Childhood leukaemia: towards an integrated psychosocial intervention programme in Singapore

B Macner-Licht1, V Rajalingam, V Bernard-Opitz

  • 1Department of Paediatrics, KK Women's and Children's Hospital, Singapore.

Insights

This study introduced a 12-week psychosocial intervention for families of children with Acute Lymphoblastic Leukaemia (ALL), improving coping and reducing hopelessness for both children and parents.

Area of Science:

  • Psychosocial Oncology
  • Pediatric Hematology-Oncology
  • Behavioral Intervention

Background:

  • Pediatric cancer diagnosis, particularly Acute Lymphoblastic Leukaemia (ALL), presents significant emotional distress for children and families.
  • Existing pediatric oncology services may lack comprehensive psychosocial support tailored to the unique needs of these families.
  • Effective coping mechanisms are crucial for navigating the challenges of ALL treatment and improving patient and family well-being.

Purpose of the Study:

  • To develop and evaluate a hospital-based behavioral intervention program for families of children with newly diagnosed or relapsed ALL.
  • To enhance the coping abilities of children and parents facing the emotional distress associated with ALL and its treatment.
  • To assess the feasibility and benefits of integrating such a psychosocial program into pediatric oncology care in Singapore.

Main Methods:

  • A 12-week intervention program involving individual therapeutic play and computer-assisted distraction for children, and a structured support group for parents.
  • Utilized pre-, immediate post-, and 6-month post-intervention assessments.
  • Employed self-administered questionnaires and clinical observations by a psychosocial intervention team and hospital staff.

Main Results:

  • Demonstrated positive changes in coping strategies and significant reductions in hopelessness among participating children and parents.
  • Observed overall benefits for both children and parents, including improved emotional well-being.
  • Hospital staff reported enhanced treatment compliance and cooperation from families post-intervention.

Conclusions:

  • The psychosocial intervention program proved beneficial in improving coping and reducing hopelessness in families affected by childhood ALL.
  • The study supports the feasibility and positive impact of integrating psychosocial support services within pediatric oncology settings.
  • Findings suggest that such programs can enhance family resilience and treatment adherence in pediatric cancer care.