ESTRO 2023 - Abstract Book

S600

Monday 15 May 2023

ESTRO 2023

Bambino Gesù IRCSS, Dipartimento Oncoematologia, Terapia Cellulare, Terapie Geniche e Trapianto Emopoietico, Rome, Italy; 6 Fondazione Policlinico Universitario Agostino Gemelli IRCCS, UOC di Oncologia Pediatrica, Dipartimento della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy Purpose or Objective Since 2020, RADAR Project was developed to enhance the pediatric radiotherapy pathway in a bio-psychosocial approach. A first-visit Multidimensional Assessment for Pediatric patients in RadioTherapy (MAP-RT) was initially introduced and it has been shown to have a high level of accuracy in predicting the need for sedation. Besides this, specific actions, such as psychological preparation and support, and specific tools (audiovisual, digital, etc.) were introduced to support the pediatric patient (PP) and their parents during the radiotherapy care path. The aim of the present study is to improve the level of personalization and management of PP care. Materials and Methods Pediatric patients (aged 0–21 years) were enrolled in this study. The MAP-RT module consists of 28 items divided into sections, and it is composed of various standardized instruments. It was administered to pediatric patients and their families in a standardized way. Data collection of various thematic areas was completed by the radiation oncologist, psychologist, technician and nurse. In addition to MAP-RT data, age and intensive psychological interventions (IPI, 1/2 times the standard protocol of 1 intervention per week) and G2-detected toxicity were collected. Correlation matrix and multivariate analyses were carried out. Results A total of 100 pediatric patients were included in the study, with a mean age 7.2+-5 years (1-21 years). Correlation matrix results show that younger children and their parents reported higher anxiety levels. The anxiety level of children and parents was found to be mutually positively correlated (p<.001 ). A negative high correlation also emerges between age and distress level during the first treatment-room-exposition (Children Emotional Manifestation Scale - CEMS) (p<.001). Children with more externalized issues required more significant IPI (p<.001 ). On the multivariate analysis, no significant differences were observed based on gender. The analysis on the toxicity profile showed no significant differences between groups (age, gender). Conclusion These results demonstrated that the MAP-RT data can provide predictive information on the children's compliance to radiotherapy treatment, support a potential AI-driven selection of psychological interventions and optimize care for these patients. PD-0734 Guidance for simulation to enhance education of pre-registration Therapeutic Radiographers N. Hutton 1 , S. Ketterer 1 1 Society and College of Radiographers, Professional and Education, London, United Kingdom Purpose or Objective Simulation has been shown to have a positive effect on knowledge, skills, confidence, and patient-related outcomes(1). Over the past decade there has been increased interest in the use of simulation as educators seek to optimise student experience and ensure placement opportunities can be utilised effectively and efficiently. There is a national drive to develop simulation, so that it is equitably available to all pre-registration students and staff, so that the future workforce can meet the demands of providing safe and effective care (2). This modified Delphi research method has enabled the Society of Radiographers to elicit consensus opinion on priority areas for simulation within the Radiotherapy curriculum, and develop national guidance.

Materials and Methods A multi-stage mixed method approach was undertaken, guided by a project steering group.

1. Initial scoping survey across UK HEIs delivering pre-registration Health and Care Professions Council (HCPC) approved Therapeutic Radiography programmes of education n=14, to determine current provision for simulation. 2. A consensus study using a modified Delphi research methodology across UK HEIs n=14, UK NHS radiotherapy clinical healthcare providers n=59 and UK private radiotherapy providers n=15 to gather consensus opinion on the priority areas for simulation within pre-registration education and training of therapeutic radiographers. 3. Dual moderator focus groups with key stakeholders including SoR Patient Advisory Group (PAG) representatives n=4 and SoR student member representatives n=4.

Results Recommendations

1. HEIs and clinical placement providers should seek to align simulation activities with programme learning outcomes and the HCPC Standards of Proficiency. 2. Partnership working between each HEI and their local clinical placement providers will provide maximum impact, allowing local decisions to be made regarding how simulation can be best utilised within programmes. 3. Simulation activities should align to a process model and include briefing and debriefing to support good quality simulation and achievement of learning outcomes. 4. There are four overarching themes where educators should focus simulation efforts to ensure maximum gain for student learning and experience (see table 1.). Both Patient Advisory Group and student member focus groups identified a number of priority simulation activities which aligned with those identified in the Delphi study. The key areas were communication and confidence, which affects both student confidence levels and patient experience. Table 1.