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Patient/Family Education for Newly Diagnosed Pediatric Oncology Patients
Wendy Landier1, JoAnn Ahern2, Lamia P Barakat3
11 University of Alabama at Birmingham, AL, USA.
Insights
Effective patient/family education is crucial for children with cancer. Expert consensus provides five principles to harmonize education practices, improving outcomes for pediatric oncology patients.
Area of Science:
- Pediatric Oncology
- Patient Education
- Clinical Trials
Background:
- Limited evidence exists for effective patient/family education in childhood cancer.
- Ineffective education can negatively impact pediatric oncology clinical trial outcomes.
- Harmonizing education practices is needed across institutions.
Purpose of the Study:
- To develop expert consensus recommendations for patient/family education in pediatric oncology.
- To address the paucity of data supporting evidence-based practices.
- To improve care for newly diagnosed pediatric oncology patients.
Main Methods:
- Convened an interprofessional expert panel.
- Reviewed available and emerging evidence.
- Developed expert consensus recommendations.
Main Results:
- Identified five broad principles for patient/family education.
- Recommendations focus on family-centered care, processing time, interprofessional approach, continuum of care, and supportive environment.
- Principles address diagnosis/treatment, psychosocial coping, and child care.
Conclusions:
- Dissemination of recommendations will inform future studies.
- Implementation aims to establish best practices for pediatric oncology patient education.
- Standard of care for effective patient/family education in pediatric oncology is the ultimate goal.
Abstract:
There is a paucity of data to support evidence-based practices in the provision of patient/family education in the context of a new childhood cancer diagnosis. Since the majority of children with cancer are treated on pediatric oncology clinical trials, lack of effective patient/family education has the potential to negatively affect both patient and clinical trial outcomes. The Children's Oncology Group Nursing Discipline convened an interprofessional expert panel from within and beyond pediatric oncology to review available and emerging evidence and develop expert consensus recommendations regarding harmonization of patient/family education practices for newly diagnosed pediatric oncology patients across institutions. Five broad principles, with associated recommendations, were identified by the panel, including recognition that (1) in pediatric oncology, patient/family education is family-centered; (2) a diagnosis of childhood cancer is overwhelming and the family needs time to process the diagnosis and develop a plan for managing ongoing life demands before they can successfully learn to care for the child; (3) patient/family education should be an interprofessional endeavor with 3 key areas of focus: (a) diagnosis/treatment, (b) psychosocial coping, and (c) care of the child; (4) patient/family education should occur across the continuum of care; and (5) a supportive environment is necessary to optimize learning. Dissemination and implementation of these recommendations will set the stage for future studies that aim to develop evidence to inform best practices, and ultimately to establish the standard of care for effective patient/family education in pediatric oncology.
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