ESTRO meets Asia 2024 - Abstract Book

S222

Interdisciplinary – Mixed sites/palliation

ESTRO meets Asia 2024

5. Du TQ, Li X, Zhong WS, Tian JD, Zhao YX, Liu D. Brain metastases of lung cancer: comparison of survival outcomes among whole brain radiotherapy, whole brain radiotherapy with consecutive boost, and simultaneous integrated boost. Journal of Cancer Research and Clinical Oncology. 2021 Feb;147(2):569-77. 6. Lin B, Huang D, Du H, Fan J, Zhang Y, Feng G, Gao F, Du XB. Whole-brain radiation therapy with simultaneous integrated boost versus whole-brain radiation therapy plus stereotactic radiosurgery for the treatment of brain metastasis from lung cancer. Frontiers in Oncology. 2021 Mar 5;11:631422 7. Zhong J, Waldman AD, Kandula S, Eaton BR, Prabhu RS, Huff SB, Shu HK. Outcomes of whole-brain radiation with simultaneous in-field boost (SIB) for the treatment of brain metastases. Journal of Neuro-Oncology. 2020 Mar;147:117-23. 8. Lu F, Hou Y, Xia Y, Li L, Wang L, Cao K, Chen H, Chang L, Li W. Survival and intracranial control outcomes of whole-brain radiotherapy (WBRT) alone versus WBRT plus a radiotherapy boost in non-small-cell lung cancer with brain metastases: a single-institution retrospective analysis. Cancer Management and Research. 2019 May 8:4255 72.

319

Proffered Paper

Health literacy impact in advanced cancer: randomized study in team-based palliative radiotherapy

Renee Rolfes 1 , Cecilia Mah 2 , Patricia Laffin 1 , Shehla Ramji 1 , Sunita Ghosh 3 , Karin Olson 4 , Fleur Huang 1,3

1 Radiation Oncology, Cross Cancer Institute, Edmonton, Canada. 2 Pharmacy, Cross Cancer Institute, Edmonton, Canada. 3 Oncology, University of Alberta, Edmonton, Canada. 4 Nursing, University of Alberta, Edmonton, Canada

Purpose/Objective:

Many adults lack sufficient health literacy (HL) skills to optimally manage their health, but low HL is not easily recognized by health providers. Treatment decisions, adherence to care plans and symptom control outcomes, all key to supporting patients with advanced cancer, may be impacted by HL. Yet purposeful integration of HL considerations is not routine practice. We explore whether standardized information about patient HL, when made available to providers in a multidisciplinary (MDT) outpatient Oncology setting, improves patient understanding and outcomes.

Material/Methods:

Patients were engaged at time of consultation with a radiation oncologist and other MDT providers, in a Palliative Radiation Oncology clinic featuring integrated primary supportive care. A simultaneous mixed methods approach, with quantitative drive, augmented a randomized control trial design: for one cohort but not the other, patient HL and coping scores were known to their providers. Immediately post-encounter, patients and providers separately rated patient understanding. Patient interviews were conducted post-encounter, and 1 week after completion of palliative radiotherapy (RT). Validated questionnaires for patient HL (6-item Cancer Health Literacy Tool, CHLT-6) and coping behaviors (Brief COPE Inventory) were administered at consultation, alongside routine patient-reported measures (Edmonton Symptom Assessment System, revised (ESAS-r); adapted Canadian Problem Checklist; EuroQol EQ-5D-5L). Both