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Schwartz-Attias I, David T, Amromin T, Bar-Yosef M, Bartov Y, Ben Yaakov O, Bernstein L, Broitman M, Cohen A, Cohen O, Eisenberg L, Eshel N, Gindi Amsalem N, Gorelik N, Gerbi S, Raz H, Naamneh N, Nemtsov S, Pintel D, Sztrigler K, Goldberg S, Melnikov S. Recommendations from the Professional Advisory Committee on Nursing Practice When Caring for Adolescents and Young Adults with Cancer in Israel. J Adolesc Young Adult Oncol 2024; 13:235-238. [PMID: 37889616 DOI: 10.1089/jayao.2023.0091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/29/2023] Open
Affiliation(s)
- Irit Schwartz-Attias
- Academic Nursing School, Meir Medical Center, Clalit Health Services, Kefer-Sava, Israel
| | - Tova David
- Nursing Administration and Hematology Day Care, Assuta Medical Center, Tel Aviv, Israel
| | | | - Michal Bar-Yosef
- Department of Oncology and Pediatric Hematology Oncology and Bone Marrow Transplantation, Sourasky, Tel-Aviv Medical Center, Tel Aviv, Israel
| | - Yael Bartov
- Ziva Tal Academic School of Nursing and AYA Clinical Day Care and Oncology, Sheba Medical Center, Tel Hashomer, Israel
| | - Orna Ben Yaakov
- Department of Oncology, Rambam Health Care Campus, Haifa, Israel
| | | | - Marcela Broitman
- Department of Oncology and Pediatric Hematology Oncology and Bone Marrow Transplantation, Sourasky, Tel-Aviv Medical Center, Tel Aviv, Israel
| | - Amira Cohen
- Nursing Administration, Shamir Medical Center, Tzrifin, Israel
| | - Osnat Cohen
- Department of Oncology, Rabin Medical Center, Petah Tikva, Israel
| | - Limor Eisenberg
- National Head Nurse Office, Nursing Division, Ministry of Health, Jerusalem, Israel
| | - Nurit Eshel
- Nursing Administration, Clalit Health Services, Tel Aviv, Israel
| | - Nati Gindi Amsalem
- Ziva Tal Academic School of Nursing and AYA Clinical Day Care and Oncology, Sheba Medical Center, Tel Hashomer, Israel
| | - Natan Gorelik
- Nursing Administration and Hematology Day Care, Assuta Medical Center, Tel Aviv, Israel
| | - Shimrit Gerbi
- Ziva Tal Academic School of Nursing and AYA Clinical Day Care and Oncology, Sheba Medical Center, Tel Hashomer, Israel
| | - Haya Raz
- Nursing Department, Jerusalem College of Technology, Jerusalem, Israel
| | - Nahla Naamneh
- Nursing Administration, Leumit Health Care Services, Tel Aviv, Israel
| | - Svetlana Nemtsov
- Department of Oncology, Rambam Health Care Campus, Haifa, Israel
| | - Dalit Pintel
- Nursing Administration, Clalit Health Services, Tel Aviv, Israel
| | - Keren Sztrigler
- Pediatric Hematology-Oncology Day Care, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Shoshy Goldberg
- National Head Nurse Office, Nursing Division, Ministry of Health, Jerusalem, Israel
| | - Semyon Melnikov
- Nursing Department, Steyer School of Health Professions, Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
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Reese S, Bono MH, Díaz DB, Donovan KA, Sahler OJZ, Barnett ME, Levonyan-Radloff K, Devine KA. Stop and Think: A Case Study Illustrating the Implementation of Bright IDEAS-YA Being Delivered via Telehealth to a Young Adult Cancer Patient. J Clin Psychol Med Settings 2024:10.1007/s10880-024-10004-w. [PMID: 38491206 DOI: 10.1007/s10880-024-10004-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2024] [Indexed: 03/18/2024]
Abstract
Bright IDEAS-Young Adults (Bright IDEAS-YA) is a problem-solving skills training intervention that has been adapted for young adults with cancer. Presently, a multisite randomized control trial is being conducted to determine Bright IDEAS-YA's efficacy in supporting a young adult population. This case study demonstrates the young adult adaptation of Bright IDEAS - Bright IDEAS-YA - being delivered to a young adult cancer patient via telehealth. Telehealth is a novel delivery method for Bright IDEAS and Bright IDEAS-YA that was established due to COVID-19 safety precautions. The patient, who reported challenges in several life domains, was taught how to apply the Bright IDEAS-YA framework over six telehealth sessions. After completing the Bright IDEAS-YA framework, the patient reported increased feelings of confidence in managing new stressors, which was corroborated through outcome measures delivered during and following intervention. This case illustrates how early psychosocial intervention following a cancer diagnosis, delivered via telehealth, can help patients develop and implement personal strategies to reduce stress levels.
