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[Application of "kindergarten effect" in radiotherapy for children with tumor aged 3-5 years]

Yu-Fei Wang1, Guang-Li Liang1, Wei Wang1

  • 1Department of Radiotherapy, Tianjin Medical University Cancer Institute and Hospital/National Clinical Research Center for Cancer/Tianjin Key Laboratory of Cancer Prevention and Therapy /Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China.

Zhongguo Dang Dai Er Ke Za Zhi = Chinese Journal of Contemporary Pediatrics
|June 28, 2022
PubMed

Insights

The "kindergarten effect" in pediatric radiotherapy improved treatment compliance and accuracy for young children (3-5 years). This approach reduced treatment time and interruptions, enhancing overall outcomes.

Area of Science:

  • Pediatric Oncology
  • Radiation Oncology
  • Child Psychology

Background:

  • Radiotherapy for pediatric tumors requires patient cooperation, which can be challenging in young children aged 3-5 years.
  • Understanding preschooler psychology is crucial for developing effective pediatric radiotherapy strategies.
  • The
  • Background
  • The
  • kindergarten effect
  • is a novel approach to pediatric radiotherapy, leveraging group dynamics and peer support.
  • Methods
  • A prospective study involved 30 children (3-5 years) with tumors, randomly assigned to a control group or a
  • kindergarten mode
  • test group.
  • The
  • kindergarten mode
  • involved group treatment sessions, while the control group received standard individual treatment.
  • Treatment compliance and setup errors (superior-inferior, left-right, anterior-posterior) were evaluated using image-guided radiotherapy.
  • Results
  • The
  • kindergarten mode
  • group demonstrated significantly shorter treatment completion times and fewer treatment interruptions compared to the control group (P<0.05).
  • The test group exhibited smaller mean setup errors in SI, LR, and AP directions, with significant improvements in SI and LR directions (P<0.05).
  • Conclusions
  • The
  • kindergarten effect
  • enhances cooperation in pediatric radiotherapy for children aged 3-5 years.
  • This approach improves positioning accuracy and repeatability, contributing to successful treatment outcomes.
  • Applying
  • kindergarten effect
  • principles is beneficial for pediatric radiation oncology.

Purpose of the Study:

  • To evaluate the clinical application and effectiveness of the "kindergarten effect" in pediatric radiotherapy.
  • To assess the impact of the "kindergarten effect" on treatment compliance and accuracy in preschool children (3-5 years).
  • To leverage preschooler psychology for improved radiotherapy outcomes in pediatric cancer patients.

Main Methods:

  • Prospective study of 30 children (3-5 years) undergoing radiotherapy.
  • Randomized controlled trial comparing "kindergarten mode" group treatment versus standard individual treatment.
  • Evaluation of treatment compliance, treatment time, interruption rates, and setup errors (SI, LR, AP) using image-guided radiotherapy.

Main Results:

  • The "kindergarten mode" group showed significantly reduced treatment completion times (P<0.05).
  • Fewer treatment interruptions were observed in the "kindergarten mode" group compared to the control group (P<0.05).
  • Improved accuracy in setup errors (SI, LR, AP directions) was noted in the "kindergarten mode" group, particularly SI and LR (P<0.05).

Conclusions:

  • The "kindergarten effect" significantly enhances cooperation among young children during radiotherapy.
  • This group-based approach improves the accuracy and repeatability of patient positioning.
  • The "kindergarten effect" is a valuable strategy for achieving desired treatment outcomes in pediatric radiotherapy.
Abstract

Keywords:
ChildKindergarten effectRadiotherapyTumor

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