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Child and Adolescent Cancer Communication Preferences for Treatment Decision Making: A Meta-Synthesis.

Kimberly A Pyke-Grimm1,2, Katherine Patterson Kelly3,4, Ginny L Schulz5

  • 1Department of Nursing Research and Evidence-Based Practice, Center for Professional Excellence and Inquiry, Stanford Medicine Children's Health, Palo Alto, California, USA.

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Summary

Children and adolescents want to actively participate in cancer treatment decisions. This study synthesizes their preferences for involvement in treatment decision-making (TDM) to improve communication.

Keywords:
adolescents | cancer communication | children | pediatric cancer | treatment decision‐making

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Area of Science:

  • Pediatric Oncology
  • Health Communication
  • Qualitative Research

Background:

  • Children and adolescents (<18 years) have varied preferences for cancer treatment communication.
  • Understanding these preferences is crucial for patient-centered care.
  • This study focuses on their involvement in cancer treatment decision-making (TDM).

Purpose of the Study:

  • To synthesize qualitative findings on children and adolescents' preferences for engagement in cancer treatment communication.
  • To describe the voices of young cancer patients regarding their involvement in TDM.

Main Methods:

  • A systematic literature search using meta-aggregation methods was performed.
  • Included studies involved participants <18 years with childhood cancer, using qualitative or mixed methods.
  • Findings were restricted to self-reported preferences of children and adolescents.

Main Results:

  • 55 articles were included from 3213 identified, yielding 156 findings on TDM preferences from 39 studies.
  • Three synthesized findings emerged: 'How I participate,' 'When I do not participate,' and 'Why I participate' in TDM.
  • Preferences ranged from passive to active roles in decision-making.

Conclusions:

  • This meta-synthesis clarifies how, when, and why children and adolescents desire involvement in cancer TDM.
  • Patient voices reveal diverse preferences for participation.
  • Recommendations focus on evidence-based practices to align with these communication preferences.