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Factors Associated With Self-Report Symptom Screening Adherence in Pediatric Cancer Patients

L Lee Dupuis1,2, Emily Vettese1, Catherine Aftandilian3

  • 1Program in Child Health Evaluative Sciences, the Hospital for Sick Children, Toronto, Ontario, Canada.

Cancer Medicine
|July 21, 2025
PubMed

Insights

Routine symptom screening adherence in pediatric cancer patients varied significantly by age, race, ethnicity, cancer type, and income. Understanding these factors can improve interventions for the Symptom Screening in Pediatrics Tool (SSPedi).

Area of Science:

  • Pediatric Oncology
  • Clinical Trial Analysis
  • Health Services Research

Background:

  • Assessing adherence to routine symptom screening is crucial for effective pediatric cancer care.
  • The Symptom Screening in Pediatrics Tool (SSPedi) is designed for frequent symptom monitoring in pediatric cancer patients.
  • Understanding factors influencing SSPedi completion is key to optimizing its use.

Purpose of the Study:

  • To identify baseline characteristics associated with the number of Symptom Screening in Pediatrics Tool (SSPedi) assessments completed over an 8-week period.
  • To analyze how patient demographics, cancer diagnosis, and socioeconomic factors impact adherence to a symptom screening tool.
  • To inform strategies for improving routine symptom screening in pediatric oncology.

Main Methods:

  • Sub-analysis of a cluster randomized controlled trial involving 10 intervention sites.
  • Included 216 English- or Spanish-speaking pediatric patients (8-18 years) newly diagnosed with cancer.
  • Used mixed-effects Poisson regression to determine factors associated with the number of SSPedi assessments completed over 8 weeks (prompted thrice weekly).

Main Results:

  • Adherence varied significantly by age, with older children (11-18 years) completing more assessments than younger children (8-10 years).
  • Asian participants, non-Hispanic individuals, and those from families with higher income (≥$60,000) showed higher completion rates.
  • Patients with solid tumors completed fewer SSPedi assessments compared to those with leukemia.

Conclusions:

  • Adherence to the thrice-weekly SSPedi schedule is influenced by a combination of patient age, race, ethnicity, cancer diagnosis, and family income.
  • These findings highlight the need for tailored interventions to support consistent symptom screening in pediatric cancer patients.
  • The study provides valuable insights for enhancing the implementation of routine symptom screening tools in clinical practice.
Abstract

Keywords:
adherenceoncologypediatricsymptom screening

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