Pediatric oncology clinician communication about sexual health with adolescents and young adults: A report from the children’s oncology group

Frederick, Natasha N.; Bingen, Kristin; Bober, Sharon L.; Cherven, Brooke; Xu, Xinxin; Quinn, Gwendolyn P.; Ji, Lingyun; Freyer, David R.

doi:10.1002/cam4.4077

Cited by 12 publications

(13 citation statements)

References 47 publications

(115 reference statements)

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“…The SHTF conducted a scoping review of sexual health among AYA cancer survivors that highlighted the post‐treatment burden of sexual dysfunction and negative impact of cancer on romantic relationships and body image 19 . The SHTF also conducted a COG‐wide survey of pediatric oncologists and advanced practice providers that suggested a need for provider education on AYA sexual health assessment, management, and communication 20 . Following the approach of the AYA PRO Task Force, the SHTF created a sexual health PRO battery with potential sexual health study endpoints for future inclusion in COG and cross‐network trials.…”

Section: Key Achievementsmentioning

confidence: 99%

Children's Oncology Group's 2023 blueprint for research: Behavioral science

Embry

Bingen

Conklin

et al. 2023

Pediatric Blood & Cancer

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As survival rates for childhood cancer have improved, there has been increasing focus on identifying and addressing adverse impacts of cancer and its treatment on children and their families during treatment and into survivorship. The Behavioral Science Committee (BSC) of the Children's Oncology Group (COG), comprised of psychologists, neuropsychologists, social workers, nurses, physicians, and clinical research associates, aims to improve the lives of children with cancer and their families through research and dissemination of empirically supported knowledge. Key achievements of the BSC include enhanced interprofessional collaboration through integration of liaisons into other key committees within COG, successful measurement of critical neurocognitive outcomes through standardized neurocognitive assessment strategies, contributions to evidence‐based guidelines, and optimization of patient‐reported outcome measurement. The collection of neurocognitive and behavioral data continues to be an essential function of the BSC, in the context of therapeutic trials that are modifying treatments to maximize event‐free survival, minimize adverse outcomes, and optimize quality of life. In addition, through hypothesis‐driven research and multidisciplinary collaborations, the BSC will also begin to prioritize initiatives to expand the systematic collection of predictive factors (e.g., social determinants of health) and psychosocial outcomes, with overarching goals of addressing health inequities in cancer care and outcomes, and promoting evidence‐based interventions to improve outcomes for all children, adolescents, and young adults with cancer.

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Section: Key Achievementsmentioning

confidence: 99%

Children's Oncology Group's 2023 blueprint for research: Behavioral science

Embry

Bingen

Conklin

et al. 2023

Pediatric Blood & Cancer

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“…Given these distinctive needs, this demographic is not well served by traditional pediatric or adult models of care, leading to increases in AYA program development in many jurisdictions 10,14,15 . The current training of oncologists does not focus on the distinctive needs of this demographic leading to a gap in care delivery, program development and advocacy 10,11,15–18 .…”

Section: Introductionmentioning

confidence: 99%

“…13 Given these distinctive needs, this demographic is not well served by traditional pediatric or adult models of care, leading to increases in AYA program development in many jurisdictions. 10,14,15 The current training of oncologists does not focus on the distinctive needs of this demographic leading to a gap in care delivery, program development and advocacy. 10,11,[15][16][17][18] For example, cancer patients may attain better survival outcomes on pediatric-based protocols as opposed to adult-institution protocols, as is the case for acute lymphoblastic leukemia.…”

Section: Introductionmentioning

confidence: 99%

“… 10 , 14 , 15 The current training of oncologists does not focus on the distinctive needs of this demographic leading to a gap in care delivery, program development and advocacy. 10 , 11 , 15 , 16 , 17 , 18 For example, cancer patients may attain better survival outcomes on pediatric‐based protocols as opposed to adult‐institution protocols, as is the case for acute lymphoblastic leukemia. 19 AYA patients with other cancers commonly seen in the pediatric population may also benefit from consultation with a pediatric oncologist.…”

Section: Introductionmentioning

confidence: 99%

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Adolescent and young adult (AYA) oncology: A credentialed area of focused competence in Canada

2022

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Background Adolescents and young adults (AYA, ages 15–39 years) affected by cancer have unique treatment, survivorship, and palliation concerns. Current oncology training does not focus on the distinctive needs of this demographic. Amid this recognition, the Canadian National AYA Cancer Task Force and Canadian Partnership Against Cancer have advocated the need for clinicians with formalized AYA experience. To address this need and standardize training, a national task force developed criteria for structured academic programs in AYA Oncology in Canada. Methods Workshops were organized to identify and establish the fundamentals of practice in AYA Oncology through consensus. These workshops followed the pre‐existing rigorous process established by the Royal College of Physicians and Surgeons of Canada (Royal College) for new program development. The process includes: (i) developing the tasks associated with the discipline's practice, (ii) identifying the evidence trainees must provide to demonstrate tasks can be performed independently (the competence portfolio), (iii) developing training requirements and summarizing the knowledge, skills and attitudes required to perform these tasks, and (iv) identifying specific experiences essential to acquiring skills and demonstrating competent performance. Results AYA Oncology is a recognized an Area of Focused Competence (AFC) by the Royal College. Conclusion The AFC designation in AYA Oncology provides a standardized curriculum, training experience and accreditation process to attract oncologists, promote expertise and advance AYA oncology care.

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“…Various studies have examined communication in pediatric oncology from the perspective of parents or health professionals [ 21 , 22 , 23 , 24 , 25 ], although few have gathered the views of children themselves [ 26 , 27 ], especially in relation to their experience of needle procedures. This is an important gap, since a better understanding of children’s communication preferences could help to ensure they receive the kind of support they need [ 28 ], which in turn could improve their psychological wellbeing [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

The Perceptions of Children and Adolescents with Cancer Regarding Nurses’ Communication Behaviors during Needle Procedures

Gómez-Gamboa

Rodrigo-Pedrosa

San-Millán

et al. 2022

IJERPH

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Communicating with children and adolescents with cancer during a needle procedure can prove challenging for healthcare professionals. Objective: Our aim was to explore the perceptions of children and adolescents with cancer regarding communication with nurses during needle procedures. Method: Thus was a qualitative phenomenological study. Data were gathered through seven in-depth interviews with a convenience sample of children and adolescents with cancer. Data were analyzed using a grounded theory approach to identify themes in the participants’ narratives. Results: The analysis revealed three themes describing participants’ experience: (1) nurses need to explain clearly what they are going to do while also allowing children to express their emotions without feeling coerced; (2) nurses need to be honest and approachable and relate to children as active participants in the treatment process; and (3) it is distressing to hear other children who are undergoing a needle procedure cry out in pain. Further application of the constant comparison method yielded a core theme: (4) the pressures faced by oncology nurses lead them to focus on the technical side of procedures at the expense of their young patients’ communication needs. Conclusion: We suggest that hospital managers need to ensure that oncology nurses have sufficient training in communication skills and are confident in their ability to respect and respond to the communication preferences and needs of patients.

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Pediatric oncology clinician communication about sexual health with adolescents and young adults: A report from the children’s oncology group

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 12 publications

References 47 publications

Children's Oncology Group's 2023 blueprint for research: Behavioral science

Children's Oncology Group's 2023 blueprint for research: Behavioral science

Adolescent and young adult (AYA) oncology: A credentialed area of focused competence in Canada

The Perceptions of Children and Adolescents with Cancer Regarding Nurses’ Communication Behaviors during Needle Procedures

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