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Affiliation(s)
- Samantha Reese
- Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
- , 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.
| | - Madeline H Bono
- Department of Pediatrics, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA
| | - Diana B Díaz
- Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA
| | - Kristine A Donovan
- Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA
| | - Olle Jane Z Sahler
- Department of Pediatrics, Hematology and Oncology, University of Rochester Medical Center, Rochester, NY, USA
| | - Marie E Barnett
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | | | - Katie A Devine
- Department of Pediatrics, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA
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Lown EA, Otto HR, Norton CL, Jong MC, Jong M. Program evaluation of a wilderness experience for adolescents facing cancer: A time in nature to heal, connect and find strength. PLoS One 2023; 18:e0291856. [PMID: 37788280 PMCID: PMC10547176 DOI: 10.1371/journal.pone.0291856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 08/28/2023] [Indexed: 10/05/2023] Open
Abstract
OBJECTIVE Despite advances in cancer treatment and increased survival, adolescents in treatment for cancer often suffer from psychosocial distress, negative mood, and chronic health problems. Wilderness therapy is considered a promising program to address psychosocial issues among adolescents with mental or behavioral health issues. There is little research on whether it may benefit adolescents in cancer treatment. METHODS This program evaluation in the form of a pilot study uses qualitative and quantitative measures to describe the feasibility, acceptability, safety, and to explore the impact of a nine-day wilderness program among adolescents aged 13-17 in treatment or who recently finished treatment for a cancer. Quantitative tracking documented recruitment, retention, safety, and participant satisfaction. PROMIS measures assessed mental and social health, positive affect, fatigue, pain interference and intensity over three time-points: pre, post, and three-months after the nine-day wilderness experience. Mean differences were compared over time. Qualitative data collection involved participant observation and open-ended interviews. RESULTS Study enrollment goals were met, enrolling eight adolescent participants with 100% participant retention. No serious adverse events were reported and participants described high satisfaction (9.25/10) with the wilderness experience on the final day and at three-months follow-up (9.5/10). Exploratory data analysis showed scores in a favorable direction indicating improved psychosocial outcomes in physical functioning, anxiety, depression, fatigue, and peer relations. From qualitative analysis it is suggested that program participation supported: increased self-confidence and peer connection. The program was evaluated as increasing personal accomplishment, supporting social interaction, having strong staff support, and capitalizing on the natural surroundings. CONCLUSION Use of a wilderness program is feasible, acceptable, and safe among this highly vulnerable adolescent cancer population. Participants described greater self-confidence and peer connection which developed as participants experienced physical competency, group leadership, and personal strength. Larger randomized controlled studies are needed to learn whether these programs can improve psychosocial outcomes.
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Affiliation(s)
- E. Anne Lown
- Department of Social Behavioral Sciences, University of California San Francisco, San Francisco, California, United States of America
| | | | - Christine Lynn Norton
- School of Social Work, Texas State University, Kyle, Texas, United States of America
| | - Miek C. Jong
- National Research Center in Complementary and Alternative Medicine (NAFKAM), UiT - The Arctic University of Norway, Tromsø, Norway
- Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
| | - Mats Jong
- Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
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Zhong B, Xie W, Davis Kempton S, Zhi M, Zhao J. Health Information Processing and Symptom Management in a Cross-Cultural Setting: Insights from IBD Patients. HEALTH COMMUNICATION 2023:1-10. [PMID: 37635287 DOI: 10.1080/10410236.2023.2250940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
The affordances of social media, have significantly transformed how patients seek and process health information online, including those with chronic diseases like irritable bowel disease (IBD). Few studies have explored how information processing may impact symptom management. Guided by social cognitive theory, this study investigates how Chinese and U.S. patients (N = 838) process health information in a cross-cultural setting and the impact on symptom management. It finds that efficient information processing improves treatment understanding and symptom management for IBD patients, regardless of their cultural backgrounds. It also reveals a U-shaped quadratic relationship between IBD severity and emotional and peer support, indicating varying support needs at different IBD stages. These findings provide valuable insights for healthcare professionals, patients, and caregivers in designing interventions for chronic diseases. The study underscores the importance of recognizing the dynamics of health information processing and the need for a more nuanced approach to patient support and care.
