The Acceptability and Efficacy of a Healthy-Behavioral Education for Children with Cancer: A Randomized Controlled Study

Friday, 26 July 2013: 10:15 AM

Li-Min Wu, PhD
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan

Learning Objective 1: To learn how to design a health a healthy-behavioral education for children with cancer

Learning Objective 2: To learn how to design a randomized controlled study in clinical pediatric settings

Purpose: To evaluate the acceptability and the efficacy of a healthy-behavioral education by enhancing positive coping to manage their symptoms in children with cancer during receiving chemotherapy.

Methods: It is a  randomized controlled study design. Participants were randomly assigned to the control group (n=29) and experimental group (n=29). The healthy-behavioral education helped participants to enhance positive coping to face their problems related treatments side effects and was completed by one week. Pediatric cancer coping scale (PCCS) and perceived symptoms severity (PSS) were assessed 3 times (baseline, 1 month, and 3 month). Repeat measures analysis was used to estimate the effects of a healthy-behavioral education.

Results: Majority participants satisfied with coping intervention (M=8.09) and over 80% participants reported positive appraise from receiving intervention. Experimental group receiving the intervention reported significantly lower GI problems (F= 4.86, p=.03), and less pain (F= 6.31, p=.00) over 3 months by using repeat measures analysis of covariances  between two groups. There were no significant differences in subscales of PCCS were found over 3 month follow-up, but problem-oriented coping and cognitive coping indeed increased after receiving interventions and declined after one month.

Conclusion: A healthy-behavioral education for children with cancer is acceptable and useful for helping children with cancer to manage their distress during receiving chemotherapy.