Examination of an Interactive-Educational Intervention in Improving Parent and Child Distress Outcomes Associated With Pediatric Radiation Therapy Procedures

Klosky, James L.; Garces-Webb, Danette M.; Buscemi, Joanna; Schum, Lisa; Tyc, Vida L.; Merchant, Thomas E.

doi:10.1080/02739610701601312

Cited by 15 publications

(18 citation statements)

References 15 publications

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“…[112] Several RCTs, quantitative studies, and review articles showed benefits of combined cognitive-behavioral interventions, including reduced child pain and/or distress and reduced parental anxiety. [66,83,87,90,91,[113][114][115] Other studies reported no benefits for pain and distress, [116][117][118] but did find increased coping, lower physiological reactivity, and subjective perceptions of the intervention as helpful. [119][120][121][122][123] Increased practice of intervention strategies at home prior to the procedure appears associated with more benefit.…”

Section: Resultsmentioning

confidence: 99%

Procedural Preparation and Support as a Standard of Care in Pediatric Oncology

Flowers

Birnie

2015

Pediatric Blood & Cancer

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Youth with cancer undergo many repeated and invasive medical procedures that are often painful and highly distressing. A systematic review of published research since 1995 identified 65 papers (11 review articles and 54 empirical studies) that investigated preparatory information and psychological interventions for a variety of medical procedures in pediatric cancer. Distraction, combined cognitive-behavioral strategies, and hypnosis were identified as effective for reducing child pain and increasing child coping. Lowto high-quality evidence informed strong recommendations for all youth with cancer to receive developmentally appropriate preparatory information and psychological intervention for invasive medical procedures. Pediatr Blood Cancer 2015;62:S694-S723. C 2015 Wiley Periodicals, Inc.

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Section: Resultsmentioning

confidence: 99%

Procedural Preparation and Support as a Standard of Care in Pediatric Oncology

Flowers

Birnie

2015

Pediatric Blood & Cancer

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“…Figure S1 presents a PRISMA flow diagram summarizing the complete screening and selection process of the studies. Forty articles met the selection criteria, 22 being RCTs and 18 being uncontrolled trials , . The 40 articles produced a total of 40 treatment groups and 21 control groups.…”

Section: Resultsmentioning

confidence: 99%

“…The most common interventions for parents have been based on the cognitive behavioral model, such as problem‐solving skills training; coping skills training; cognitive restructuring or positive self‐instruction; positive reinforcement or behavioral trials; relaxation training, and training in communication skills, assertiveness, or guided communication . As for siblings, problem‐solving skills training, cognitive restructuring, and coping skills training have been used .…”

Section: Introductionmentioning

confidence: 99%

Psychological treatment for family members of children with cancer: A systematic review and meta‐analysis

et al. 2019

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Objective: This meta-analytical study examined the effects of psychological treatments applied to family members of children and adolescents with cancer, as well as the characteristics of the studies that can be associated with their effects. the references of the located studies were reviewed, and emails were sent to experts in this topic. Forty articles fulfilled the selection criteria. The standardized mean pretest-posttest (or pretest-follow-up) change was used as the effect-size index for the treatment and control groups. Results: The 40 articles included 40 treatment groups and 21 control groups. When treatment and control pretest-posttest mean effects were compared, psychological interventions revealed positive, statistically significant results for anxiety (d adj = 0.339) and problem-solving skills (d adj = 0.385) and, to a lesser extent, for posttraumatic stress (d adj = 0.224). No statistically significant differences were found for mood (d adj = 0.147), acute stress (d adj = −0.010), coping skills (d adj = 0.123), social support (d adj = 0.245), or quality of life (d adj = 0.538).Conclusions: Positive effects of mild to moderate magnitude were found in the posttests for some outcome measures. Behavioral interventions seem to be the most promising. Interventions achieved the best results when they were long in duration and low in intensity and when they were applied to family members with young children who were undergoing medical treatment. At follow-up, the intervention benefits were diminished. The application of psychological interventions is recommended to mitigate the negative psychological repercussions in this population.

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“…Research has demonstrated that parents play an active role in influencing their child's response during medical procedures and serve as the primary interventionist during potentially stressful medical interventions . Distraction techniques therefore are crucial to consider for patients and parents alike . Development of tools to promote adaptive coping for pediatric cancer patients are needed to reduce stress and promote health‐related quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 Distraction techniques therefore are crucial to consider for patients and parents alike. 6 Development of tools to promote adaptive coping for pediatric cancer patients are needed to reduce stress and promote health-related quality of life.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of an animatronic duck intervention for promoting adaptation to the in‐patient setting among pediatric patients receiving treatment for cancer

Miller

Klosky

Zamora

et al. 2019

Pediatric Blood & Cancer

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Background During cancer treatment, children undergo potentially stressful hospitalizations and procedures. Animatronic devices are a promising means of distraction intervention. This study aimed to assess acceptability and feasibility of the My Special Aflac Duck® (MSAD) intervention among pediatric oncology patients and parents. We hypothesized that MSAD would be feasible to implement, have greater than 50% acceptance, and be useful distraction. Procedures This feasibility study enrolled oncology patients aged 3‐11 years admitted to Children's Healthcare of Atlanta between May and August 2018. Patients were exposed to MSAD for 3 days and completed quantitative and qualitative assessments of acceptability. Patient and hospital data were abstracted. Results Seventeen (80.9%) of 21 eligible patients enrolled; 64.7% were <7 years, 47% were female, 52.9% had leukemia, 41.2% had solid tumors, and 5.9% had brain tumors. Patients had 1‐12 previous admissions (mean 4.8, SD 3.1) and approximately 65% were planned hospitalizations. Approximately 69% reported MSAD helped reduce in‐patient distress and 93.7% were satisfied with MSAD overall. Child satisfaction was high. There were no significant differences in acceptability or satisfaction with MSAD based on age, gender, number of inpatient procedures or previous hospitalizations, or hospitalization reason. Qualitative interviews revealed patients liked expressing feelings with tokens and thought MSAD was a fun distraction. Conclusions MSAD implementation was feasible, and its acceptability was high among both patients and parents. MSAD shows potential as good distraction and an alternative means of communicating feelings. Future research should expand upon the effectiveness of MSAD on reducing distress.

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Examination of an Interactive-Educational Intervention in Improving Parent and Child Distress Outcomes Associated With Pediatric Radiation Therapy Procedures

Cited by 15 publications

References 15 publications

Procedural Preparation and Support as a Standard of Care in Pediatric Oncology

Procedural Preparation and Support as a Standard of Care in Pediatric Oncology

Psychological treatment for family members of children with cancer: A systematic review and meta‐analysis

Feasibility and acceptability of an animatronic duck intervention for promoting adaptation to the in‐patient setting among pediatric patients receiving treatment for cancer

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