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Affiliation(s)
- Bu Zhong
- Department of Interactive Media, Hong Kong Baptist University
- Wuzhen Institute for Digital Civilization
- Donald P. Bellisario College of Communications, Pennsylvania State University
| | - Wenjing Xie
- School of Communication and the Arts, Marist College
| | | | - Min Zhi
- Department of Gastroenterology, The Sixth Affiliated Hospital of Sun Yat-Sen University
- Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases
| | - Junzhang Zhao
- Department of Gastroenterology, The Sixth Affiliated Hospital of Sun Yat-Sen University
- Guangdong Institute of Gastroenterology, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases
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Choi E, Becker H, Lu Q, Roth M. Sex differences in comorbid conditions, health behaviors, health care utilization, and health-related quality of life among young adult cancer survivors. Support Care Cancer 2023; 31:181. [PMID: 36820926 DOI: 10.1007/s00520-023-07650-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 02/19/2023] [Indexed: 02/24/2023]
Abstract
PURPOSE Although cancer experiences and health-related quality of life (HRQOL) differ by sex, little is known about how sex affects comorbid conditions, health behaviors, health service utilization, and HRQOL in young adult (YA) cancer survivors. We sought to determine the relationship of sex to these factors in this population. METHODS This matched case-control, cross-sectional study used data from the Texas Behavioral Risk Factor Surveillance System for 2015-2019. YA survivors aged 18-39 years, were matched to controls. Chi-square and multiple logistic regressions were used to assess the relationship between sex and the measured factors. RESULTS The analysis included 276 YA survivors and 828 controls. Male survivors were more likely than male controls to have a depressive disorder (OR = 3.06, p = 0.007), smoke (OR = 3.87, p < 0.001), and forgo health care because of cost (OR = 5.60, p < 0.001). Female survivors were more likely than female controls to have at least one comorbidity (OR = 3.52, p < 0.001), forgo health care because of cost (OR = 3.03, p < 0.001), and report poorer HRQOL (aORs = 1.52-2.22, p < 0.05). Female survivors were more likely to have at least one comorbid condition (aOR = 1.70, p = 0.02) than male survivors. CONCLUSION YA cancer survivors differed in their health outcomes from both the general population and by sex. Tailored, sex-based interventions are needed to decrease long-term morbidity and improve HROQL in this population.
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Affiliation(s)
- Eunju Choi
- Department of Nursing, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA. .,Department of Health Disparities Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA.
| | - Heather Becker
- School of Nursing, The University of Texas at Austin, 1710 Red River St., Austin, TX, 78712, USA
| | - Qian Lu
- Department of Health Disparities Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA
| | - Michael Roth
- Department of Pediatric Patient Care, Division of Pediatrics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA
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Choi E, Shin LJ, Chen L, Lu Q. Lived experiences of young adult Chinese American breast cancer survivors: A qualitative analysis of their strengths and challenges using expressive writing. Eur J Oncol Nurs 2023; 62:102253. [PMID: 36628853 DOI: 10.1016/j.ejon.2022.102253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 11/22/2022] [Accepted: 12/03/2022] [Indexed: 12/12/2022]
Abstract
PURPOSE Immigrant young adults of cancer survivors face unique challenges but their unmet needs are not well understood. The purpose of this study was to identify the challenges and strengths of immigrant young adult Chinese American breast cancer survivors. METHOD Descriptive phenomenology using a qualitative research approach was employed in this study. Expressive writing was used to explore the experiences of 15 young adult Chinese American immigrant breast cancer survivors. Thematic analysis was conducted to gain an understanding of the lived experiences of young adult Chinese American breast cancer survivors. RESULTS On average, participants had been diagnosed at 37 years (ranging from 32 to 39) and living in the USA for 12 years. Participants' writings revealed their challenges during and after treatment (major theme), including difficulty accepting having cancer at a young age, financial difficulties, self-blame, inadequate family support, uncertainty about their futures, and worries about their children and infertility (sub-themes). Participants' strengths and coping strategies (major theme) included physical recovery and positive self-perception, family as motivation for survival, and support from family and friends (sub-themes). Post-traumatic growth (major theme) included shifting life priorities and enjoying life and self-transcendence (i.e., forgiving and helping others) (sub-themes). CONCLUSIONS The overarching topic found across the major themes in the young adult Chinese American breast cancer survivors' essays was the importance of interpersonal relationships, especially with family and children. Healthcare providers should respond with culturally appropriate support, referrals, and resources based on these findings.
