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Pediatric oncology survivorship: conveying risks and communicating information at the right time for the individual
Maria C McCarthy1, Monica Campo, Sarah E Drew
1Children's Cancer Centre, Royal Children's Hospital, Parkville, Victoria, Australia. maria.mccarthy@rch.org.au
Insights
Childhood cancer survivors often lack awareness of long-term health risks due to insufficient communication strategies. Tailored approaches are needed to empower young individuals in their healthcare journey.
Area of Science:
- Pediatric Oncology
- Health Communication
- Survivorship Care
Background:
- Childhood cancer survivorship presents unique challenges.
- Long-term health risks require effective communication strategies.
- Developmental needs of pediatric populations must be considered.
Purpose of the Study:
- To review research (2011-2013) on communication needs of childhood cancer survivors.
- To examine risk communication in the context of developmental stages.
- To identify gaps in understanding survivor information requirements.
Main Methods:
- Literature review of recent research (2011-2013).
- Analysis of studies focusing on risk communication and developmental needs.
- Synthesis of findings related to information preferences and communication strategies.
Main Results:
- Survivors exhibit low awareness of ongoing health risks.
- Clinical strategies for risk communication and patient empowerment are insufficient.
- Information needs of very young survivors are under-researched.
- Adolescents and young adults are vulnerable due to knowledge gaps and risk-taking behaviors.
- Internet technologies show promise for health risk communication.
Conclusions:
- Systematic, flexible communication approaches are crucial throughout survivorship.
- Age alone is an inadequate proxy for assessing communication capacity.
- Addressing complex information and communication needs is essential for optimal care.
Purpose Of Review:
To summarize and discuss recent research (2011-2013) examining the communication needs of childhood cancer survivors with respect to long-term health risks and considering the developmental needs of children, adolescents and young adults.
Recent Findings:
Survivors' levels of awareness of ongoing health risks are low, indicating that clinical strategies for communicating risks and empowering young people as active partners in their own healthcare are lacking. Research examining the information needs of very young survivors is sparse. Adolescent and young adults may be particularly vulnerable given their lack of health-risk knowledge combined with expected developmental risk-taking behaviors. Strategies to manage individual information preferences of survivors are required, along with strategies to manage the triadic (child, parent, health professional) nature of communications. Internet technologies offer an important mechanism for communication of health risks to survivors, families and primary healthcare providers.
Summary:
International efforts must continue to articulate systematic yet flexible approaches to communication with children, adolescents and young adults that can be applied across the cancer treatment continuum and into surveillance and long-term survivorship. Information and communication needs of this population are complex and reliance on age as a proxy for capacity to participate in healthcare communication is inadequate.
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