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•Film significantly lowered the patient-reported symptoms of the skin two weeks following RT.•Almost all patients treated after mastectomy would prefer film on their entire chest wall.•A significantly lower severity of radiodermatitis with film vs standard care was present after mastectomy.•Almost all breast cancer patients would prefer film as a standard offer during radiotherapy.

•Observations from nursing practice have been used to generate predictive models for odynophagia.•Three multivariate logistic models were evaluated in repeat cross-validation.•Overall predictive performance was good.•Further validation of the models in clinical context is required.

Current Danish legislation empowers patients in securing their rights, but there are no present legislative developments in Denmark to support patient involvement. Policy initiatives within health care, however, show positive trends by, for example, including recommendations for shared decision making (SDM) in national clinical guidelines and the allocation of resources to fund projects in SDM. Within the last five years, three out of five regions have launched centers in patient involvement and SDM to focus on training, implementation of patient decision aids (PtDAs) and to foster the cultural change in SDM. A national dissemination of a template for easy building of PtDAs accessible via an online platform is one of the latest initiatives.