Pediatric Hematopoietic Cell Transplantation: A Longitudinal Assessment of Health-Related Quality of Life of Pediatric Donors.

Health behaviors Hematopoietic cell transplantation Mental health Pediatric donors Psychology Psychosocial

Journal

Journal of clinical psychology in medical settings
ISSN: 1573-3572
Titre abrégé: J Clin Psychol Med Settings
Pays: United States
ID NLM: 9435680

Informations de publication

Date de publication:
12 2023
Historique:
accepted: 23 12 2022
medline: 9 10 2023
pubmed: 21 1 2023
entrez: 20 1 2023
Statut: ppublish

Résumé

Pediatric donors may be at increased risk of psychological and social challenges following hematopoietic cell transplantation (HCT). Through a retrospective chart review, we evaluated the health-related quality of life (HRQL) of pediatric donors over time and examined facilitators and barriers to implementing a longitudinal psychosocial assessment. Fifty-one pediatric donors (M = 10.7 years, SD = 3.7) completed an HRQL questionnaire across six time points (T1 to T6) from prior to donation to 2 years after. Change in mean scores was assessed using a linear mixed-effect model for repeated measures design. Facilitators and barriers to implementation were examined. HRQL of pediatric donors improved between T1 and T6 with significant change in physical, emotional, and overall functioning. Facilitators to retention included the support of a clinical coordinator. Barriers to implementation included the absence of infrastructure to maintain contact with pediatric and their families. HRQL of pediatric donors of HCT improved steadily over time. Pattern of results suggests a need to further explore factors that contribute to change across time. Development of a longitudinal standardized assessment protocol that can be prospectively and feasibly implemented is integral to supporting the well-being of this group.

Identifiants

pubmed: 36670334
doi: 10.1007/s10880-022-09933-1
pii: 10.1007/s10880-022-09933-1
pmc: PMC9860226
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

836-845

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Sharon H J Hou (SHJ)

Division of Psychosocial Oncology, Department of Oncology, Cumming School of Medicine, University of Calgary, 2202 2 St SW, Calgary, AB, T2S 3C3, Canada.
Department of Psychology, British Columbia Children's Hospital, Vancouver, BC, Canada.

Mehak Stokoe (M)

Division of Psychosocial Oncology, Department of Oncology, Cumming School of Medicine, University of Calgary, 2202 2 St SW, Calgary, AB, T2S 3C3, Canada.

Hailey Zwicker (H)

Division of Psychosocial Oncology, Department of Oncology, Cumming School of Medicine, University of Calgary, 2202 2 St SW, Calgary, AB, T2S 3C3, Canada.

Morgan Young-Speirs (M)

Faculty of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Wendy Pelletier (W)

Hematology, Oncology, Transplant Program, Alberta Children's Hospital, Calgary, AB, Canada.

Gregory M T Guilcher (GMT)

Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Melanie Khu (M)

Hematology, Oncology, Transplant Program, Alberta Children's Hospital, Calgary, AB, Canada.

Fiona S M Schulte (FSM)

Division of Psychosocial Oncology, Department of Oncology, Cumming School of Medicine, University of Calgary, 2202 2 St SW, Calgary, AB, T2S 3C3, Canada. fsmschul@ucalgary.ca.

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