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针对小儿脑肿瘤幸存者的过渡准备工作坊:可行性、可接受性及初步效果

Targeted Transition Readiness Workshops for Pediatric Brain Tumor Survivors: Feasibility, Acceptability, and Preliminary Effects.

作者信息

Carrier Julie, Lugasi Tziona, Labonté Nathalie, Provost Carole, Saragosti Andrea, Longpré Claire, Koukoui Bénédicte, Régnier-Trudeau Émilie, Sultan Serge, Coltin Hallie, Perreault Sébastien, Bonanno Marco, Desjardins Leandra

机构信息

Department of Psychology, Université de Montréal, Montréal, QC H3T 1J4, Canada.

Pediatric Oncology, Sainte-Justine University Health Center, Montréal, QC H3T 1C5, Canada.

出版信息

Curr Oncol. 2025 Jan 8;32(1):34. doi: 10.3390/curroncol32010034.

Abstract

Pediatric brain tumor survivors (PBTS) are at risk for late effects related to their diagnosis and treatment. Long-term medical follow-ups are deemed essential, implying a transition from pediatric to adult healthcare settings. This pilot study aims to assess the feasibility, acceptability, and preliminary effects of a targeted transition readiness intervention for PBTS. The program consisted of three hybrid workshops that targeted disease-related self-management skills, social skills, and cognitive functioning, as well as parallel workshops for their caregivers. The feasibility and acceptability were assessed through recruitment, retention, and satisfaction rates. Preliminary effects were primarily assessed via a pre/post assessment of transition readiness skills using the Transition Readiness Assessment (TRAQ) questionnaire. Among the eligible dyads, 12 (38%) consented to participate. Ten dyads participated in at least two workshops, and six dyads participated in all workshops. Overall, the participants were satisfied with the intervention (parents = 86%; PBTS = 73%). Although not statistically significant, a clinically relevant post-workshop increase in transition readiness skills was observed for PBTS (d = 0.36) and their caregivers (d = 0.25). The results suggest the relevance of the intervention and encourage further developments. Adjustments are needed to optimize reach and efficacy. The workshops have the potential to be adapted to be more accessible and shorter.

摘要

小儿脑肿瘤幸存者(PBTS)面临与其诊断和治疗相关的迟发效应风险。长期医学随访被认为至关重要,这意味着要从儿科医疗环境过渡到成人医疗环境。这项试点研究旨在评估针对PBTS的有针对性的过渡准备干预措施的可行性、可接受性和初步效果。该项目包括三个混合式工作坊,分别针对与疾病相关的自我管理技能、社交技能和认知功能,同时还为他们的照顾者举办了平行工作坊。通过招募率、留存率和满意度来评估可行性和可接受性。初步效果主要通过使用过渡准备评估(TRAQ)问卷对过渡准备技能进行前后评估来衡量。在符合条件的二元组中,12个(38%)同意参与。10个二元组参加了至少两个工作坊,6个二元组参加了所有工作坊。总体而言,参与者对干预措施感到满意(家长 = 86%;PBTS = 73%)。尽管无统计学意义,但观察到PBTS(d = 0.36)及其照顾者(d = 0.25)在工作坊后过渡准备技能有临床相关的提高。结果表明该干预措施具有相关性,并鼓励进一步开展研究。需要进行调整以优化覆盖面和效果。这些工作坊有潜力进行调整,使其更易参与且时间更短。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75e/11763518/d5eddc9ac667/curroncol-32-00034-g001.jpg

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