Packman Wendy, Greenhalgh Jody, Chesterman Beth, Shaffer Tani, Fine Joselyn, Van Zutphen Kelly, Golan Rama, Amylon Michael D
Pacific Graduate School of Psychology, Palo Alto, CA 94303, USA.
J Psychosoc Oncol. 2005;23(1):87-108. doi: 10.1300/J077v23n01_06.
This study used both quantitative and qualitative methodologies to assess the pediatric health-related quality of life (HRQOL) in siblings (n = 77) of cancer patients attending summer camp. On quantitative measures (Pediatric Quality of Life Inventory (PedsQL) parent and child versions), siblings reported statistically significant improvements in HRQOL from pre-to post camp. The parent sample, as a whole, did not report a statistically significant improvement in the siblings' HRQOL; however, statistically significant improvements were found when the analysis controlled for the responses of bereaved parents. On the qualitative measures (Sibling Qualitative Interview and Camp Okizu Satisfaction Surveys), both children and parents described the positive impact of camp. Using grounded theory, we identified the major themes and found that the positive emotional and social experiences captured by the quotes were paralleled in the quantitative findings of improved HRQOL in psychosocial domains on the PedsQL. These findings suggest the beneficial effects of camp as a psychological intervention and illustrate the value of integrating quantitative and qualitative methodological approaches in research.
本研究采用定量和定性方法,对参加夏令营的癌症患者兄弟姐妹(n = 77)的儿童健康相关生活质量(HRQOL)进行评估。在定量测量方面(儿童生活质量量表(PedsQL)的家长版和儿童版),兄弟姐妹报告称,从夏令营开始前到结束后,他们的健康相关生活质量有统计学上的显著改善。总体而言,家长样本并未报告兄弟姐妹的健康相关生活质量有统计学上的显著改善;然而,在分析中控制了丧偶父母的回答后,发现了统计学上的显著改善。在定性测量方面(兄弟姐妹定性访谈和冲津营地满意度调查),儿童和家长都描述了营地的积极影响。运用扎根理论,我们确定了主要主题,并发现引述中所体现的积极情感和社会体验,与儿童生活质量量表在心理社会领域中健康相关生活质量改善的定量结果相呼应。这些发现表明了营地作为一种心理干预措施的有益效果,并说明了在研究中整合定量和定性方法的价值。