Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Cancer Med. 2023 Apr;12(7):8676-8689. doi: 10.1002/cam4.5576. Epub 2023 Feb 12.
Childhood cancer survivors face education and employment challenges due to physical, cognitive, and psychosocial effects of the disease and treatments, with few established programs to assist them. The objectives of this study were to describe the implementation of Goal Attainment Scaling (GAS) to evaluate an educational and vocational counseling program established for survivors of childhood cancer, and analyze patterns of program engagement and client outcomes, stratified by demographic and diagnostic characteristics.
A population-based retrospective cohort study of childhood cancer survivors who were engaged with the Pediatric Oncology Group of Ontario's School and Work Transitions Program (SWTP) between January 2015 and December 2018 was utilized. Survivors were followed from SWTP engagement until May 30, 2019 to capture goal attainment. Individual goals were summarized across various demographic, disease, and treatment strata.
In total, 470 childhood cancer survivors (median age = 17.9, 58% male) set 4,208 goals in the SWTP during the study period. The mean length of observation was 130.8 weeks (SD = 56.9). Overall, 68% of the goals were achieved. Eighty-three percent of the goals related to further education. Clients diagnosed with a solid tumor set the most goals on average, followed by those with central nervous system tumors and leukemia/lymphoma.
The SWTP assists childhood cancer survivors in realizing their academic and vocational goals. Application of GAS in this setting is a feasible way to evaluate program outcomes. From the volume and breadth of the GAS goals set and achieved, the overall success of the SWTP appears strong.
儿童癌症幸存者由于疾病和治疗的身体、认知和社会心理影响，面临着教育和就业方面的挑战，而很少有既定的方案来帮助他们。本研究的目的是描述目标达成评定（GAS）在为儿童癌症幸存者设立的教育和职业咨询方案中的实施情况，并按人口统计学和诊断特征对方案参与和客户结果进行分层分析。
利用 2015 年 1 月至 2018 年 12 月期间参与安大略省儿科肿瘤组学校和工作过渡计划（SWTP）的儿童癌症幸存者的基于人群的回顾性队列研究。从 SWTP 参与开始对幸存者进行随访，直到 2019 年 5 月 30 日，以捕捉目标的实现。根据各种人口统计学、疾病和治疗分层，总结了个体目标。
在研究期间，共有 470 名儿童癌症幸存者（中位数年龄为 17.9 岁，58%为男性）在 SWTP 中设定了 4208 个目标。平均观察时间为 130.8 周（SD=56.9）。总体而言，68%的目标得以实现。83%的目标与进一步教育有关。平均而言，诊断为实体瘤的患者设定的目标最多，其次是中枢神经系统肿瘤和白血病/淋巴瘤患者。
SWTP 有助于儿童癌症幸存者实现其学术和职业目标。在这种情况下应用 GAS 是评估方案结果的一种可行方法。从设定和实现的 GAS 目标的数量和广度来看，SWTP 的整体效果似乎很强。
