# Knowledge, attitude, and practice of cancer patients regarding radiotherapy and radiation protection

## TL;DR

This study explores cancer patients' knowledge, attitudes, and practices regarding radiotherapy and radiation protection, finding gaps in knowledge but proactive behaviors.

## Contribution

The study provides new insights into the KAP of cancer patients in China regarding radiotherapy and radiation protection.

## Key findings

- Patients showed inadequate knowledge but proactive practices regarding radiotherapy.
- Positive correlations were found between knowledge, attitude, and practice scores.
- Patient education is emphasized as crucial for improving radiotherapy approaches.

## Abstract

This study aimed to investigate the knowledge, attitude, and practice (KAP) of cancer patients regarding radiotherapy and radiation protection.

A cross-sectional study was conducted between December 2023 and January 2024, at Peking University International Hospital, and included cancer patients through convenience sampling. Demographic characteristics and KAP scores were collected through distributed questionnaires.

A total of 497 valid questionnaires were collected, with 252 (50.70%) completed by females. Of the respondents, 463 (93.16%) demonstrated awareness of the irradiation site for their treatment. Mean knowledge, attitude, and practice scores were 14.84 ± 4.99 (possible range: 0 - 28), 26.94 ± 3.63 (possible range: 8 - 40), and 25.24 ± 4.26 (possible range: 6 - 30), respectively. Correlation analyses revealed significant positive correlations between knowledge and attitude (r = 0.141, P = 0.002), as well as practice (r = 0.300, P < 0.001). Similarly, there was a correlation between attitude and practice (r = 0.279, P < 0.001). The path analysis revealed that knowledge was significantly associated with attitude (β = 0.142, P < 0.001) and practice (β = 0.202, P < 0.001). Similarly, attitude was associated with practice (β = 0.310, P < 0.001).

Cancer patients exhibited inadequate knowledge, moderate attitudes and proactive practices towards radiotherapy and radiation protection. The positive correlations between knowledge and various factors, such as radiotherapy awareness, ionizing radiation understanding, and patient comprehensive scores, underscore the integral role of patient education in enhancing their approach to radiotherapy and radiation protection.