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Published on: November 7, 2015
Targeted Transition Readiness Workshops for Pediatric Brain Tumor Survivors: Feasibility, Acceptability, and
Julie Carrier1, Tziona Lugasi2, Nathalie Labonté2
1Department of Psychology, Université de Montréal, Montréal, QC H3T 1J4, Canada.
Insights
This pilot study explored a transition readiness intervention for pediatric brain tumor survivors (PBTS). The program showed promise in improving self-management skills and readiness for adult healthcare settings.
Area of Science:
- Oncology
- Pediatric Healthcare
- Transition Medicine
Background:
- Pediatric brain tumor survivors (PBTS) face long-term health challenges requiring ongoing medical care.
- Transitioning from pediatric to adult healthcare is crucial for managing late effects of cancer treatment.
- Effective transition readiness interventions are needed to support PBTS.
Purpose of the Study:
- To assess the feasibility and acceptability of a targeted transition readiness intervention for PBTS.
- To evaluate the preliminary effects of the intervention on self-management skills and transition readiness.
- To gather insights for optimizing future intervention development.
Main Methods:
- A pilot study involving three hybrid workshops for PBTS and their caregivers.
- Workshops focused on disease-related self-management, social skills, and cognitive functioning.
- Feasibility assessed via recruitment and retention; acceptability via satisfaction surveys; preliminary effects via the Transition Readiness Assessment (TRAQ) questionnaire.
Main Results:
- 12 (38%) eligible dyads participated; 10 attended at least two workshops.
- High participant satisfaction reported (parents 86%, PBTS 73%).
- Clinically relevant, though not statistically significant, increases in transition readiness observed for PBTS and caregivers post-intervention.
Conclusions:
- The transition readiness intervention demonstrated feasibility and acceptability among PBTS and caregivers.
- Preliminary results suggest a positive impact on transition readiness skills.
- Further development and adjustments are recommended to enhance reach and efficacy for improved long-term outcomes.
Abstract:
Pediatric brain tumor survivors (PBTS) are at risk for late effects related to their diagnosis and treatment. Long-term medical follow-ups are deemed essential, implying a transition from pediatric to adult healthcare settings. This pilot study aims to assess the feasibility, acceptability, and preliminary effects of a targeted transition readiness intervention for PBTS. The program consisted of three hybrid workshops that targeted disease-related self-management skills, social skills, and cognitive functioning, as well as parallel workshops for their caregivers. The feasibility and acceptability were assessed through recruitment, retention, and satisfaction rates. Preliminary effects were primarily assessed via a pre/post assessment of transition readiness skills using the Transition Readiness Assessment (TRAQ) questionnaire. Among the eligible dyads, 12 (38%) consented to participate. Ten dyads participated in at least two workshops, and six dyads participated in all workshops. Overall, the participants were satisfied with the intervention (parents = 86%; PBTS = 73%). Although not statistically significant, a clinically relevant post-workshop increase in transition readiness skills was observed for PBTS (d = 0.36) and their caregivers (d = 0.25). The results suggest the relevance of the intervention and encourage further developments. Adjustments are needed to optimize reach and efficacy. The workshops have the potential to be adapted to be more accessible and shorter.
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