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Research ArticleQuality & Practice Management

Randomized Controlled Trial Examining Effects of Web-Based Information on Patient Satisfaction and Image Quality in 18F-FDG PET/CT Examinations

Camilla Andersson, Carlos Trampal Pulido, Håkan Ahlström and Birgitta Johansson
Journal of Nuclear Medicine Technology March 2019, 47 (1) 39-46; DOI: https://doi.org/10.2967/jnmt.118.213116
Camilla Andersson
1Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; and
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Carlos Trampal Pulido
1Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; and
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Håkan Ahlström
1Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; and
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Birgitta Johansson
2Department of Immunology, Genetics, and Pathology, Uppsala University, Uppsala, Sweden
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  • FIGURE 1.
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    FIGURE 1.

    Participant flow.

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    FIGURE 2.

    Answer to the question of how much benefit the patient received from web-based information in several respects (n = 49/54, 89%).

Tables

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    TABLE 1

    Medical and Demographic Characteristics

    Intervention (n = 75)
    CharacteristicStandard care (n = 73)Utilized intervention (n = 54)Did not utilize intervention (n = 21)
    Age (y)
     Mean636464
     Range24–8426–8030–80
    Known or suspected cancer diagnosis
     Lung cancer25 (34)23 (43)7 (33)
     Colorectal cancer5 (7)15 (28)2 (10)
     Ovarian cancer9 (12)5 (9)4 (19)
     Other34 (47)11 (20)8 (38)
    Sex
     Male34 (47)30 (56)10 (48)
     Female39 (53)24 (44)11 (52)
    Civil status*
     Married/cohabitant53 (83)37 (69)11 (52)
     Single8 (13)8 (15)3 (14)
     Widow/widower1 (2)3 (6)3 (14)
     Living apart2 (3)1 (2)0
    Education*
     Compulsory school13 (20)7 (13)7 (33)
     Upper secondary school29 (45)21 (39)6 (29)
     University, 0–4 y15 (23)11 (20)3 (14)
     University, >4 y7 (11)9 (17)1 (5)
    Occupation*
     Working19 (30)13 (24)5 (24)
     Sick leave6 (9)2 (4)3 (14)
     Studies1 (2)1 (2)0
     Home work4 (6)0 (0)0
     Unemployed2 (3)1 (2)0
     Other32 (50)31 (57)9 (43)
    Monthly income (Swedish kronas)*
     0–4,9991 (2)1 (2)0
     5,000–9,9992 (3)1 (2)2 (10)
     10,000–14,99912 (19)12 (22)6 (29)
     15,000–19,99919 (30)11 (20)3 (14)
     20,000–24,9995 (8)9 (17)2 (10)
     25,000–29,99912 (19)4 (7)2 (10)
     30,000–34,9995 (8)2 (4)0
     >35,0007 (11)8 (15)2 (10)
    PET/CT with contrast62 (85)42 (78)17 (81)
    • ↵* Did not complete questionnaire: 9 standard-care group; 5 intervention group, utilized intervention; 4 intervention group, did not utilize intervention.

    • Data are number of patients followed by percentage in parentheses, except for age.

    • View popup
    TABLE 2

    Patient Satisfaction with 18F-FDG PET/CT Examination

    QuestionNot at allTo low degreeTo some degreeTo high degreeTo very high degree
    1. Were you satisfied with the information you  received before the examination?
       Intervention1 (2)4 (6)15 (23)32 (49)14 (21)
       Standard care1 (2)2 (3)18 (28)33 (52)10 (16)
    2. Were you satisfied with the information you  received when you came to the examination?
       Intervention03 (5)8 (12)29 (44)25 (38)
       Standard care1 (2)1 (2)8 (13)34 (53)20 (31)
    3. Were you satisfied with your interaction with  the nursing staff during the examination?
       Intervention1 (2)08 (12)27 (41)30 (46)
       Standard care1 (2)2 (3)3 (5)25 (39)33 (52)
    4. Did the nursing staff communicate in an  understandable way?
       Intervention007 (11)28 (42)31 (47)
       Standard care01 (2)3 (5)29 (45)31 (48)
    5. Did the nursing staff convey a  caring attitude?
       Intervention1 (2)1 (2)7 (11)23 (35)34 (52)
       Standard care1 (2)1 (2)3 (5)28 (44)31 (48)
    6. Did you feel confident in the professional  skills of the nursing staff?
       Intervention004 (6)27 (41)34 (52)
       Standard care001 (2)25 (39)38 (59)
    7. Did the nursing staff have adequate time  for you when you needed them?
       Intervention03 (5)9 (14)24 (36)15 (23)
       Standard care01 (2)5 (8)29 (45)29 (45)
    8. Are you satisfied with how you will be  notified about the examination results?
       Intervention4 (6)6 (9)16 (24)24 (36)15 (23)
       Standard care2 (3)9 (14)11 (17)26 (41)16 (25)
    9. Did you get the impression that the work  of the hospital was well organized?
       Intervention1 (2)5 (8)5 (8)36 (55)18 (27)
       Standard care1 (2)010 (16)30 (47)22 (34)
    • Intervention group, n = 66; standard-care group, n = 64.

