Integrative model for the biopsychosocial assessment in pediatric oncology
Keywords:
pediatric oncology, integrative model, biopsychosocial, assessment, artAbstract
Introduction: Building an evaluation model that derives from oncology pediatric patients' perspective is essential for effectively meeting their needs. Current standards of pediatric psychosocial-oncology care are mainly determined by medical providers and the child's relatives. There is a recognized need to develop a holistic model that is driven by patients themselves, with a central focus on utilizing art as a tool to facilitate the expression of their inner world.
Objective: To propose an integrative model for the biopsychosocial assessment of oncology pediatric patients.
Material and Methods: Qualitative grounded theory design based on the analysis of observations, interviews, and art projects. The initial study included twenty children aged 6-17 years diagnosed with cancer from the Hospital de Especialidades Pediátricas in Maracaibo, Venezuela.
Results: An integrative model for the biopsychosocial assessment consisting of six dimensions—physical, cognitive, emotional, behavioral, family, and social—represented as concentric and interacting circles, is proposed. This model depicts factors that promote well-being and health, as well as obstacles that impede them in pediatric oncology.
Conclusions: This model establishes a foundational framework for cancer centers to delineate the essential components of comprehensive biopsychosocial care from pediatric patients’ perspective.Downloads
References
1. Wiener L, Kazak A E, Noll R, Farkas Patenaude A, Jo Kupst M. Standards for the Psychosocial Care of Children With Cancer and Their Families: An Introduction to the Special Issue. Pediatr Blood Cancer [Internet]. 2015 Dec [Cited 01/12/2023];62(5): s419-24. Available from: https://pubmed.ncbi.nlm.nih.gov/26397836/
2. Inhestern L, Paul V, Winzig J, Rutkowski S, Escherich G, Bergelt C. Children with cancer and their families active treatment: analyses of biopsychosocial needs and implications for healthcare – a study protocol. BMJ Open [Internet].2022 Apr [Cited 01/12/2023];12:e055633. Available from: https://bmjopen.bmj.com/content/12/4/e055633.abstract
3. Trigoso V, Vásquez L, Fuentes-Alabi S, Pascual C, Méndez T, Maradiegue E, Villegas M, Perina E, Ahumada E, de Bragança J, Zubieta M, Jiménez M, et al. Standards for psychosocial care in pediatric cancer: adapted proposal for Latin American and Caribbean countries. Rev Panam Salud Publica [Internet]. 2023 Oct [Cited 01/12/2023];47:e156. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10612524/
4. Petzold O, Razavi D. Art-based Assessment of Disease Experiences in Children and Adolescents with Cancer: Cognitive and Emotional Dimensions. Interamerican Journal of Psychology [Internet]. 2022 Dec [Cited 01/12/2023];56(3):e1767. Available from: https://journal.sipsych.org/index.php/IJP/article/view/1767
5. Petzold O, Razavi D: Family and Social Experiences in Children and Adolescents with Cancer expressed through their drawings. Rev haban cienc méd [Internet]. 2023 Nov-Dec [Cited 05/05/2024];22(6):1-10. Available from: http://www.revhabanera.sld.cu/index.php/rhab/article/view/5643
6. Bally JMG, Burles M, Spurr S, McGrath J. Exploring the Use of Arts-Based Interventions and Research Methods in Families of Seriously Ill Children: A Scoping Review. Journal of Family Nursing [Internet]. 2023 Nov [Cited 01/12/2023];29(4):395-416. Available from: https://pubmed.ncbi.nlm.nih.gov/37128884/
7. Bryan G, Bluebond-Langner M, Kelly D, Kumpunen S, Oulton K, Gibson F. Studying Children’s Experiences in Interactions With Clinicians: Identifying Methods Fit for Purpose. Qualitative Health Research [Internet]. 2019 Feb [Cited 01/12/2023];29(3):393-403. Available from: https://journals.sagepub.com/doi/full/10.1177/1049732318801358
8. Lewandowska A, Zych B, Papp K, Zrubcová D, Kadučáková H, Šupínová M, et al. Problems, Stressors and Needs of Children and Adolescents with Cancer. Children [Internet]. 2021 Dec [Cited 01/12/2023];8(12):1173. Available from: https://www.mdpi.com/2227-9067/8/12/1173
9. Rieger R. Discriminating among grounded theory approaches.Nursing Inquiry [Internet]. 2019 Jan [Cited 01/12/2023];26(1):e2261. Available from: https://onlinelibrary.wiley.com/doi/10.1111/nin.12261
10. Corbin J, Strauss A. L. Basics of qualitative research: Techniques and procedures for developing grounded theory. 4th ed. Thousand Oaks : SAGE Publications, 2015.
