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Impact of Pre-Chemotherapy Education with Audio Visual Methods on the Self-Efficacy of Symptom Management in Patients with Cancer

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Abstract

This study aimed to identify the effects of pre-chemotherapy education with audio visual methods on the self-efficacy of symptom management in patients with cancer who received chemotherapy. The various side effects of chemotherapy could affect the self-efficacy of symptom management. Providing pre-chemotherapy education is important to improve the self-efficacy of symptom management. Nowadays, pre-chemotherapy education is only given by using print media, which can restrict transferring information to patients with cancer. This study was based on pre- and post-test, 2 group, quasi-experimental design. A total of 80 respondents were recruited with consecutive sampling between January and March 2019. Participants in the intervention group received video pre-chemotherapy education, while participants in the control group received education with a booklet (usual care). Patients completed self-efficacy symptom management questionnaires before and 1–2 weeks after chemotherapy. The analysis used the Wilcoxon and Mann-Whitney tests and by counting Cohen’s d effect size. The mean scores of pre- and post-test self-efficacy of symptom management increased in the intervention group to 1.77 (p = 0.000) and in the control group to 0.64 (p = 0.001). The comparative test between the two groups showed p = 0.005 (p < 0.05) with an effect size of 0.4 (66%). This result indicates that pre-chemotherapy education had medium effect on the self-efficacy of symptom management. Pre-chemotherapy education with audio visual methods can increase the self-efficacy of symptom management in patients with cancer.

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Acknowledgements

The authors would like to thank all the participants in the study for their contribution. We appreciate the cooperation of the staff of Integrated Cancer Installation of Tulip RSUP Dr. Sardjito Yogyakarta, Indonesia. We appreciate the cooperation of Santi Wahyuningsih BSN, Ns as a head of nurse and all of staff of Integrated Cancer Installation of Tulip, Dr Sardjito Hospital, Yogyakarta, Indonesia.

Funding

This study was funded by the Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada (UPP FKKMK, KPTU 2nd floor, Telp:0274–560300 ext. 205).

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Correspondence to Haryani Haryani.

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All respondents in this study were informed that all the data would be handled with full confidentiality. The study was approved by the Faculty of Medicine, Public Health and Nursing UGM Ethical Review Board Ref: KE/FK/0700/EC/2018. The questionnaire used in the study was approved by the prior researcher at December 28, 2018, by email.

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Mumtaz, D.F., Effendy, C. & Haryani, H. Impact of Pre-Chemotherapy Education with Audio Visual Methods on the Self-Efficacy of Symptom Management in Patients with Cancer. J Canc Educ 37, 1546–1552 (2022). https://doi.org/10.1007/s13187-021-02006-1

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