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Screening Cognition, Sleep, and Physical Activity in Pediatric Oncology Long-Term Follow-Up Care

Kaitlin A Oswald-McCloskey1, Nicole Kubinec2, Kimberley Heinrich1

  • 1Neuropsychology Section, Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.

Pediatric Blood & Cancer
|February 3, 2025
PubMed

Insights

Pediatric cancer survivors show reliable and valid PROMIS scales for screening cognitive function and health behaviors. Cognitive functioning is positively associated with health behaviors in survivors.

Area of Science:

  • Pediatric Oncology
  • Health Psychology
  • Clinical Assessment

Background:

  • Children treated for pediatric cancer face risks of cognitive late effects, sleep disturbances, and reduced physical activity.
  • Long-term follow-up care is crucial for monitoring and managing these late effects in survivors.
  • Understanding the relationship between cognitive function and health behaviors is vital for intervention.

Purpose of the Study:

  • To evaluate the psychometric properties of child- and caregiver-reported PROMIS scales for cognitive functioning, sleep, and physical activity.
  • To examine the relationship between cognitive functioning and health behaviors in pediatric oncology survivors.
  • To assess the utility of these scales in a long-term follow-up setting.

Main Methods:

  • Retrospective chart review of 99 caregivers and 80 children (aged 8-17 years).
  • Administration of PROMIS cognitive functioning, sleep-related impairment, sleep disturbance, and physical activity scales.
  • Psychometric analysis using test statistics, T-tests, and bivariate correlations.

Main Results:

  • PROMIS short-version scales demonstrated high internal consistency and inter-rater reliability for child and parent reports.
  • High convergent validity was found between PROMIS cognitive functioning and the Conners Short Form.
  • Significant relationships were observed between caregiver/child-reported cognitive functioning and health behaviors (p ≤ 0.042).

Conclusions:

  • PROMIS short-version scales are reliable and valid for screening cognitive function and health behaviors in pediatric oncology long-term follow-up.
  • A positive association exists between cognitive functioning and health behaviors in survivors.
  • Further research is needed to explore predictive validity and longitudinal utility for intervention targets.
Abstract

Keywords:
cognitionhealth behaviorspatient‐reported outcomessurvivorship

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