Totally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT)

Background: The presence of totally implantable venous access devices (TIVADs), as any permanent or semipermanent medical devices, has an impact on the quality of life (QoL) of patients. Therefore, the purpose of this trial was to evaluate the efficacy of psychological support for patients undergoin...

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Autores principales: Eleonora Pinto, Elisa Granziera, Matteo Cagol, Sandra Cappellato, Rita Alfieri, Valentina Mari, Muzio Meroni, Vittorina Zagonel, Pierfranco Conte, Pierluigi Pilati, Carlo Castoro, Francesco Cavallin, Marco Scarpa
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/45e8948584444b35a24bdc31d0ed3112
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spelling oai:doaj.org-article:45e8948584444b35a24bdc31d0ed31122021-11-12T04:25:17ZTotally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT)1664-107810.3389/fpsyg.2021.703497https://doaj.org/article/45e8948584444b35a24bdc31d0ed31122021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.703497/fullhttps://doaj.org/toc/1664-1078Background: The presence of totally implantable venous access devices (TIVADs), as any permanent or semipermanent medical devices, has an impact on the quality of life (QoL) of patients. Therefore, the purpose of this trial was to evaluate the efficacy of psychological support for patients undergoing this procedure.Methods: This randomized controlled trial (RCT) aimed to compare the efficacy of a psychological intervention vs. standard care on QoL in patients receiving TIVAD for chemotherapy treatment (ClinicalTrials.gov NCT02075580). The trial was conducted at the Veneto Institute of Oncology IOV-IRCCS (Padua, Italy) between October 2013 and September 2018. Participants were neoplastic adults receiving TIVAD for chemotherapy treatment for any cancer, not undergoing visible demolitive interventions, without psychopathological diagnosis and language understanding. The exclusion criteria were patients without a diagnosis of cancer, with psychopathological diagnosis, or with language misunderstanding.Results: The variation of C30-QL2 and BR32-BI was not statistically different between intervention and control arms in men and women. However, the variation of C30-SF was statistically better in the intervention than control arm in men [mean difference (MD) 22.3, 95% CI 3.5 to 41.0] but not in women (MD −2.7, 95% CI −24.0 to 18.7). The variations of the other secondary outcome measures were not statistically different between intervention and control arms.Conclusion: Psychological support did not show any clear advantages on global QoL and body image perception in patients at 15 days after TIVAD insertion for chemotherapy. In contrast, male patients might benefit from even a very short psychological counseling before or during chemotherapy even if they do not seem to ask for it.Eleonora PintoElisa GranzieraMatteo CagolSandra CappellatoRita AlfieriValentina MariMuzio MeroniVittorina ZagonelPierfranco ContePierluigi PilatiCarlo CastoroFrancesco CavallinMarco ScarpaFrontiers Media S.A.articletotally implantable venous access devicesquality of lifepsychological supportbody imagechemotherapyPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic totally implantable venous access devices
quality of life
psychological support
body image
chemotherapy
Psychology
BF1-990
spellingShingle totally implantable venous access devices
quality of life
psychological support
body image
chemotherapy
Psychology
BF1-990
Eleonora Pinto
Elisa Granziera
Matteo Cagol
Sandra Cappellato
Rita Alfieri
Valentina Mari
Muzio Meroni
Vittorina Zagonel
Pierfranco Conte
Pierluigi Pilati
Carlo Castoro
Francesco Cavallin
Marco Scarpa
Totally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT)
description Background: The presence of totally implantable venous access devices (TIVADs), as any permanent or semipermanent medical devices, has an impact on the quality of life (QoL) of patients. Therefore, the purpose of this trial was to evaluate the efficacy of psychological support for patients undergoing this procedure.Methods: This randomized controlled trial (RCT) aimed to compare the efficacy of a psychological intervention vs. standard care on QoL in patients receiving TIVAD for chemotherapy treatment (ClinicalTrials.gov NCT02075580). The trial was conducted at the Veneto Institute of Oncology IOV-IRCCS (Padua, Italy) between October 2013 and September 2018. Participants were neoplastic adults receiving TIVAD for chemotherapy treatment for any cancer, not undergoing visible demolitive interventions, without psychopathological diagnosis and language understanding. The exclusion criteria were patients without a diagnosis of cancer, with psychopathological diagnosis, or with language misunderstanding.Results: The variation of C30-QL2 and BR32-BI was not statistically different between intervention and control arms in men and women. However, the variation of C30-SF was statistically better in the intervention than control arm in men [mean difference (MD) 22.3, 95% CI 3.5 to 41.0] but not in women (MD −2.7, 95% CI −24.0 to 18.7). The variations of the other secondary outcome measures were not statistically different between intervention and control arms.Conclusion: Psychological support did not show any clear advantages on global QoL and body image perception in patients at 15 days after TIVAD insertion for chemotherapy. In contrast, male patients might benefit from even a very short psychological counseling before or during chemotherapy even if they do not seem to ask for it.
format article
author Eleonora Pinto
Elisa Granziera
Matteo Cagol
Sandra Cappellato
Rita Alfieri
Valentina Mari
Muzio Meroni
Vittorina Zagonel
Pierfranco Conte
Pierluigi Pilati
Carlo Castoro
Francesco Cavallin
Marco Scarpa
author_facet Eleonora Pinto
Elisa Granziera
Matteo Cagol
Sandra Cappellato
Rita Alfieri
Valentina Mari
Muzio Meroni
Vittorina Zagonel
Pierfranco Conte
Pierluigi Pilati
Carlo Castoro
Francesco Cavallin
Marco Scarpa
author_sort Eleonora Pinto
title Totally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT)
title_short Totally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT)
title_full Totally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT)
title_fullStr Totally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT)
title_full_unstemmed Totally Implantable Venous Access Devices: A Randomized Controlled Trial on the Effect of Psychological Support on Quality of Life and Body Image (BI-PORT)
title_sort totally implantable venous access devices: a randomized controlled trial on the effect of psychological support on quality of life and body image (bi-port)
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/45e8948584444b35a24bdc31d0ed3112
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