Jeffrey S Karst1,2, Jennifer A Hoag1,2, Sherilynn F Chan1,2, Debra J Schmidt2, Lynnette J Anderson1,2, Nicole E Englebert3, Eva C Igler4, Kristin M Bingen1,2. 1. Medical College of Wisconsin, Department of Pediatrics, Section of Hematology, Oncology, and Blood and Marrow Transplant, Milwaukee, WI. 2. Children's Hospital of Wisconsin, MACC Fund Center for Cancer and Blood Disorders, Milwaukee, WI. 3. Children's Hospital and Clinics of Minnesota, Childrens Minnesota Psychological Services, Milwaukee, WI. 4. University of Wisconsin-Milwaukee, Department of Psychology, Milwaukee, WI.
Abstract
BACKGROUND/ OBJECTIVES: The transition off active treatment is a time of significant stress for pediatric cancer patients and families. Providing information and support at this time is among the new psychosocial standards of care in pediatric oncology. This study sought to explore patient and family needs and concerns at the end of their active cancer treatment. DESIGN/ METHODS: Forty-nine caregiver-child dyads completed semi-structured interviews and surveys 1-2 months before ending treatment, and again 3-7 months after treatment concluded. RESULTS: Patients and caregivers reported a moderate level of understanding of follow-up care needs, late effects, and perceived preparation. Altogether, child, adolescent, and young adult cancer patients and parents identified similar priorities for information needed during the transition off active treatment. The most essential pieces of information desired by patients and families across time points included reviews of late effects, schedules for follow-up care, health and physical restrictions, communication with the patient's primary care provider, and provision of a treatment summary. At Time 2, patients and families reported a greater retrospective desire for emotional health resources. Most patients and caregivers wanted information from a variety of sources, but the desired timing to receive this information varied and was dependent on disease group. CONCLUSIONS: There are many essential components to end-of-treatment care that are not consistently provided to pediatric cancer patients and families. Formalized programs offering education and support should be provided by multidisciplinary teams prior to the end of active treatment.
BACKGROUND/ OBJECTIVES: The transition off active treatment is a time of significant stress for pediatric cancerpatients and families. Providing information and support at this time is among the new psychosocial standards of care in pediatric oncology. This study sought to explore patient and family needs and concerns at the end of their active cancer treatment. DESIGN/ METHODS: Forty-nine caregiver-child dyads completed semi-structured interviews and surveys 1-2 months before ending treatment, and again 3-7 months after treatment concluded. RESULTS:Patients and caregivers reported a moderate level of understanding of follow-up care needs, late effects, and perceived preparation. Altogether, child, adolescent, and young adult cancerpatients and parents identified similar priorities for information needed during the transition off active treatment. The most essential pieces of information desired by patients and families across time points included reviews of late effects, schedules for follow-up care, health and physical restrictions, communication with the patient's primary care provider, and provision of a treatment summary. At Time 2, patients and families reported a greater retrospective desire for emotional health resources. Most patients and caregivers wanted information from a variety of sources, but the desired timing to receive this information varied and was dependent on disease group. CONCLUSIONS: There are many essential components to end-of-treatment care that are not consistently provided to pediatric cancerpatients and families. Formalized programs offering education and support should be provided by multidisciplinary teams prior to the end of active treatment.
Authors: Marquita W Lewis-Thames; Leslie R Carnahan; Aimee S James; Karriem S Watson; Yamilé Molina Journal: J Rural Health Date: 2020-01-11 Impact factor: 4.333