S2649
RTT - Patient experience and quality of life
ESTRO 2026
positioning for the planning of accelerated partial breast radiotherapy for the integrated magnetic resonance linear accelerator: OPRAH MRL. Radiat Oncol. 2024;19(1):123.2. Barnes H, Alexander S, Bower L, Ehlers J, Gani C, Herbert T, et al. Development and results of a patient-reported treatment experience questionnaire on a 1.5 T MR-Linac. Clin Transl Radiat Oncol. 2021;30:31–7. Keywords: Patient Experience, Breast Cancer, MRgRT Proffered Paper 420 Supporting the AYA Journey Beyond Radiotherapy: A Multidisciplinary View on Information, Empowerment, and Survivorship in Hodgkin Lymphoma Care Maeve Kearney 1,2 , Sara Faithfull 1,3 , Michelle Leech 1,2 1 Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College Dublin, Dublin, Ireland. 2 Trinity St James’s Cancer Institute, St James's Hospital, Dublin, Ireland. 3 School of Cancer & Pharmaceutical Sciences, King's College London, London, United Kingdom Purpose/Objective: Hodgkin’s Lymphoma (HL) is one of the most common cancers diagnosed in Adolescents and Young Adults (AYAs) in Ireland, accounting for 20% of annual cases. As 5-year overall survival rates are high (95%), AYAs will transition into survivorship. However, AYA care in Ireland remains in a developmental phase, characterised by fragmented pathways and inconsistency in access to services such as physiotherapy and occupational therapy. Structured long-term follow-up is also limited, making self- management a critical component of survivorship to mitigate late effects of treatment.This study aimed to explore multidisciplinary perspectives on information provision and empowerment of self-management for AYAs with HL, focusing on when and how information is delivered across the care continuum. Material/Methods: A descriptive qualitative design was adopted. Purposive sampling recruited healthcare professionals involved in the multidisciplinary management of AYAs with HL. Semi-structured interviews were conducted, transcribed, and analysed using thematic analysis to identify key themes related to information support and self-management. Results:
Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
Purpose/Objective: To explore the experience and positional preference (supine or prone) of patients attending for MRI simulation for accelerated partial breast irradiation (APBI) to be delivered on the MR Linac. Material/Methods: As part of the optimising patient positioning for the planning of accelerated partial breast radiotherapy for the integrated magnetic resonance linear accelerator (OPRAH MRL) study(1), patients attending for MRI simulation for APBI were invited to complete a short, anonymous survey about their experience associated with this simulation appointment. The survey was provided on an electronic device immediately after the simulation session, upon completion of both a supine and prone positioned MR imaging series. The survey was based on the work of Barnes et al for MR Linac treatment(2) and adjusted for MRI simulation and to include supine and prone positioning. 20 questions were provided with a four-point Likert scale and two free text questions to capture the patient experience. Results: Thirty patients provided written informed consent to participate in this ethically approved exploratory cohort study (ANZCTN: 1262400067583). Twenty-eight of the surveys were completed in full, with responses missing for one question in two surveys. Information and communication needs were well met with all responses reflecting satisfaction for the relevant questions. In terms of environmental factors, 23% of respondents felt mild to moderate tingling, 17% felt slightly to moderately hot, and 33% felt cold during the session. 93% of participants found that listening to music during the scans was helpful. All patients reported feeling calm to some extent. Responses to the positional questions showed more variation across the cohort. In 90% of responses across five questions, participants found the supine position comfortable, stable, and easy to get into. Responses for prone positioning suggested it was less comfortable (due to rib positioning/pressure) for 40% of patients, however 93% of patients found it easy to breathe, stay still in and tolerate for the required scan time. Conclusion: Survey results indicate that overall, the patient experience of MRI simulation for APBI is a positive experience. Information needs were met, and no concerns were raised about MRI environmental factors. When asked directly, supine was the preferred position. Opportunities to improve based on survey feedback will be considered in future work. References: 1. Dean J, Anderson N, Halkett GKB, Lye J, Tacey M, Foroudi F, et al. Study protocol: Optimising patient
Fifteen professionals participated: radiation oncologists (n=4), medical oncologists (n=2),
haematologists (n=2), clinical nurse specialists (n=3), occupational therapists (n=2), and physiotherapists (n=2)(Table 1)Five interrelated themes were identified: Context of AYA HL Care, Information Provision &
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