Bradford Natalie, Cashion Christine, Sharwood Erin, Rumble Shelley, Condon Paula, Cossio Danica, Stratton Helen, Ekberg Stuart, Semerci Remziye, Bowers Alison, Pole Jason, Alexander Kimberly
Cancer and Palliative Care Outcomes Centre at Centre for Children's Health Research, Queensland University of Technology, Brisbane, QLD 4001, Australia.
Viertel Cancer Research Centre, Cancer Council Queensland, Brisbane, QLD 4215, Australia.
Healthcare (Basel). 2025 Feb 20;13(5):454. doi: 10.3390/healthcare13050454.
Advances in diagnosis and treatment have significantly increased survival rates for childhood cancer, leading to a growing population of long-term survivors. However, these survivors face substantial physical and psychological sequelae that affect both the child and their family. We developed the RECOVER model of care to support childhood cancer survivors as they transition from the end of their planned treatment to survivorship, addressing the broader health and wellness needs beyond medical surveillance. The primary objectives are to assess the feasibility and acceptability of the RECOVER model of care in routine paediatric oncology practice. Secondary objectives include evaluating preliminary efficacy outcomes and identifying factors that influence the successful adoption and integration of the model. The study comprises a Type 2 Hybrid Implementation/Effectiveness non-randomised controlled trial to compare historical and prospective data. Quantitative data will assess feasibility, reach, effectiveness, adoption, maintenance, and implementation. The qualitative component will assess end-user acceptability and appropriateness through focus groups, surveys, and interviews. Quantitative and qualitative results will be integrated during the interpretation phase to provide complementary insights into the interconnected contextual factors that facilitate the model uptake. The RECOVER model of care aims to offer a robust approach to survivorship care, facilitating the continuous monitoring and management of long-term and late effects in childhood cancer survivors. This model has the potential to significantly improve the quality of life and health outcomes for this vulnerable population by addressing their comprehensive needs in a timely and systematic manner.
诊断和治疗方面的进展显著提高了儿童癌症的生存率，导致长期幸存者的数量不断增加。然而，这些幸存者面临着严重的身体和心理后遗症，这对儿童及其家庭都会产生影响。我们开发了RECOVER护理模式，以支持儿童癌症幸存者从计划治疗结束过渡到生存阶段，满足医疗监测之外更广泛的健康和福祉需求。主要目标是评估RECOVER护理模式在常规儿科肿瘤实践中的可行性和可接受性。次要目标包括评估初步疗效结果，并确定影响该模式成功采用和整合的因素。该研究包括一项2型混合实施/有效性非随机对照试验，以比较历史数据和前瞻性数据。定量数据将评估可行性、覆盖面、有效性、采用情况、维持情况和实施情况。定性部分将通过焦点小组、调查和访谈来评估最终用户的可接受性和适宜性。在解释阶段将整合定量和定性结果，以提供对促进该模式采用的相互关联的背景因素的补充见解。RECOVER护理模式旨在提供一种强有力的生存护理方法，促进对儿童癌症幸存者长期和晚期影响的持续监测和管理。该模式有可能通过及时、系统地满足这一弱势群体的全面需求，显著提高他们的生活质量和健康结果。
