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Symptom occurrence and severity on the therapy-related symptom checklist for children among Hispanic pediatric
Phoebe D Williams1, Jane Robinson, Arthur R Williams
1Author Affiliations: School of Nursing, University of Kansas, Kansas City (Dr P. Williams and Ms Robinson); School of Nursing, Washburn University, Topeka, Kansas (Ms Robinson); and Department of Health Policy & Management, College of Public Health, University of South Florida, Tampa (Dr A. Williams).
Insights
The Therapy-Related Symptom Checklist for Children (TRSC-C) effectively monitors symptoms in Hispanic pediatric cancer patients. Its use is appropriate across various diagnoses and demographics in pediatric oncology treatment.
Area of Science:
- Pediatric Oncology
- Symptom Management
- Health Disparities
Background:
- The Therapy-Related Symptom Checklist for Children (TRSC-C) is a validated, user-friendly tool for monitoring cancer treatment symptoms in children.
- Previous research established the TRSC-C's psychometric properties and effectiveness using "kid-friendly" language.
- This study performs a secondary analysis focusing on a subsample of Hispanic pediatric oncology patients.
Purpose of the Study:
- To evaluate symptom occurrence and severity using the TRSC-C in Hispanic pediatric oncology outpatients.
- To examine the relationship between reported symptoms and patient demographics (gender, age).
- To compare symptom scores between patients with acute lymphoblastic leukemia (ALL) and other cancer diagnoses.
Main Methods:
- A cross-sectional analysis utilizing secondary data from 79 Hispanic pediatric oncology patients (ages 5-17).
- The Therapy-Related Symptom Checklist for Children (TRSC-C) was administered via patient/parent report.
- Descriptive statistics were employed to analyze symptom occurrence, severity, and group differences.
Main Results:
- Fifteen symptoms were reported by 40% or more of the participants.
- Eleven symptoms had a mean severity rating greater than "a little bit."
- No significant differences in symptom scores were found based on gender or age; scores were similar between ALL and other diagnoses.
Conclusions:
- Symptom occurrence and severity findings in this Hispanic subsample align with previous TRSC-C calibration studies and other ethnic groups.
- The TRSC-C is confirmed as an appropriate tool for assessing symptoms in Hispanic pediatric oncology patients.
- The checklist's utility extends to diverse pediatric oncology populations, supporting its use in clinical practice.
Background:
A calibrated easy-to-use symptom checklist for children who are under treatment for cancer had been developed and reported in Cancer Nursing. The 30-item Therapy-Related Symptom Checklist for Children (TRSC-C) has good measurement and psychometric properties and uses "kid-friendly" terms to monitor symptom occurrence and severity during oncology treatment. A secondary analysis is reported using participants who self-identified as Hispanic.
Objective:
The objective of this study was to examine among Hispanic pediatric oncology outpatients (a) occurrence and (b) severity of symptoms reported on the TRSC-C, (c) relationships of symptoms to gender and age (<12 vs ≥12), and (d) differences in summated TRSC-C symptom scores between patients with acute lymphoblastic leukemia (ALL) and other diagnoses.
Method:
This was a cross-sectional analysis using secondary data and descriptive statistics.
Sample:
The sample was composed of 79 children (55% male) aged 5 to 17 years (mean, 10.3 years) with diagnosis of ALL (52%) or other (48%). Instrument used was TRSC-C by patient/parent report (Cronbach's α = .91).
Results:
(a) Symptom occurrence: 15 symptoms on the TRSC-C were reported by 40% or greater. (b) Severity means on 11 symptoms were greater than "a little bit." (c) No gender or age differences were found on mean TRSC-C summated scores. (d) Mean TRSC-C scores (symptom occurrence and severity) were slightly lower but not significantly different (t = 1.71) between ALL (13.71 [SD, 8.06]) and other diagnoses (15.71 [SD, 7.01]).
Conclusion:
Symptom occurrence and severity reported on the TRSC-C by this Hispanic subsample are consistent with findings in the calibration study and with those of another Hispanic group and other ethnicities.
Implications For Practice:
Use of the TRSC-C is appropriate during pediatric oncology treatment and diagnoses of Hispanic populations.
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