Survey of radiation therapists’ current practices and perceptions of psychosocial and supportive care in Canada and Norway

Purpose
Many cancer patients undergoing radiation therapy report unmet psychosocial needs, which can negatively impact their treatment outcomes and quality of life. This study explored the current practices and perceptions of radiation therapists (RTs) practicing in Canada and Norway with respect to addressing the psychosocial and supportive care (PSSC) needs of their patients.

Methods
A cross-sectional study was conducted using an online evidence-informed survey of RTs in Canada and Norway that focused on (1) demographics, (2) RTs’ confdence level and perceptions related to PSSC, and (3) RTs’ current practices related to PSSC. Descriptive statistics, chi-square tests, and Mann–Whitney U tests were used to summarize the sample and compare diferences between countries.

Results
A total of 210 RTs completed the survey (Canada, n=79; Norway, n=131). RTs in both countries identifed PSSC as an important aspect of quality care. Canadian RTs expressed a greater desire to expand their scope of practice in PSSC (p=0.001). Norwegian RTs reported spending more time providing PSSC (mean: 8.3 h vs. 3.8 h; p<0.001) and were satisfed with their current capacity. Barriers common to both countries included a lack of training and time constraints. Canadian RTs additionally reported limited institutional support.

Conclusion
Significant diferences exist in the current practices and perceptions of RTs in Canada and Norway regarding PSSC delivery. However, Canadian and Norwegian RTs agree that engaging in PSSC ensures the best care for patients undergoing radiation therapy. With enhanced training, knowledge translation of resources, and institutional support, RTs can better address the PSSC needs of their patients.