[Screening to Assess Psychosocial Follow-up Needs in Pediatric Oncology (NPO-11) for Self- and Parent-Report].

Autor: Kulisch LK; Psychosoziale Forschung, Elternhilfe für krebskranke Kinder Leipzig e.V., Leipzig, Germany., Herrmann J; Psychosoziale Forschung, Elternhilfe für krebskranke Kinder Leipzig e.V., Leipzig, Germany., Herzog K; Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany., Graf Einsiedel H; Selbstständige Abteilung für Pädiatrische Onkologie, Hämatologie und Hämostaseologie, Universitätsklinikum Leipzig, Leipzig, Germany., Kamm-Thonwart R; Psychosoziale Forschung, Sonnenstrahl e.V. Dresden - Förderkreis für krebskranke Kinder und Jugendliche, Dresden, Germany., Hoffmann R; Selbstständige Abteilung für Pädiatrische Onkologie, Hämatologie und Hämostaseologie, Universitätsklinikum Leipzig, Leipzig, Germany., Jäschke Y; Beratungsstelle Ambulante Psychosoziale Nachsorge, Elternhilfe für krebskranke Kinder Leipzig e.V., Leipzig, Germany., Martini J; Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany., Schepper F; Selbstständige Abteilung für Pädiatrische Onkologie, Hämatologie und Hämostaseologie, Universitätsklinikum Leipzig, Leipzig, Germany.
Jazyk: němčina
Zdroj: Klinische Padiatrie [Klin Padiatr] 2023 May; Vol. 235 (3), pp. 178-184. Date of Electronic Publication: 2023 May 12.
DOI: 10.1055/a-2070-7720
Abstrakt: Background: Children diagnosed with cancer are at increased risk for the development of psychosocial problems. Currently, no qualitative and quantitative tests are available to measure their need for psychosocial follow-up care. The NPO-11 screening was developed to tackle this issue.
Patients and Methods: 11 dichotomous items were generated to measure self- and parent-reported fear of progression, sadness, avolition, self-esteem problems, school and vocational problems, somatic complaints, emotional withdrawal, social disintegration, pseudo-maturity, parent-child conflicts, and parental conflicts. Data from N=101 parent-child dyads were obtained to validate the NPO-11.
Results: Self- and parent-reported items showed few missing values and response frequencies without floor or ceiling effects. Inter-rater reliability was fair to moderate. Factor analysis confirmed a single-factor model and therefore an overall NPO-11 sum score. Self- and parent-reported sum scores had sufficient to good reliability and large correlations with health-related quality of life.
Conclusion: The NPO-11 is a screening for psychosocial needs in pediatric follow-up care with good psychometric properties. It may help to plan diagnostics and interventions for patients transitioning from in-patient to out-patient treatment.
Competing Interests: Disclosure The authors report no conflicts of interest in this work.
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Databáze: MEDLINE