Rehabilitation's Vital Role in Pediatric Cancer Care: A Mixed Methods Study

IF 2.3 3区医学 Q2 HEMATOLOGY Pediatric Blood & Cancer Pub Date : 2025-02-25 DOI:10.1002/pbc.31615

Allison J. L'Hotta, Hannah E. Rice, Amela Siječić, Allison A. King, Beth M. McManus, Amy Reando, Ashley J. Housten

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Abstract

Background

Rehabilitation (i.e., physical, occupational, speech therapy) aims to optimize function and quality of life (QOL) but is not consistently integrated into oncology care. This study aimed to develop a rehabilitation information sheet informed by the rehabilitation experiences of children diagnosed with cancer before age 19 and their parents/caregivers.

Procedure

This mixed methods, primarily qualitative study was conducted at two US children's hospitals. Eligible participants included childhood cancer survivors (CCS) aged 12–25 years who were referred to one or more rehabilitation therapies following diagnosis. Parents/Caregivers were eligible if their child was diagnosed with cancer before age 19 and referred to rehabilitation. Participants completed a semi-structured interview in English. Qualitative findings guided the development of a rehabilitation information sheet. CCS and caregiver participants and oncology and rehabilitation clinicians at the study sites provided feedback on the information sheet through an electronic survey.

Results

Thirteen CCS, 33 parents/caregivers, and 36 clinicians participated. Participants described how engaging in rehabilitation promoted normalcy following a new pediatric cancer diagnosis and supported self-confidence and mental health. Participants wanted information about rehabilitation soon after the child's diagnosis and emphasized that they prioritized rehabilitation during cancer care. Common barriers to rehabilitation included treatment side effects, insurance, and outpatient scheduling, whereas clear communication and working with consistent providers supported engagement. Almost all individuals (99%) reported the information sheet was easy to understand and the amount of information was just right (86%).

Conclusions

Rehabilitation is highly valued by CCS and parents/caregivers, necessitating its integration into pediatric cancer care.

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康复在儿童癌症治疗中的重要作用：一项混合方法研究。

背景：康复（即物理、职业、语言治疗）旨在优化功能和生活质量（QOL），但并不总是整合到肿瘤治疗中。本研究的目的是根据19岁前癌症患儿及其父母/照顾者的康复经验，制作一份康复信息表。程序：这项混合方法，主要是定性研究在美国两家儿童医院进行。符合条件的参与者包括12-25岁的儿童癌症幸存者（CCS），他们在诊断后接受一种或多种康复治疗。如果他们的孩子在19岁之前被诊断出患有癌症并被转介到康复中心，父母/照顾者就有资格。参与者用英语完成了一个半结构化的访谈。定性调查结果指导了康复资料单的编制。CCS和护理参与者以及研究地点的肿瘤学和康复临床医生通过电子调查对信息表提供反馈。结果：13名CCS， 33名家长/照顾者，36名临床医生参与。参与者描述了在一个新的儿童癌症诊断后，参与康复如何促进正常生活，并支持自信和心理健康。参与者希望了解孩子诊断后的康复信息，并强调他们在癌症治疗期间优先考虑康复。康复的常见障碍包括治疗副作用、保险和门诊安排，而明确的沟通和与一致的提供者合作支持参与。几乎所有的人（99%）都认为信息表易于理解，信息量恰到好处（86%）。结论：康复受到CCS和家长/照顾者的高度重视，有必要将其纳入儿童癌症护理中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Blood & Cancer 医学-小儿科

CiteScore

4.90

自引率

9.40%

发文量

546

审稿时长

1.5 months

期刊介绍： Pediatric Blood & Cancer publishes the highest quality manuscripts describing basic and clinical investigations of blood disorders and malignant diseases of childhood including diagnosis, treatment, epidemiology, etiology, biology, and molecular and clinical genetics of these diseases as they affect children, adolescents, and young adults. Pediatric Blood & Cancer will also include studies on such treatment options as hematopoietic stem cell transplantation, immunology, and gene therapy.