Age-appropriate preparations for children with cancer undergoing radiotherapy: A feasibility study

Gårdling, Jenny; Törnqvist, Erna; Månsson, Marie Edwinson; Hallström, Inger

doi:10.1177/1367493517727070

Cited by 10 publications

(9 citation statements)

References 31 publications

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“…Other studies have demonstrated the utility of playful 12,13,15,16 or narrative 12 tools to give children a better idea of what the treatments entail, and some have highlighted the importance of video‐based cognitive‐behavioral interventions 1,14,16 . In short, research suggests that a personalized approach is needed, recognizing the needs of each child, 2 but it is equally important to involve a multidisciplinary team 8,15 …”

Section: Discussionmentioning

confidence: 99%

“…Younger children especially may have difficulty coping with these procedures, and their compliance can be hindered by anxiety and agitation. Their reaction can be associated with several different causes, including the unfamiliar nature of the procedure and the surrounding environment (the lighting and the sounds produced by the equipment), being isolated in the therapy bunker without a parent for at least 15 min, having to wear a thermoplastic head immobilization mask in the case of brain tumors, and sometimes prior experience of frightening medical maneuvers 1,2 . Compliance problems may affect not only younger children under 3 years old, but older patients too, especially if they have cognitive impairments, or become agitated due to a lack of containment, or very distressed when away from their parents.…”

Section: Introductionmentioning

confidence: 99%

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Age‐appropriate multidisciplinary approach to young children with cancer undergoing radiotherapy: The SIESTA procedure

Clerici

Ferrari

Pecori

et al. 2020

Pediatric Blood & Cancer

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A standardized multidisciplinary step-by-step approach to improve the compliance of young (or difficult) children having to undergo radiotherapy was described and applied. The procedure is called SIESTA, which stands for show-imaginationevaluation-support-treatment-anesthesia. Preliminary assessments suggest that the SIESTA approach was effective: the rate of young patients (≤6 years) requiring anesthesia decreased from 27% (14/52 cases) in 2011-2012 (before the procedure was adopted) to 13% (6/46) in 2018.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Age‐appropriate multidisciplinary approach to young children with cancer undergoing radiotherapy: The SIESTA procedure

Clerici

Ferrari

Pecori

et al. 2020

Pediatric Blood & Cancer

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show abstract

“…In addition, the total score of F ("psychological interview" and the items in group E, the CEMS scale, had a strong impact on our schedule. The CEMS has been validated (26) and is already used in the field of pediatric radiotherapy (27). Recording patients' distress on entering the bunker for the first time helps the clinician and psychologist to immediately ascertain the complexity of the individual patient.…”

Section: Discussionmentioning

confidence: 99%

The Multidimensional Assessment for Pediatric Patients in Radiotherapy (M.A.P.-RT) Tool for Customized Treatment Preparation: RADAR Project

et al. 2021

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Aims: Pediatric patients may experience considerable distress during radiotherapy. Combining psychological interventions with standard therapies can reduce the need for sedation. The RADAR Project aims to use a systematic method of recording data that can reveal patients' difficulties and fragility during treatment.In this context, the aim of our study was to investigate the ability of a multidimensional assessment tool (M.A.P.-RT schedule) to predict the need for sedation during radiotherapy. The schedule, which is administered during the first evaluation, was created to collect information on patients and their families in a standardized way.Materials and Methods: The study enrolled pediatric patients (aged 0–18 years or 18–21 with cognitive impairment). Data were collected by means of the M.A.P.-RT module; this explores various thematic areas, and is completed by the radiation oncologist, psychologist and nurse during their first evaluation. Features were selected by means of the Boruta method (random forest classifier), and the totals of the significant partial scores on each subsection of the module were inserted into a logistic model in order to test for their correlation with the use of anesthesia and with the frequency of psychological support. The results of logistic regression (LR) were used to identify the best predictors. The AUC was used to identify the best threshold for the scores in the evaluation.Results: A total of 99 patients were considered for this analysis. The feature that best predicted both the need for anesthesia and the frequency of psychological support was the total score (TS), the AUC of the ROC being 0.9875 for anesthesia and 0.8866 for psychological support.Conclusion: During the first evaluation, the M.A.P.-RT form can predict the need for anesthesia in pediatric patients, and is a potential tool for personalizing therapeutic and management procedures.

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“…Some children need daily anesthesia to cope with the procedure, lasting for several weeks and accompanied by fasting periods; this is suboptimal for a growing body [ 6 ]. It has been suggested that with the right preparation children may have a greater chance of coping with the RT procedure, allowing them to receive the treatment without sedation [ 7 - 9 ].…”

Section: Introductionmentioning

confidence: 99%

Co-creation of a Serious Game About Radiotherapy: Participatory Action Research Study With Children Treated for Cancer

Cederved¹,

Back²,

Ångström-Brännström³

et al. 2022

JMIR Hum Factors

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Background Children with cancer who have to undergo radiotherapy can experience fear, because they have no prior knowledge of the treatment. One way of teaching children about the treatment and reducing their fear is to prepare them for it through serious games. Involvement of the end user in the design process within medicine is a way of ensuring that the product being developed will fit the intended user. Objective The aim was to outline the contributions made by children and their parents through participatory action research when designing a serious game about radiotherapy. Methods By means of participatory action research, children and their parents participated in the development of a serious game about radiotherapy. Nine children (7-10 years old) were included, each with an accompanying parent. A qualitative approach was used that included interviews and participant observation. Six rounds of iterative development process were used with the children and their parents. Meetings with the children were held either face-to-face or online. Each round resulted in a list of suggestions for changes to the game. A thematic analysis was performed based on the list of proposed changes, underpinned by all gathered data, to highlight how the children’s participation changed the game. Results Two main themes were identified. The first theme was “The children’s participation was affected by their health and treatment” and included the following subthemes: “an opportunity to share emotions and perceptions of radiotherapy” and “the possibility to participate was affected by the severity of the disease.” The second theme was “participation allowed becoming an active part of game development” and included the following subthemes: “the opportunity to express sentiments about the game,” “the emergence of a playable game through the children’s contributions,” and “the necessity of understanding the text.” Conclusions The method used in this study made the children active participants, and our results suggest that this method can be used by health care researchers to cocreate serious games with children. It is necessary to inform the children involved that the process takes time, and that the process can be altered to allow as much participation as possible without placing a burden on them. The children’s illness affected their possibility to take part; thus, it is crucial to accommodate the children’s needs when conducting similar studies. The parents’ participation facilitated the meetings for their children, even though their involvement in the game design was negligible.

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Age-appropriate preparations for children with cancer undergoing radiotherapy: A feasibility study

Cited by 10 publications

References 31 publications

Age‐appropriate multidisciplinary approach to young children with cancer undergoing radiotherapy: The SIESTA procedure

Age‐appropriate multidisciplinary approach to young children with cancer undergoing radiotherapy: The SIESTA procedure

The Multidimensional Assessment for Pediatric Patients in Radiotherapy (M.A.P.-RT) Tool for Customized Treatment Preparation: RADAR Project

Co-creation of a Serious Game About Radiotherapy: Participatory Action Research Study With Children Treated for Cancer

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