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Garcia de Avila MA, Carter B, Blake L, Saron H, Kirton J, Protheroe J, Novaes DC, Alencar RA, Fernandes Teixeira TR, Bray L. How parents share and limit their child’s access to information about
COVID-19: A mixed methods online survey study. J Child Health Care 2023; 27:116-127. [PMID: 34569323 PMCID: PMC9931876 DOI: 10.1177/13674935211046724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This study aimed to understand the role that parents play in sharing or limiting their child's access to information about coronavirus disease 2019 (COVID-19). A subset of data from an international mixed methods online survey study was analysed to elucidate the findings from Brazil. An online survey, conducted between April and June 2020, gathered closed and open text views from parents of children aged 7-12 years old. Quantitative data were analysed using descriptive statistics. Qualitative open text data were analysed using the three stages of the Bardin content analysis framework: pre-analysis (data organisation and initial full-content reading); exploration of the material (thematic coding to identify major motifs and develop thematic categories) and interpretation (treating the data as significant and valid). The sample consisted of 112 (89%) mothers and 14 (11%) fathers. The analysis of the parents open text resulted in two categories: 'How parents share information with their children about COVID-19' and 'How parents limit information to their children about COVID-19'. Some parents reported adopting an honest and open approach on how they shared information with their children, whilst some parents chose to minimise their child's access to information about the pandemic over concerns of the mortality related to COVID-19.
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Affiliation(s)
- Marla A Garcia de Avila
- Department of Nursing, Botucatu
Medical School, São Paulo State
University–UNESP, Botucatu, Brazil,Marla A Garcia de Avila, Department of
Nursing, Botucatu Medical School, São Paulo State University–UNESP, Damião
Pinheiro Machado, 751, Botucatu, São Paulo 18603-560, Brazil.
| | - Bernie Carter
- Faculty of Health, Social Care and
Medicine, Edge Hill University, Ormskirk, UK
| | - Lucy Blake
- Faculty of Health, Social Care and
Medicine, Edge Hill University, Ormskirk, UK
| | - Holly Saron
- Faculty of Health, Social Care and
Medicine, Edge Hill University, Ormskirk, UK
| | - Jennifer Kirton
- Faculty of Health, Social Care and
Medicine, Edge Hill University, Ormskirk, UK
| | - Joanne Protheroe
- Keele Medical School, Faculty of
Medicine and Health Sciences, Keele University, Staffordshire, UK
| | - Dayane C Novaes
- Department of Nursing, Botucatu
Medical School, São Paulo State
University–UNESP, Botucatu, Brazil
| | - Rúbia A Alencar
- Department of Nursing, Botucatu
Medical School, São Paulo State
University–UNESP, Botucatu, Brazil
| | | | - Lucy Bray
- Faculty of Health, Social Care and
Medicine, Edge Hill University, Ormskirk, UK
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León AGD, Gil-Flores L, Colunga-Pedraza P, Bourlon C, Vargas-Serafín C, del Campo-Martínez MDLÁ, Olaya-Vargas A, Pérez-García M, González-Leal XJ, Herrera Rojas MA, Lozano-Rodríguez S, Solano-Genesta M, Rodríguez-Zúñiga AC, Sánchez-Arteaga A, Ruiz-Argüelles GJ, Gómez-Almaguer D. Hematopoietic stem cell transplantation activity in Mexico during the COVID19 pandemic: on the way to recovery. Hematology 2022; 27:1294-1300. [DOI: 10.1080/16078454.2022.2156737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Affiliation(s)
- Andrés Gómez-De León
- Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
| | - Lourdes Gil-Flores
- Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
| | - Perla Colunga-Pedraza
- Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
| | - Christianne Bourlon
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - César Vargas-Serafín
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | | | | | | | - Xitlaly J. González-Leal
- Instituto Tecnológico de Estudios Superiores de Monterrey. Monterrey Nuevo León.S, Monterrey, Mexico
- Clínica Gómez-Almaguer, Monterrey
| | | | - Sergio Lozano-Rodríguez
- Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
| | | | - Anna Cecilia Rodríguez-Zúñiga
- Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
| | - Alexia Sánchez-Arteaga
- Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
| | | | - David Gómez-Almaguer
- Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico
