hossain, Sana Mulla, Eugene Choi, Rajesh Thirumaran
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Psychology
Subjects:
Online Access:https://doi.org/10.1186/s40359-022-00994-3
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author Bohdan Baralo
Mahati Paravathaneni
Akhil Jain
Bhanusowmya Buragamadagu
Aliza Khanam
Sabah Iqbal
Samia Hossain
Sana Mulla
Eugene Choi
Rajesh Thirumaran
author_facet Bohdan Baralo
Mahati Paravathaneni
Akhil Jain
Bhanusowmya Buragamadagu
Aliza Khanam
Sabah Iqbal
Samia Hossain
Sana Mulla
Eugene Choi
Rajesh Thirumaran
author_sort Bohdan Baralo
collection DOAJ
description Abstract Background Patients diagnosed with cancer are at higher risk of anxiety, depression, and overall distress. These mood disturbances are risk factors for non-adherence to cancer treatment, increased length of stay during hospital admissions, increased number of visits to the emergency department, and also impact survival. Although paper handouts about the potential side effects are widely used in the oncology practice studies have shown that digital educational material is known to work better when compared to traditional methods. However, the impact of video education on anxiety, depression, and distress have not been previously evaluated. Our study aimed to assess whether video education about potential chemotherapy and immunotherapy can reduce anxiety, depression, and distress levels. Methods After IRB approval, we enrolled patients who were fluent in English, younger than 80 years of age, and who were able to provide informed consent. The Hospital Anxiety and Depression Scale and Distress Thermometer were used to assess distress, as well as depression and anxiety before and after watching video educational material. Paired t-test was used to compare the differences between the scores before and after watching educational videos. The statistical software GraphPad Prism 9, San Diego, California, was used to perform the statistical analysis. Results We enrolled 29 patients, of whom 20 completed the study, six withdrew, two were lost to follow-up, and one did not complete the initial questionnaire. Of all patients that completed the study 85% of the patient found videos helpful, and they were 7/10 likely to recommend them to other patients who may experience symptoms. The mean depression score changed from 4.75 before to 4.9 after watching the videos (p 0.77), distress score from 2.3 to 2.65 (p 0.52), and anxiety scores changed from 4.85 to 6.15 (p 0.03). The feedback provided by the patients indicated that they were more willing to watch the videos related to the side effects they experienced at their free time and convenience. Conclusions Our study suggests that patients were open to video education and found it helpful and worth watching. However, the exposure of the patients to the videos about potential side effects of cancer treatment, including those patients do not experience, may lead to increased anxiety.
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spelling doaj.art-6f455771eda041f590b4c07bbac7400f2022-12-22T02:55:29ZengBMCBMC Psychology2050-72832022-11-011011810.1186/s40359-022-00994-3Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patientsBohdan Baralo0Mahati Paravathaneni1Akhil Jain2Bhanusowmya Buragamadagu3Aliza Khanam4Sabah Iqbal5Samia Hossain6Sana Mulla7Eugene Choi8Rajesh Thirumaran9Internal Medicine, Mercy Fitzgerald HospitalInternal Medicine, Mercy Fitzgerald HospitalInternal Medicine, Mercy Fitzgerald HospitalInternal Medicine, Mercy Fitzgerald HospitalInternal Medicine, Mercy Fitzgerald HospitalInternal Medicine, Mercy Fitzgerald HospitalInternal Medicine, Mercy Fitzgerald HospitalInternal Medicine, Mercy Fitzgerald HospitalMedical Oncology, Mercy Fitzgerald HospitalMedical Oncology, Mercy Fitzgerald HospitalAbstract Background Patients diagnosed with cancer are at higher risk of anxiety, depression, and overall distress. These mood disturbances are risk factors for non-adherence to cancer treatment, increased length of stay during hospital admissions, increased number of visits to the emergency department, and also impact survival. Although paper handouts about the potential side effects are widely used in the oncology practice studies have shown that digital educational material is known to work better when compared to traditional methods. However, the impact of video education on anxiety, depression, and distress have not been previously evaluated. Our study aimed to assess whether video education about potential chemotherapy and immunotherapy can reduce anxiety, depression, and distress levels. Methods After IRB approval, we enrolled patients who were fluent in English, younger than 80 years of age, and who were able to provide informed consent. The Hospital Anxiety and Depression Scale and Distress Thermometer were used to assess distress, as well as depression and anxiety before and after watching video educational material. Paired t-test was used to compare the differences between the scores before and after watching educational videos. The statistical software GraphPad Prism 9, San Diego, California, was used to perform the statistical analysis. Results We enrolled 29 patients, of whom 20 completed the study, six withdrew, two were lost to follow-up, and one did not complete the initial questionnaire. Of all patients that completed the study 85% of the patient found videos helpful, and they were 7/10 likely to recommend them to other patients who may experience symptoms. The mean depression score changed from 4.75 before to 4.9 after watching the videos (p 0.77), distress score from 2.3 to 2.65 (p 0.52), and anxiety scores changed from 4.85 to 6.15 (p 0.03). The feedback provided by the patients indicated that they were more willing to watch the videos related to the side effects they experienced at their free time and convenience. Conclusions Our study suggests that patients were open to video education and found it helpful and worth watching. However, the exposure of the patients to the videos about potential side effects of cancer treatment, including those patients do not experience, may lead to increased anxiety.https://doi.org/10.1186/s40359-022-00994-3Cancer educationPsychological distressAnxietyDepression
spellingShingle Bohdan Baralo
Mahati Paravathaneni
Akhil Jain
Bhanusowmya Buragamadagu
Aliza Khanam
Sabah Iqbal
Samia Hossain
Sana Mulla
Eugene Choi
Rajesh Thirumaran
Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patients
BMC Psychology
Cancer education
Psychological distress
Anxiety
Depression
title Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patients
title_full Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patients
title_fullStr Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patients
title_full_unstemmed Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patients
title_short Video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety, depression, and distress level of cancer patients
title_sort video education about side effects of chemotherapy and immunotherapy and its impact on the anxiety depression and distress level of cancer patients
topic Cancer education
Psychological distress
Anxiety
Depression
url https://doi.org/10.1186/s40359-022-00994-3
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