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Emotional talk of patients with breast cancer during review appointments with therapeutic radiographers : effects on fears of cancer recurrence

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FORECAST.pdf (1.062Mb)
Date
01/10/2018
Author
Humphris, Gerald Michael
Yang, Y
Barracliffe, L
Cameron, J
Bedi, C
Keywords
Breast cancer patients
Fears of recurrence
Communication
Emotional talk
Survivorship
Distress
Therapeutic radiotherapy
Behavioural coding
HT Communities. Classes. Races
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
NDAS
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Abstract
Fears of cancer recurrence (FCR) in patients with breast cancer may develop during radiotherapy. Radiographer communication with their patients may influence early survivorship FCR level. Aim To investigate the management of emotional talk in patients with breast cancer attending their initial review appointments during radiotherapy and predict FCR at 6–8 weeks follow-up. Methods A mixed-methods observational study was conducted. Patients (consecutive sample, n = 60) with breast cancer, attending a major Scottish cancer centre, had their first two review appointments with their therapeutic radiographer (TR) audio-recorded. In addition, FCR was assessed (FCR7) at baseline and at 6–8 weeks following their final radiotherapy visit. Two TRs participated. Audio files were coded by the VR-CoDES system to identify emotional cues and therapeutic radiographer (TR) responses. Linear regression models were tested for fit and to identify factors associated with follow-up FCR, i.e. patient cues, responses by TR. Results Follow-up FCR was predicted negatively (robust estimator, p = .01) by level of patient emotional talk at the second review session. The provision of space by the TR, at the second session, to enable patients to expand their emotional utterances was also associated, but negatively (p = .01), with follow-up FCR. These effects were maintained after inclusion of covariates: age, treatment received and living conditions. Conclusions Patient’s emotional expression and TR responses at the second review meeting predicted follow-up FCR. The study shows the effect of communication processes on this specific distress component of the patient’s survivorship experience. Trial registration NCT02599506
Citation
Humphris , G M , Yang , Y , Barracliffe , L , Cameron , J & Bedi , C 2018 , ' Emotional talk of patients with breast cancer during review appointments with therapeutic radiographers : effects on fears of cancer recurrence ' , Supportive Care in Cancer , vol. First online . https://doi.org/10.1007/s00520-018-4484-7
Publication
Supportive Care in Cancer
Status
Peer reviewed
DOI
https://doi.org/10.1007/s00520-018-4484-7
ISSN
0941-4355
Type
Journal article
Rights
© Springer-Verlag GmbH Germany, part of Springer Nature 2018. This work has been made available online in accordance with the publisher’s policies. This is the author created accepted version manuscript following peer review and as such may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1007/s00520-018-4484-7
Description
FORECAST study supported generously by Breast Cancer Now (Reg. No. SP529).
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/18587

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