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Villanueva G, Sampor C, Palma J, Villarroel M, Valencia D, Lombardi MG, Garcia WG, Caceres EL, Sobrero V, Garcia L, Cabrera V, Maza I, Velasquez T, Ugaz C, Vasquez JM, Coronado RD, Gonzalez N, Aguiar S, Dabezies A, Moreno F, Sardinas S, Gamboa Y, Maradiegue E, Fu L, Gassant P, Moreno K, Gonzales O, Schelotto M, Luna‐Fineman S, Antoneli CG, Fuentes‐Alabi S, Luciani S, Cappellano A, Chantada G, Vasquez L. Impact of COVID-19 in pediatric oncology care in Latin America during the first year of the pandemic. Pediatr Blood Cancer 2022; 69:e29748. [PMID: 35593012 PMCID: PMC9347956 DOI: 10.1002/pbc.29748] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 03/23/2022] [Accepted: 04/04/2022] [Indexed: 01/13/2023]
Abstract
BACKGROUND The ongoing coronavirus 2019 disease (COVID-19) pandemic strained medical systems worldwide. We report on the impact on pediatric oncology care in Latin American (LATAM) during its first year. METHOD Four cross-sectional surveys were electronically distributed among pediatric onco-hematologists in April/June/October 2020, and April/2021 through the Latin American Society of Pediatric Oncology (SLAOP) email list and St Jude Global regional partners. RESULTS Four hundred fifty-three pediatric onco-hematologists from 20 countries responded to the first survey, with subsequent surveys response rates above 85%. More than 95% of participants reported that treatment continued without interruption for new and active ongoing patients, though with disruptions in treatment availability. During the first three surveys, respondents reported suspensions of outpatient procedures (54.2%), a decrease in oncologic surgeries (43.6%), radiotherapy (28.4%), stem cell transplants (SCT) (69.3%), and surveillance consultations (81.2%). Logistic regression analysis showed that at the beginning of the first wave, participants from countries with healthcare expenditure below 7% were more likely to report a decrease in outpatient procedures (odds ratio [OR]: 1.84, 95% CI: 1.19-2.8), surgeries (OR: 3, 95% CI: 1.9-4.6) and radiotherapy (OR: 6, 95% CI: 3.5-10.4). Suspension of surveillance consultations was higher in countries with COVID-19 case fatality rates above 2% (OR: 3, 95% CI: 1.4-6.2) and SCT suspensions in countries with COVID-19 incidence rate above 100 cases per 100,000 (OR: 3.48, 95% CI: 1.6-7.45). Paradoxically, at the beginning of the second wave with COVID-19 cases rising exponentially, most participants reported improvements in cancer services availability. CONCLUSION Our data show the medium-term collateral effects of the pandemic on pediatric oncology care in LATAM, which might help delineate oncology care delivery amid current and future challenges posed by the pandemic.
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Affiliation(s)
| | - Claudia Sampor
- Service of Hematology/OncologyHospital J.P GarrahanBuenos AiresArgentina
| | - Julia Palma
- Pediatric OncologyHospital Luis Calvo MackennaSantiagoChile
| | | | - Diana Valencia
- Pediatric OncologyHospital Universitario de Santander IMAT OncomedicaMonteriaColombia,Pediatric OncologyIMAT OncomédicaColombia
| | | | - Wendy Gomez Garcia
- Hematology‐OncologyDr. Robert Reid Cabral Children's HospitalSanto DomingoDominican Republic
| | - Eva Lezcano Caceres
- Pediatric OncologyHospital Central Instituto de Prevision SocialAsunciónParaguay
| | - Victoria Sobrero
- Pediatric OncologyHospital Ramon CarrilloSan Carlos de BarilocheArgentina
| | - Lilia Garcia
- Centro Universitario Contra el Cáncer UANLMonterreyMexico
| | - Victor Cabrera
- Pediatric OncologyHospital Regional Río BlancoOrizabaMexico
| | - Ivan Maza
- Pediatric OncologyHospital RebagliatiLimaPeru
| | - Thelma Velasquez
- Pediatric OncologyUnidad Nacional de Oncología PediátricaGuatemala CityGuatemala
| | - Cecilia Ugaz
- Instituto Nacional de Enfermedades NeoplásicasLimaPeru
| | | | | | | | | | | | - Florencia Moreno
- Registro Onco‐Pediatrico Hospitalario Argentino (ROHA, Hospital based Pediatric Cancer Registry from Argentina)Buenos AiresArgentina,Instituto Nacional del CancerBuenos AiresArgentina
| | | | - Yessika Gamboa
- Pediatric OncologyHospital Nacional de NiñosSan JoséCosta Rica
| | | | - Ligia Fu
- Hemato‐OncologiaHospital Escuela UniversitarioTegucigalpaHonduras
| | | | - Katiuska Moreno
- Docente de pregrado de hematologia universidad laica Eloy Alfaro de ManabiHospital Verdi Cevallos Balda ‐ Hospital especialidades PortoviejoManabiEcuador
| | - Oscar Gonzales
- Hospital Civil de Guadalajara Dr. Juan I MenchacaGuadalajaraJaliscoMéxico
| | | | - Sandra Luna‐Fineman
