title: Psychosocial outcomes of e-feedback of radiotherapy for breast cancer patients: a randomized controlled trial.
abstract: OBJECTIVE
  This study aims to test the effectiveness on psychosocial outcomes of electronic feedback knowledge of radiotherapy intervention (e-Re-Know) for breast cancer patients.
  
  
  METHODS
  Randomized controlled trial in one university hospital in Finland was carried out. Breast cancer patients (n = 126) in the radiotherapy (RT) department were randomly assigned into two groups: intervention (the e-Re-Know and standard education) and control group (standard education). The e-Re-Know intervention consisted of e-feedback after response to the knowledge test delivered by e-mail. Instruments were completed before commencing first RT (M1), after concluding last RT (M2) and 3 months after last RT (M3). The main outcomes were anxiety and QOL.
  
  
  RESULTS
  Compared with the control group, the patients in the intervention group reported a marginally significant improvement in anxiety and significant improvement in QOL over time.
  
  
  CONCLUSIONS
  The e-Re-Know seems to have positive effects on psychosocial outcomes for breast cancer patients. They might gain additional value from the e-Re-Know over a longer time period. Further research needs to focus more on development of e-feedback in patient education.
authors.affiliation: Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland; Turku University Hospital, Turku, Finland.
authors.forename: Mervi
authors.initials: M
authors.lastname: Siekkinen
authors.forename: Seppo
authors.initials: S
authors.lastname: Pyrhönen
authors.forename: Anne
authors.initials: A
authors.lastname: Ryhänen
authors.forename: Tero
authors.initials: T
authors.lastname: Vahlberg
authors.forename: Helena
authors.initials: H
authors.lastname: Leino-Kilpi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology*; D001943:Breast Neoplasms / Q000523:psychology / Q000532:radiotherapy*; D034742:Electronic Mail; D005260:Female; D005387:Finland; D006801:Humans; D007721:Knowledge of Results, Psychological; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D011788:Quality of Life / Q000523:psychology; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: breast cancer; e-feedback; oncology; patient education; psychosocial; radiotherapy