    • Data are number of patients followed by percentage in parentheses. Overall satisfaction (sum of questions 1–7 and 9) had a mean, SD, median, minimum, and maximum of 28.4, 5.3, 28.0, 16.0, and 36.0, respectively, for the intervention group and 28.8, 4.9, 28.0, 15.0, and 36.0, respectively, for the standard-care group.

    • View popup
    TABLE 3

    Patients’ Knowledge About and Discomfort During 18F-FDG PET/CT Examination

    QuestionIntervention (n = 66)Standard care (n = 64)
    Did you know beforehand what an 18F-FDG PET examination was?
     Not at all25 (38)23 (36)
     Some17 (26)26 (41)
     Quite a lot19 (29)10 (16)
     I knew very much5 (8)3 (5)
    Did you know beforehand how an 18F-FDG PET examination was conducted?
     Not at all22 (33)28 (44)
     Some19 (29)24 (38)
     Quite a lot20 (30)9 (14)
     I knew very much5 (8)1 (2)
    Did you feel trapped during the examination?
     Not at all39 (59)45 (70)
     Some22 (33)12 (19)
     Much4 (6)5 (8)
     Very much1 (2)1 (2)
    How exhausting was the examination?
     Not at all39 (59)35 (55)
     Some13 (20)20 (31)
     Much12 (18)7 (11)
     Very much1 (2)2 (3)
    Was the examination as you expected it to be?
     Much easier11 (17)5 (8)
     A bit easier13 (20)17 (27)
     Just as I expected36 (55)36 (56)
     A bit worse6 (9)5 (8)
     Much worse01 (2)
    • Data are number of patients followed by percentage in parentheses.

    • View popup
    TABLE 4

    Results of Image-Quality Assessment of 18F-FDG PET/CT Examination

    Image-quality parameterIntervention (n = 75)Standard care (n = 73)
    Physiologic uptake  in larynx
      None37 (49)29 (40)
      Some29 (39)36 (49)
      Much9 (12)8 (11)
    Amount of bladder  activity
      Normal64 (85)57 (78)
      Abnormal11 (15)16 (22)
    Presence of  activated brown fat
      None75 (100)69 (95)
      Some04 (5)
      Much00
    Motion artifacts
      None69 (92)64 (88)
      Some6 (8)9 (12)
      Much00
    Degree of muscle  uptake
      None57 (76)57 (78)
      Some17 (23)15 (21)
      Much1 (1)1 (1)
    Overall diagnostic  accuracy
      Good75 (100)73 (100)
      Intermediate00
      Poor00
    Variant of uptake
      Benign25 (33)32 (44)
      Malignant50 (67)41 (56)
    • Data are number of patients followed by percentage in parentheses.

    • View popup
    TABLE 5

    Use and Satisfaction with Web-Based Information

    QuestionData
    How easy did you think it was to navigate in the web portal and use its features?
     Very easy16 (33)
     Pretty easy29 (59)
     Quite difficult4 (8)
     Very difficult1 (2)
    Was content presented so that it was easy to understand?
     Not at all0
     To small extent0
     To some extent8 (16)
     To high extent35 (71)
     To very high extent6 (12)
    Did you experience technical problems with web portal?
     Not at all20 (41)
     A little12 (25)
     A part7 (14)
     Pretty much7 (14)
     Very much3 (6)
    What did you think about the timing of when you got access to web-based information?
     Too early; it should have been presented closer to examination0
     It was at right time43 (88)
     Too late; I had wanted access to web-based information earlier6 (12)
    How much use did you have for the slide show?
     No use at all1 (2)
     Little use17 (35)
     Quite useful20 (41)
     Very useful10 (20)
    How much use did you have for the written text?
     No use at all3 (6)
     Little use15 (31)
     Quite useful23 (47)
     Very useful7 (14)
    How much use did you have for the frequently-asked-questions module?
     No use at all8 (16)
     Little use25 (51)
     Quite useful15 (31)
     Very useful0
    On the whole, how satisfied are you with the web-based information?
     Very satisfied15 (31)
     Mostly satisfied27 (55)
     Neither satisfied nor dissatisfied6 (12)
     Quite dissatisfied0
     Very dissatisfied0
    Would you recommend web-based information to someone who will undergo the same PET/CT examination as you?
     Yes, absolutely28 (57)
     Yes, I think so20 (41)
     No, I do not think so0
     No, absolutely not0
    • Total n = 49 (89% of those who used intervention). Data are number of patients followed by percentage in parentheses.

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Journal of Nuclear Medicine Technology: 47 (1)
Journal of Nuclear Medicine Technology
Vol. 47, Issue 1
March 1, 2019
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Randomized Controlled Trial Examining Effects of Web-Based Information on Patient Satisfaction and Image Quality in 18F-FDG PET/CT Examinations
Camilla Andersson, Carlos Trampal Pulido, Håkan Ahlström, Birgitta Johansson
Journal of Nuclear Medicine Technology Mar 2019, 47 (1) 39-46; DOI: 10.2967/jnmt.118.213116
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  • randomized controlled trial
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Randomized Controlled Trial Examining Effects of Web-Based Information on Patient Satisfaction and Image Quality in 18F-FDG PET/CT Examinations
Camilla Andersson, Carlos Trampal Pulido, Håkan Ahlström, Birgitta Johansson
Journal of Nuclear Medicine Technology Mar 2019, 47 (1) 39-46; DOI: 10.2967/jnmt.118.213116

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