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Virtual environment education reduces anxiety prior to radiation therapy

March 23, 2017

PHILADELPHIA -- Radiation therapists and physicians know that education can reduce anxiety before radiation treatment but lack a standardized tool. In an effort to solve this problem, a multidisciplinary team from Jefferson College of Health Professions and Sidney Kimmel Cancer Center at Thomas Jefferson University conducted a pilot study to see if a virtual environment education program could reduce some of the anxiety their patients face. They published their results in the Journal of Radiation Oncology.

"So many aspects of cancer care can produce anxiety for our patients which can negatively impact their health and wellbeing," said Matthew Marquess, MBA, RT(T), co-first author and Program Director of Radiation Therapy in the Radiologic Sciences Department of Jefferson College of Health Professions. "Our pilot study showed that by using a simulated environment to teach our patients about their upcoming radiation therapy treatments, we can significantly increase their understanding of the treatment and reduce their anxiety."

To evaluate the program's efficacy, 22 patients with prostate cancer completed a 16-question survey to assess their anxiety and comprehension. The survey measured patients' anxiety levels associated with various aspects of care including being alone in the treatment room, treatment precision, claustrophobia, effects of daily x-rays, pain and others. Patients then received personalized education with co-first authors Marquess and Shirley Johnston, MS, CMD, RT(T)(R), Director of the Medical Dosimetry program in Jefferson College of Health Professions. The team used Virtual Environment Radiotherapy (VERT™) software, which is modeled after a "flight simulator" for radiation therapy including life-size visualizations and 3-dimensional views. After the education session, patients repeated the survey.

"Our pre- and post- survey results showed a significant decrease in anxiety and increase in comprehension," said Robert Den, M.D., Associate Professor of Radiation Oncology in Sidney Kimmel Cancer Center. "Even better, our patients' and their families' comments were unanimously positive with themes of improved confidence, relief and satisfaction."
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Co-authors include Shirley Pinegar Johnston, MS, CMD, RT(T)(R); Noelle Williams, MD; Carolyn Giordano, PhD; Benjamin Leiby, PhD; Mark Hurwitz, MD; and Adam Dicker, MD, PhD.

Article Reference: Marquess, M., et al. "A pilot study to determine if the use of a virtual reality education module reduces anxiety and increases comprehension in patients receiving radiation therapy." Journal of Radiation Oncology. 2017.

About Jefferson

Jefferson, through its academic and clinical entities of Thomas Jefferson University and Jefferson Health, including Abington Health and Aria Health, is reimagining health care for the greater Philadelphia region and southern New Jersey. Jefferson has 23,000 people dedicated to providing the highest-quality, compassionate clinical care for patients, educating the health professionals of tomorrow, and discovering new treatments and therapies to define the future of care. With a university and hospital that date back to 1824, today Jefferson is comprised of six colleges, nine hospitals, 34 outpatient and urgent care locations, and a multitude of physician practices throughout the region, serving more than 100,000 inpatients, 373,000 emergency patients and 2.2 million outpatients annually.

Thomas Jefferson University

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