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Following Young Children's Health and Functioning in Everyday Life Through Their Cancer Trajectory
Laura Darcy1, Maria Björk2, Susanne Knutsson3
1Jönköping University, Jönköping, Sweden University of Borås, Borås, Sweden laura.darcy@hb.se.
Insights
Childhood cancer survivors experience evolving health and functioning challenges. Ongoing support and person-centered care are crucial throughout their cancer journey.
Area of Science:
- Pediatric Oncology
- Childhood Cancer Survivorship
- Longitudinal Health Studies
Background:
- Limited understanding exists regarding the lived experiences of children with cancer throughout their treatment trajectory.
- The long-term health and daily functioning of pediatric cancer patients require further investigation.
Purpose of the Study:
- To longitudinally track the health and everyday functioning of young children undergoing cancer treatment.
- To identify changes and patterns in difficulties experienced by children with cancer over time.
Main Methods:
- Longitudinal data collected from 13 children with cancer and their parents at a Swedish pediatric oncology unit.
- Utilized the International Classification of Functioning, Disability and Health (ICF) framework for Children and Youth.
- Employed interview and questionnaire data analyzed using descriptive statistics over a 3-year period post-diagnosis.
Main Results:
- Children's health and functioning difficulties generally decreased but shifted over the 3-year study period.
- Increased challenges in personal interactions and healthcare support access emerged 2-3 years post-diagnosis.
- Individual trajectories showed unique patterns, though some commonalities were observed.
Conclusions:
- Healthcare professionals must proactively plan for continued school support and information pathways post-treatment.
- A person-centered care approach is essential throughout the entire cancer trajectory for pediatric patients.
- Ongoing support is critical for childhood cancer survivors, addressing evolving social and healthcare needs.
Background:
Knowledge of living with childhood cancer, through the trajectory, is sparse.
Aim:
The aim of this study was to follow young children's health and functioning in everyday life through their cancer trajectory.
Methods:
Data were gathered longitudinally from a group of 13 young children and their parents connected to a pediatric oncology unit in Sweden. The International Classification of Functioning, Disability and Health for Children and Youth structure was used to identify difficulties in health and functioning in everyday life, in interview and questionnaire data. Descriptive statistical analysis was performed to show patterns of difficulty over a 3-year period from diagnosis.
Results:
Difficulties experienced by children declined and changed over time. An increase in difficulties with personal interactions with others and access to and support from health care professionals was seen 2 to 3 years after diagnosis and start of treatment. Similar patterns are seen within individual children's trajectories in relation to diagnosis but individual patterns were seen for each child.
Conclusions And Clinical Implications:
Health care professionals need to plan for ongoing contact with school services and information and support pathways, beyond the treatment period. A person-centered philosophy of care is required throughout the cancer trajectory.
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