Initial Validation of the Sleep Disturbances in Pediatric Cancer Model
Lauren C Daniel1, Lisa A Schwartz2, Jodi A Mindell3
1Division of Oncology, The Children's Hospital of Philadelphia, daniell@email.chop.edu.
Insights
This study confirms the Sleep Disturbance in Pediatric Cancer (SDPC) model
Area of Science:
- Pediatric Oncology
- Sleep Medicine
- Health Psychology
Background:
- Sleep disturbances are prevalent in children undergoing cancer treatment.
- The Sleep Disturbance in Pediatric Cancer (SDPC) model requires content validation.
- Understanding stakeholder perspectives is crucial for model refinement.
Purpose of the Study:
- To evaluate the content validity of the SDPC model.
- To gather qualitative and quantitative input from parents and healthcare providers.
- To refine the SDPC model for improved relevance and applicability.
Main Methods:
- Semi-structured interviews with parents (n=20) and providers (n=6) of children with acute lymphoblastic leukemia.
- Rating of SDPC model component importance on a 0-4 scale.
- Identification of key sleep-related intervention targets by stakeholders.
Main Results:
- Parents and providers agreed that psychosocial, environmental, and biological factors impact pediatric cancer sleep.
- Most SDPC model components were rated as important by both parents and providers.
- Parents prioritized interventions for sleep onset difficulties; providers focused on irregular sleep habits.
Conclusions:
- Stakeholder input supports the content validity of the SDPC model.
- The validated SDPC model will guide the development of new measures and interventions.
- Future interventions should address biological and behavioral factors influencing pediatric cancer sleep disturbances.
Abstract:
OBJECTIVE : The current study evaluates content validity of the Sleep Disturbance in Pediatric Cancer (SDPC) model using qualitative and quantitative stakeholder input. METHODS : Parents of children (aged: 3-12 years) with acute lymphoblastic leukemia (n = 20) and medical providers (n = 6) participated in semi-structured interviews about child sleep during cancer treatment. They also rated SDPC model component importance on a 0-4 scale and selected the most relevant sleep-related intervention targets. RESULTS : Qualitatively, parents and providers endorsed that changes in the child's psychosocial, environmental, and biological processes affect sleep. Stakeholders rated most model components (parent: 32 of 40; provider: 39 of 41) as important (>2) to child sleep. Parents were most interested in interventions targeting difficulty falling asleep and providers selected irregular sleep habits/scheduling, though groups did not differ significantly. CONCLUSIONS : Stakeholders supported SDPC content validity. The model will inform subsequent measure and intervention development focusing on biological and behavioral factors most salient to sleep disturbances in pediatric cancer.
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