Impact of Video Intervention on Self-Efficacy and Well-Being in Chemotherapy Patients: A Randomized Controlled Trial at a Tertiary Care Center, Southern Gujarat, India

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Shany Thomas, Nirav N. Asarawala, Ansu Varghese

Abstract

Introduction: Chemotherapy and radiation therapy for cancer often result in significant side effects, impacting patients' quality of life. Despite this, many cancer patients have limited knowledge about chemotherapy's adverse effects and their management


Objectives: To evaluates the impact of a video intervention on the self-efficacy and well-being of chemotherapy patients.


Methods: A total of 100 participants undergoing chemotherapy (cycles 2 through 5) were randomly assigned to experimental and control groups. The pre-test was conducted using a Socio-demographic tool, Symptom-Management Self-Efficacy Scale-Breast Cancer (SMSES-BC), and The Functional Assessment of Cancer Therapy - General (FACT-G) questionnaire. The experimental group received a video intervention addressing multidimensional approaches to improving self-efficacy and well-being, with individual sessions held to address queries. The video was also shared via Whatsapp for further reference. The control group received routine information. A post-test was conducted 7 to 21 days later during the next chemotherapy cycle.


Results: Findings indicated a significant improvement in the experimental group’s self-efficacy (mean = 180.16, SD = 45.67) compared to the control group (mean = 94.20, SD = 36.48), with a mean difference of 113.98 (t = 16.34, p = 0.001). Additionally, well-being scores in the experimental group (mean = 82.02, SD = 9.33) were higher than in the control group (mean = 58.84, SD = 9.83), with a mean difference of 26.52 (t = 16.41, p = 0.001)..


Conclusions: Video interventions provide consistent, accurate information, reducing misunderstandings and allowing patients to revisit material, enhancing treatment comprehension and management.

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