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Affiliation(s)
- Eunju Choi
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, United States; Department of Nursing, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
| | - Lilian J Shin
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
| | - Lingjun Chen
- School of Education, Shanghai Jiao Tong University, Shanghai, China
| | - Qian Lu
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
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Basteck S, Guder WK, Dirksen U, Krombholz A, Streitbürger A, Reinhardt D, Götte M. Effects of an Exercise Intervention on Gait Function in Young Survivors of Osteosarcoma with Megaendoprosthesis of the Lower Extremity-Results from the Pilot Randomized Controlled Trial proGAIT. Curr Oncol 2022; 29:7754-7767. [PMID: 36290890 PMCID: PMC9599989 DOI: 10.3390/curroncol29100613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/27/2022] [Accepted: 10/12/2022] [Indexed: 11/06/2022] Open
Abstract
Limb preservation with megaendoprosthesis in adolescents and young adults (AYA) with bone tumors is associated with functional limitations and gait abnormalities. The proGAIT trial evaluated the effectiveness of an exercise program on gait function and quality of life, functional scales (MSTS, TESS), functional mobility, and fatigue as secondary outcomes. Eleven AYA survivors of malignant osteosarcoma with a tumor endoprosthesis around the knee (mean age: 26.6 (±8.4) years) were randomized into an intervention group receiving an 8-week exercise program or into a control group. Gait function was assessed via 3D motion capture and analyzed using the Gait Profile Score (GPS) and the Gait Deviation Index (GDI). GDI and GPS scores of participants suggest deviations from a healthy reference group. The exercise intervention had small-to-medium positive effects on gait score GDI |d| = 0.50 (unaffected leg), |d| = 0.24 (affected leg), subjective functional scores TESS |d| = 0.74 and MSTS |d| = 0.49, and functional tests TUG and TUDS |d| = 0.61 and |d| = 0.52. None of these changes showed statistical significance. Promising intervention effects suggest that regular exercise could improve lower limb function and follow-up care for survivors; however, a powered RCT as a follow-up project needs to confirm the pilot findings.
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Affiliation(s)
- Simon Basteck
- Department of Pediatric Hematology/Oncology, Clinic for Pediatrics III, West German Cancer Centre, University Hospital Essen, 45147 Essen, Germany
- German Cancer Consortium (DKTK), Partner Site Essen, 45147 Essen, Germany
| | - Wiebke K. Guder
- Department of Orthopedic Oncology, West German Cancer Center, University Hospital Essen, 45147 Essen, Germany
| | - Uta Dirksen
- Department of Pediatric Hematology/Oncology, Clinic for Pediatrics III, West German Cancer Centre, University Hospital Essen, 45147 Essen, Germany
- German Cancer Consortium (DKTK), Partner Site Essen, 45147 Essen, Germany
| | - Arno Krombholz
- Faculty of Sport Science, Ruhr University Bochum, 44801 Bochum, Germany
| | - Arne Streitbürger
- Department of Orthopedic Oncology, West German Cancer Center, University Hospital Essen, 45147 Essen, Germany
| | - Dirk Reinhardt
- Department of Pediatric Hematology/Oncology, Clinic for Pediatrics III, West German Cancer Centre, University Hospital Essen, 45147 Essen, Germany
- German Cancer Consortium (DKTK), Partner Site Essen, 45147 Essen, Germany
| | - Miriam Götte
- Department of Pediatric Hematology/Oncology, Clinic for Pediatrics III, West German Cancer Centre, University Hospital Essen, 45147 Essen, Germany
- German Cancer Consortium (DKTK), Partner Site Essen, 45147 Essen, Germany
- Correspondence: ; Tel.: +49-201-723-8083
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Christian BJ. Translational research - promoting health among adolescents with chronic health conditions and their families. J Pediatr Nurs 2022; 64:161-163. [PMID: 35779892 DOI: 10.1016/j.pedn.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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