Non-pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer: systematic review protocol
Introduction Procedural anxiety relates to an affective state of anxiety or fear in relation to a medical procedure. Various treatment-related factors may elicit anxiety among oncology patients, including fear of diagnostic imaging (such as MRI scans) and impending treatment and medical procedures (...
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| Format: | Article |
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BMJ Publishing Group
2020-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/10/e035155.full |
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| author | Kerrie Clover Christopher Oldmeadow Amanda L Baker Erin Forbes Ben Britton Eliza Skelton Sharon Oultram Kristen McCarter |
| author_facet | Kerrie Clover Christopher Oldmeadow Amanda L Baker Erin Forbes Ben Britton Eliza Skelton Sharon Oultram Kristen McCarter |
| author_sort | Kerrie Clover |
| collection | DOAJ |
| description | Introduction Procedural anxiety relates to an affective state of anxiety or fear in relation to a medical procedure. Various treatment-related factors may elicit anxiety among oncology patients, including fear of diagnostic imaging (such as MRI scans) and impending treatment and medical procedures (such as chemotherapy and radiotherapy). It is common in oncology settings to manage acute anxiety relating to medical procedures with anxiolytic medication. However, pharmacological approaches are not suitable for many patients. Despite this, non-pharmacological interventions are infrequently used. The aim of this systematic review is to determine whether non-pharmacological interventions delivered prior to, or during, radiotherapy are effective in reducing procedural anxiety.Methods and analysis Data sources will include the bibliographic databases CINAHL, MEDLINE, EMBASE, PsycINFO and Cochrane Central Register of Controlled trials (CENTRAL) (from inception onward). Eligible studies will include adult patients with cancer undergoing radiotherapy treatment. Included studies will be those which employ a non-pharmacological intervention, delivered within existing radiotherapy appointments, with the aim of reducing procedural anxiety related to radiotherapy. All research designs with a control or other comparison group will be included. The primary outcome will be change in levels of self-reported procedural anxiety. Secondary outcomes will be changes in scores on physiological measures of anxiety and/or changes in treatment completion and/or changes in treatment duration and/or changes in psychological distress. Two investigators will independently complete title and abstract screening, full-text screening, data extraction and assessment of methodological quality. If appropriate, a meta-analyses will be performed. Any important amendments to this protocol will be updated in the PROSPERO registration and documented in the resulting review publication.Ethics and dissemination No ethical issues are anticipated from this review. The findings will be disseminated through peer-reviewed publication and at conferences by presentation.Systematic review registration CRD42019112941. |
| format | Article |
| id | doaj-art-68742b6d10194072ba565a4eea5abcdc |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-68742b6d10194072ba565a4eea5abcdc2024-11-17T01:10:09ZengBMJ Publishing GroupBMJ Open2044-60552020-10-01101010.1136/bmjopen-2019-035155Non-pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer: systematic review protocolKerrie Clover0Christopher Oldmeadow1Amanda L Baker2Erin Forbes3Ben Britton4Eliza Skelton5Sharon Oultram6Kristen McCarter7Suicide Prevention Research Unit, Centre for Mental Health Studies, Faculty of Health, University of Newcastle, Newcastle, AustraliaHunter Medical Research Institute, New Lambton Heights, New South Wales, AustraliaSchool of Medicine and Public Health, The University of Newcastle Faculty of Health and Medicine, Callaghan, New South Wales, AustraliaSchool of Medicine and Public Health, The University of Newcastle Faculty of Health and Medicine, Callaghan, New South Wales, AustraliaDepartment of Consultation Liaison Psychiatry, John Hunter Hospital, New Lambton, New South Wales, AustraliaCollege of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, AustraliaDepartment of Radiation Oncology, Calvary Mater Newcastle, Waratah, New South Wales, AustraliaSchool of Medicine and Public Health, The University of Newcastle Faculty of Health and Medicine, Callaghan, New South Wales, AustraliaIntroduction Procedural anxiety relates to an affective state of anxiety or fear in relation to a medical procedure. Various treatment-related factors may elicit anxiety among oncology patients, including fear of diagnostic imaging (such as MRI scans) and impending treatment and medical procedures (such as chemotherapy and radiotherapy). It is common in oncology settings to manage acute anxiety relating to medical procedures with anxiolytic medication. However, pharmacological approaches are not suitable for many patients. Despite this, non-pharmacological interventions are infrequently used. The aim of this systematic review is to determine whether non-pharmacological interventions delivered prior to, or during, radiotherapy are effective in reducing procedural anxiety.Methods and analysis Data sources will include the bibliographic databases CINAHL, MEDLINE, EMBASE, PsycINFO and Cochrane Central Register of Controlled trials (CENTRAL) (from inception onward). Eligible studies will include adult patients with cancer undergoing radiotherapy treatment. Included studies will be those which employ a non-pharmacological intervention, delivered within existing radiotherapy appointments, with the aim of reducing procedural anxiety related to radiotherapy. All research designs with a control or other comparison group will be included. The primary outcome will be change in levels of self-reported procedural anxiety. Secondary outcomes will be changes in scores on physiological measures of anxiety and/or changes in treatment completion and/or changes in treatment duration and/or changes in psychological distress. Two investigators will independently complete title and abstract screening, full-text screening, data extraction and assessment of methodological quality. If appropriate, a meta-analyses will be performed. Any important amendments to this protocol will be updated in the PROSPERO registration and documented in the resulting review publication.Ethics and dissemination No ethical issues are anticipated from this review. The findings will be disseminated through peer-reviewed publication and at conferences by presentation.Systematic review registration CRD42019112941.https://bmjopen.bmj.com/content/10/10/e035155.full |
| spellingShingle | Kerrie Clover Christopher Oldmeadow Amanda L Baker Erin Forbes Ben Britton Eliza Skelton Sharon Oultram Kristen McCarter Non-pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer: systematic review protocol BMJ Open |
| title | Non-pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer: systematic review protocol |
| title_full | Non-pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer: systematic review protocol |
| title_fullStr | Non-pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer: systematic review protocol |
| title_full_unstemmed | Non-pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer: systematic review protocol |
| title_short | Non-pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer: systematic review protocol |
| title_sort | non pharmacological approaches to procedural anxiety reduction for patients undergoing radiotherapy for cancer systematic review protocol |
| url | https://bmjopen.bmj.com/content/10/10/e035155.full |
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