11. Vears D.F, Gillam L. Inductive content analysis: A guide for beginning qualitative researchers. Focus on Health Professional Education [Internet]. 2022 Mar [Cited 01/12/2023]; 23:111-127. Available from: https://search.informit.org/doi/epdf/10.3316/informit.455663644555599
12. Maxwell J.A. Designing a Qualitative Study. [book auth.] Bickman L, Rog D. Handbook of Applied Social Research Methods. 2nd ed. California: SAGE Publications, 2009, p. 680.
13. Johnson J, Adkins D, Chauvin S. A Review of the Quality Indicators of Rigor in Qualitative Research. American Journal of Pharmaceutical Education [Internet]. 2020 Jan [Cited 01/12/2023]; 84(1):138-146. Available from: https://www.sciencedirect.com/science/article/pii/S0002945923016066
14. Hamilton Jill B. Rigor in Qualitative Methods: An Evaluation of Strategies Among Underrepresented Rural Communities. Qualitative Health Research [Internet]. 2020 Jan [Cited 01/12/2023]; 30 (2):196-204. Available from: https://pubmed.ncbi.nlm.nih.gov/31274057/
15. Quintão C, Andrade P, Almeida F. How to Improve the Validity and Reliability of a Case Study Approach. Journal of Interdisciplinary Studies in Education [Internet]. 2020 [Cited 01/12/2023];9 (2):264-275. Available from: https://www.ojed.org/index.php/jise/article/view/2026/1145
16. Fusch P, Fusch G, Ness L. Denzin’s Paradigm Shift: Revisiting Triangulation in Qualitative Research. Journal of Social Change [Internet]. 2018 [Cited 01/12/2023];10(1): 19-32. Available from: https://scholarworks.waldenu.edu/jsc/vol10/iss1/2/
17. CIOMS, OMS, OPS. Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos. [Internet]. Chile: CIOMS; 2016 Nov [Cited 12/12/2023]. Available from: https://cioms.ch/wp-content/ uploads/2017/12/CIOMS-EthicalGuideline_SP_INTERIOR-FINAL.pdf
18. Marcus J. Psychosocial Issues in Pediatric Oncology. The Ochsner Journal [Internet]. 2012 Fall [Cited 01/12/2023]; 12 (3):211-215. Available from: https://pubmed.ncbi.nlm.nih.gov/23049457/
19. Mitchell K-A, Brassil K, Rodriguez S, Tsai E, Fujimoto K, Krause K, Shay A, Springer A. Springer. Operationalizing patient-centered cancer care: A systematic review and synthesis of the qualitative literature on cancer patients' needs, values, and preferences. Psycho-Oncology [Internet]. 2020 Jul [Cited 01/12/2023];29 (11):1723–1733.Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1002/pon.5500
20. Avoine Blondin J, Dumon E, Marquis M-A, Duval M, Sultan S. Quality of life in childhood advanced cancer: from conceptualization to assessment with the Advance QoL tool. BMC Palliative Care [Internet]. 2022 Aug [Cited 01/12/2023];21(138):1–13. Available from: https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-022-01025-z
21. Lin B, Gutman T, Hanson C, Ju A, Manera K, Butow P, Cohn R, Dalla-Pozza L, Greenzang K, Mack J, Wakefield C, Craig J, Tong A. Communication during childhood cancer: Systematic review of patient perspectives. Cancer [Internet]. 2020 Feb [Cited 01/12/2023];126(4): 701-716. Available from: https://pubmed.ncbi.nlm.nih.gov/31821552/
22. Nunes MD, Jacob E, Lopes-Júnior LC, Leite AC, Lima RA, Nascimento LC. Quality of life of cancer children-adolescents with and without fatigue. Acta Paul Enferm [Internet]. 2022 [Cited 01/12/2023];35:eAPE0288345. Available from: https://www.scielo.br/j/ape/a/m3jcvqy9sFLywML8XMmwsyQ/?format=pdf&lang=en
23. Woodgate R, Degner L, Yanofsky R. A. different perspective to approaching cancer symptoms in children. Journal of Pain and Symptom Management [Internet]. 2003 Sep [Cited 01/12/2023];26(3): 800-817. Available from: https://pubmed.ncbi.nlm.nih.gov/12967729/
24. Cunningham S, Patton M, Schulte F, Richardson P, Heathcote L. Worry about somatic symptoms as a sign of cancer recurrence: prevalence and associations with fear of recurrence and quality of life in survivors of childhood cancer. Psycho-Oncology [Internet]. 2021Jul [Cited 01/12/2023];30(7):1077–1085. Available from: https://pubmed.ncbi.nlm.nih.gov/33544422/#:~:text=Results%3A%20A%20majority%20(62%25),%2C%20dizziness%2C%20and%20feeling%20cold.
