Nature photographs as complementary care in chemotherapy: a randomized clinical trial

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dc.contributorMuseu Biológicopt_BR
dc.contributor.authorCatissi, Giuliapt_BR
dc.contributor.authorOliveira, Leticia Bernardes dept_BR
dc.contributor.authorVictor, Elivane da Silvapt_BR
dc.contributor.authorSavieto, Roberta Mariapt_BR
dc.contributor.authorBorba, Gustavo Benvenuttipt_BR
dc.contributor.authorHingst-Zaher, Erikapt_BR
dc.contributor.authorMoreira-Lima, Lucianopt_BR
dc.contributor.authorBomfim, Sabrina Bortolossipt_BR
dc.contributor.authorLeão, Eliseth Ribeiropt_BR
dc.identifier.citationCatissi G, Oliveira LB, Victor ES, Savieto RM, Borba GB, Hingst-Zaher E, et al. Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial. Int J Environ Res Pub Health. 2023 Aug; 20(16):6555. doi:10.3390/ijerph20166555.pt_BR
dc.description.abstractThe incidence of cancer cases is increasing worldwide, and chemotherapy is often necessary as part of the treatment for many of these cases. Nature-based interventions have been shown to offer potential benefits for human well-being. Objective: This study aims to investigate the outcome of nature images on clinical symptom management related to chemotherapy. Methods: A randomized clinical trial was conducted in an outpatient cancer unit of a private hospital in Brazil, with 173 participants over the age of 18 who were undergoing chemotherapy and had signed an informed consent form. The intervention consisted of the presentation of a 12-min video featuring nature images categorized under the themes of Tranquility, Beauty, Emotions Up, or Miscellany. Images were sourced from the e-Nature Positive Emotions Photography Database (e-NatPOEM), a publicly available collection of affectively rated images. Sociodemographic and clinical data, as well as the participants’ connection to nature, were investigated. The Positive Affect/Negative Affect Scale (PANAS) and the Edmonton Symptom Assessment System (ESAS) were applied pre- and post-intervention. Results: Data showed very strong evidence of a reduction in negative affect for the intervention group (p < 0.001) and moderate evidence for the control group (p = 0.034). There was also a significant reduction in the intervention group for pain (p < 0.001), tiredness (p = 0.002), sadness (p < 0.001), anxiety (p < 0.001), and appetite (p = 0.001). The Beauty video had the best performance, while the Tranquility video showed no significant improvement in any of the symptoms evaluated. These findings suggest that images of nature may be a valuable tool to help control clinical and psychological symptoms in cancer patients undergoing chemotherapy.pt_BR
dc.description.sponsorship(CNPq) Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.relation.ispartofInternational Journal of Environmental Research and Public Healthpt_BR
dc.rightsOpen accesspt_BR
dc.titleNature photographs as complementary care in chemotherapy: a randomized clinical trialpt_BR
dc.rights.licenseCC BYpt_BR
dc.contributor.externalFaculdade Israelita de Ciências da Saúde Albert Einsteinpt_BR
dc.contributor.externalHospital Israelita Albert Einsteinpt_BR
dc.contributor.external(UFPR) Universidade Federal do Paranápt_BR
dc.subject.keywordnature-based therapypt_BR
dc.subject.keywordcomplementary therapiespt_BR
dc.subject.keywordsigns and symptomspt_BR
dc.subject.keywordintegrative oncologypt_BR
dc.relation.ispartofabbreviatedInt J Environ Res Pub Healthpt_BR
dc.identifier.citationabntv. 20, n. 16, 6555, ago. 2023pt_BR
dc.identifier.citationvancouver2023 Aug; 20(16):6555pt_BR
dc.contributor.butantanMoreira-Lima, Luciano|:Pesquisador|:Centro de Desenvolvimento Cultural|:Museu Biológicopt_BR
dc.contributor.butantanHingst-Zaher, Erika|:Pesquisador|:Museu Biológicopt_BR
dc.sponsorship.butantan(CNPq) Conselho Nacional de Desenvolvimento Científico e Tecnológico¦¦423751/2016-6.pt_BR
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