Improving the Pediatric Patient Experience During Radiation Therapy-A Children’s Oncology Group Study
| Autor: | Sarah A. Milgrom, Matthew Hall, Susan M. Hiniker, Benjamin T. Cooper, J.C. Shiao, Alyssa Wojcik, Paige L. Dorn, Iain MacEwan, Joshua D. Palmer, Derek S. Tsang, Stephanie Surgener, Luke Pater, Nicole Boik, John T. Lucas, Samir Patel, John A. Kalapurakal, Adam C. Olson, Jennifer Vogel, Natalie Logie, Cheng-Chia Wu, John C. Breneman, Douglas E. Holt |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Oncology Health Knowledge Attitudes Practice Cancer Research medicine.medical_specialty medicine.medical_treatment Psychological intervention MEDLINE Article 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Neoplasms Internal medicine Humans Medicine Radiology Nuclear Medicine and imaging Child Radiation Radiotherapy business.industry Pediatric cancer Test (assessment) Radiation therapy Distress Pediatric patient Caregivers Patient Satisfaction Child Preschool 030220 oncology & carcinogenesis Anxiety Female medicine.symptom business |
| Zdroj: | Int J Radiat Oncol Biol Phys |
| ISSN: | 0360-3016 |
| DOI: | 10.1016/j.ijrobp.2020.09.002 |
| Popis: | PURPOSE/OBJECTIVES: Treatment with radiation therapy (RT) can cause anxiety and distress for pediatric patients and their families. Radiation oncology teams have developed strategies to reduce the negative psychological impact. This survey study aimed to characterize these methods. MATERIALS/METHODS: A 37-item questionnaire was sent to all radiation oncology members of the Children’s Oncology Group to explore strategies to improve the pediatric patient experience. The Wilcoxon rank-sum test was used to assess factors associated with use of anesthesia for older children. RESULTS: Surveys were completed by 106 individuals from 84/210 institutions (40%). Respondents included 89 radiation oncologists and 17 supportive staff. Sixty-one percent of centers treated ≤50 children per year. Respondents described heterogenous interventions. The median age at which most children no longer required anesthesia was 6-years-old (range: ≤3-years-old to ≥ 8-years-old). Routine anesthesia use at an older age was associated with physicians’ lack of awareness of these strategies (p=.04) and 45 minutes in the radiation oncology department daily. Twenty-six percent of respondents planned to implement new strategies, with 65% focusing on video-based distraction therapy and/or augmented reality/virtual reality. CONCLUSIONS: Many strategies are used to improve children’s experience during RT. Lack of awareness of these interventions is a barrier to their implementation and is associated with increased anesthesia use. This study aims to disseminate these methods with the goal of raising awareness, facilitating implementation, and, ultimately, improving the experience of pediatric cancer patients and their caregivers. |
| Databáze: | OpenAIRE |
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