25. Schulte F, Patton M, Alberts N, Kunin-Batson A, Olson-Bullis B, Forbes C, Russell B, Neville A, Heathcote L, Karlson C, Racine N, Charnock C, et al. Pain in long-term survivors of childhood cancer: A systematic review of the current state of knowledge and a call to action from the Children's Oncology Group.Cancer [Internet]. 2021Jan [Cited 01/12/2023];127(1): 35-44. Available from: https://acsjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/cncr.33289
26. Brinksma A, Sulkers E, IJpma I, Burgerhof J, Tissing W. Eating and feeding problems in children with cancer: Prevalence, related factors, and consequences. Clinical Nutrition [Internet]. 2020 Oct [Cited 01/12/2023];39(10): 3072-3079. Available from: https://www.clinicalnutritionjournal.com/article/S0261-5614(20)30035-2/abstract
27. Enskär K, Darcy L, Björk M, Knutsson S, Huus K. Experiences of Young Children With Cancer and Their Parents With Nurses' Caring Practices During the Cancer Trajectory. Journal of Oncology Pedriatric Nursing [Internet]. 2020 Jan/Feb [cited 01/12/2023]; 37(1):21-34. Available from: HYPERLINK "https://pubmed.ncbi.nlm.nih.gov/31526068/" https://pubmed.ncbi.nlm.nih.gov/31526068/
28. Leibring I, Anderzén-Carlsson A. Fear and coping in children 5–9 years old treated for Acute Lymphoblastic Leukemia - A longitudinal interview study. Journal of Pediatric Nursing [Internet]. 2019 Feb [cited 01/12/2023];46:e29–e36. Available from: HYPERLINK https://doi.org/10.1016/j.pedn.2019.02.007
29. Dinç F, Kurt A, Yıldız D, Eren Fidancı B. A qualitative study on the perceptions of illness and hospitalization of school age children with cancer. Children and Youth Services Review [Internet].2024 May [cited 03/05/2024];160:107602. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0190740924001749
30. Torres V, Rodrigues Nunes M, Machado Silva-Rodrigues F, Bravo L, Adlard K, Secola R, Fernandes A, Castanheira Nascimento L, Jacob E. Frequency, Severity, and Distress Associated With Physical and Psychosocial Symptoms at Home in Children and Adolescents With Cancer. Journal of Pediatric Health Care [Internet].2019 July–August [cited 01/12/2023];33(4): 404-414. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0891524518302992
31. Friedrich P, Lam C, Kaur G, Itriago E, Ribeiro R, Arora R. Determinants of Treatment Abandonment in Childhood Cancer: Results from a Global Survey. PLoS ONE [Internet].2016 Oct [cited 01/12/2023];11(10):. Available from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0163090
32. Enskär K, Darcy L, Björk M, Knutsson S, Huus K. Experiences of Young Children With Cancer and Their Parents With Nurses' Caring Practices During the Cancer Trajectory. Journal of Oncology Pedriatric Nursing [Internet]. 2020 Jan/Feb [Cited 01/12/2023]; 37(1):21-34. Available from: https://pubmed.ncbi.nlm.nih.gov/31526068/
33. Lewandowska A. Influence of a Child’s Cancer on the Functioning of Their Family. Children [Internet]. 2021 Jul [Cited 15/01/2024];8(7):1-14. Available from: https://www.mdpi.com/2227-9067/8/7/592
34. Liu Q, Mo L, Huang X, Yu L, Liu Y. Path analysis of the effects of social support, self-efficacy, and coping style on psychological stress in children with malignant tumor during treatment. Medicine (Baltimore) [Internet]. 2020 Oct [Cited 25/01/2024];99(43):e22888. Available from: https://pubmed.ncbi.nlm.nih.gov/33120834/
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