Comparative Effectiveness of Leaflet and Video Based Education on Postural Intervention for Reducing Headache and Anxiety Symptoms Among Patients with Brain Tumors in Surakarta

Diah Kurnia Mirawati, Fauzi Novia Isnaening Tyas, Teddy Tejomukti, Subandi Subandi, Rivan Danuaji, Pepi Budianto, Yetty Hambarsari, Baarid Luqman Hamidi, Hanindia Riani Prabaningtyas, Ervina Arta Jayanti Hutabarat, Ira Ristinawati, Raden Andi Ario Tedjo, Faris Khairuddin Syah, Iqbal Imanuddin, Anindita Candra Dewi, Fauzi Novia Isnaening Tyas, Novia Heriza

Abstract

Background: Headache and anxiety are common among patients with brain tumors, and accessible non-pharmacological education may complement routine symptom management.

Methods: This one-group pretest-posttest evaluation included 50 randomly selected postoperative patients with brain tumors in Surakarta. All participants received the same face-to-face postural education supported by both a leaflet and an instructional video; no separate treatment groups were formed. NRS and HARS scores were assessed at baseline and approximately one month later. Paired changes were tested using the Wilcoxon signed-rank test (p<0.05).

Results: The mean age was 47.1 years, and 25 participants (50%) were male. Baseline mean NRS and HARS scores were 3.02 and 20.3, respectively. At the one-month follow-up, both scores were significantly lower than baseline (both p<0.05). No comparison between leaflet and video education was performed because both media were components of the same intervention.

Conclusion: Combined leaflet- and video-supported postural education was associated with lower headache and anxiety scores at one month. The uncontrolled single-group design precludes causal attribution; controlled studies are required to establish effectiveness.

 

 

Keywords

anxiety; brain tumor; educational video; headache; health education; postural intervention; pre-post study

Full Text:

PDF

References

  1. Louis DN, Perry A, Wesseling P, Brat DJ, Cree IA, Figarella-Branger D, et al. The 2021 WHO classification of tumors of the central nervous system: a summary. Neuro Oncol. 2021;23(8):1231-1251.
  2. Ostrom QT, Price M, Neff C, Cioffi G, Waite KA, Kruchko C, et al. CBTRUS statistical report: primary brain and other central nervous system tumors diagnosed in the United States in 2016-2020. Neuro Oncol. 2023;25(Suppl 4):iv1-iv99.
  3. Schankin CJ, Ferrari U, Reinisch VM, Birnbaum T, Goldbrunner R, Straube A. Characteristics of brain tumour-associated headache. Cephalalgia. 2007;27(8):904-911.
  4. Ravn Munkvold BK, Sagberg LM, Jakola AS, Solheim O. Preoperative and postoperative headache in patients with intracranial tumors. World Neurosurg. 2018;115:e322-e330.
  5. Renovanz M, Gutenberg A, Haug M, et al. Postsurgical screening for psychosocial disorders in neurooncological patients. Acta Neurochir (Wien). 2013;155(12):2255-2261.
  6. Ledwith MB, Bloom S, Maloney-Wilensky E, Coyle B, Polomano RC, Le Roux PD. Effect of body position on cerebral oxygenation and physiologic parameters in patients with acute neurological conditions. J Neurosci Nurs. 2010;42(5):280-287.
  7. Syrjala KL, Abrams JR, Polissar NL, et al. Patient training in cancer pain management using integrated print and video materials: a multisite randomized controlled trial. Pain. 2008;135(1-2):175-186.
  8. Ye Z, Chen J, Zhang Y, et al. Video education reduces pain and anxiety levels in cancer patients who first use fentanyl transdermal patch: a randomized controlled trial. Drug Des Devel Ther. 2020;14:3477-3483.
  9. Nassar AA, Aboalshamat KT, Alsanei BS, Alghamdi AS, Fudah AA, Alhilou AM. The effect of educational animation compared to leaflets on patients' knowledge regarding root canal treatment: a randomized controlled trial. BMC Med Educ. 2024;24(1):808.

DOI: https://doi.org/10.20961/ssej.v6i1.122849

Refbacks

  • There are currently no refbacks.