- University of Colorado School of MedicineAuroraColoradoUSA,Department for the Management of Noncommunicable Diseases, Disability, Violence and Injury PreventionWorld Health OrganizationGenevaSwitzerland
| | | | - Soad Fuentes‐Alabi
- Non‐Communicable DiseasesPan American Health OrganizationWashingtonDistrict of ColumbiaUSA,Pediatric OncologyHospital Nacional de Niños Benjamin Bloom y Fundacion Ayudame a Vivir Pro‐ Ninos con Cancer de El SalvadorSan SalvadorEl Salvador
| | - Silvana Luciani
- Non‐Communicable DiseasesPan American Health OrganizationWashingtonDistrict of ColumbiaUSA
| | - Andrea Cappellano
- Department of Pediatric Neuro‐OncologyInstituto de Oncologia Pediátrica ‐ IOP/GRAACC/UNIFESPSão PauloBrazil
| | - Guillermo Chantada
- Pediatrics Hematology and OncologyHospital AustralPilarArgentina,Pediatric OncologyHospital Pereira RossellMontevideoUruguay,Fundación Perez ScreminiMontevideoUruguay
| | - Liliana Vasquez
- Non‐Communicable DiseasesPan American Health OrganizationWashingtonDistrict of ColumbiaUSA,Facultad de MedicinaCentro de Investigación de Medicina de Precisión, Universidad de San Martín de PorresLimaPerú
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Arem H, Moses J, Nekhlyudov L, Killackey M, Sieloff B, Cisneros C, Pratt-Chapman ML. Oncology provider experiences during the COVID-19 pandemic. PLoS One 2022; 17:e0270651. [PMID: 35881586 PMCID: PMC9321423 DOI: 10.1371/journal.pone.0270651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 06/14/2022] [Indexed: 11/19/2022] Open
Abstract
Purpose
The COVID-19 pandemic upended nearly all aspects of daily life and of medical care, placing a double burden of professional and personal concerns on those who provide medical care. We set out to assess the burden of the pandemic on provider outlook and understand how cancer survivorship providers experienced rapid changes to practice.
Methods
We distributed a survey through the American College of Surgeons Commission on Cancer (CoC) to its accredited organizations in mid-October 2020. We included questions on provider characteristics, changes in patient care practices resulting from the pandemic, worry about COVID-19, and concern about impact on cancer survivors.
Results
Of the n = 607 participants, three-quarters were female and three-quarters were White. Only 2.1% of participants reported having had COVID-19, but 43% reported anxiety about getting COVID-19 and over a quarter experienced sadness or depression, anxiety about the future, changes to sleep, difficulty concentrating, or social isolation. Approximately half of providers also expressed significant concern about progression of cancer in patients who experienced care delays or were afraid of accessing in-person care. In terms of changes to survivorship care, respondents reported changes to visitor policies, delays or cancellations, and efforts to reduce in-person visits.
Conclusions
COVID-19 has taken a significant toll on front-line healthcare professionals, including oncologists and cancer care allied health professionals. Findings support proactive mental health support of healthcare professionals as well as emergency preparedness to manage delays to care for cancer patients in the event of future unexpected pandemics.
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Affiliation(s)
- Hannah Arem
- Healthcare Delivery Research, Medstar Health Research Institute, Washington, DC, United States of America
| | - Jenna Moses
- Department of Epidemiology, George Washington University Milken Institute School of Public Health, Washington, DC, United States of America
| | - Larissa Nekhlyudov
- George Washington University Cancer Center, Community Advisory Board, Washington, DC, United States of America
- Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States of America
| | - Maureen Killackey
- George Washington University Cancer Center, Community Advisory Board, Washington, DC, United States of America
- American College of Surgeons’ Commission on Cancer Site Reviewer, NYS Cancer Advisory Council, NY, United States of America
| | - Beth Sieloff
- George Washington University Cancer Center, Community Advisory Board, Washington, DC, United States of America
- Inter-Tribal Council of Michigan, Sault Ste, MI, United States of America
| | - Cindy Cisneros
- George Washington University Cancer Center, Community Advisory Board, Washington, DC, United States of America
| | - Mandi L. Pratt-Chapman
- School of Medicine and Health Sciences, George Washington University, Washington, DC, United States of America
- * E-mail:
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