Age-appropriate preparations for children with cancer undergoing radiotherapy: A feasibility study

Research output: Contribution to journalArticle

Abstract

The aim of this study was to test age-appropriate information and preparation procedures for children with cancer undergoing radiotherapy (RT) for feasibility and effectiveness in terms of the need for general anesthesia (GA) and anxiety. In a quasi-experimental controlled clinical trial, 17 children aged 3–18 years receiving age-appropriate preparation were compared with 16 children in a control group. Feasibility in terms of recruitment, compliance, and acceptability was assessed. Effectiveness was assessed by the number of children who underwent treatment without GA and their respective fractions and validated instruments measured the children’s anxiety and emotional behavior. The preparation parts were delivered as intended without any additional personnel and without dropouts in the intervention group (IG) and therefore found feasible and acceptable. No statistic significances were found concerning the number of children receiving GA or anxiety. However, three children planned for GA in the IG completed their treatments, including 73 fractions awake. Children receiving GA, regardless of group, showed significantly higher negative emotional behavior. Giving children individualized preparation may decrease the need for GA during RT, which gives benefits in terms of fewer risks and restrictions in life for the child and lower costs for health care.

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Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Pediatrics
  • Cancer and Oncology

Keywords

  • Anxiety, cancer, pediatric, preparation, radiotherapy
Original languageEnglish
Pages (from-to)370-380
Number of pages11
JournalJournal of Child Health Care
Volume21
Issue number4
Publication statusPublished - 2017 Dec 1
Publication categoryResearch
Peer-reviewedYes

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