Concerns experienced by parents of children treated for cancer : A qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention
Abstract Objective Childhood cancer treatment completion is associated with mental health difficulties and negative socioeconomic consequences for parents. However, psychological support needs are often unmet. We developed an internet-administered, guided, low-intensity cognitive behavioral therapy-...
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Uppsala universitet, Hälsovetenskap och e-hälsa
2023
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ftuppsalauniv:oai:DiVA.org:uu-490357 2023-11-05T03:41:41+01:00 Concerns experienced by parents of children treated for cancer : A qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention Lundgren, Johan Thiblin, Ella Lutvica, Nina Reuther, Christina Farrand, Paul Woodford, Joanne von Essen, Louise 2023 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-490357 https://doi.org/10.1002/pon.6074 eng eng Uppsala universitet, Hälsovetenskap och e-hälsa Clinical Education, Development, and Research (CEDAR), Psychology, College of Life and Environmental Sciences, University of Exeter, United Kingdom Psycho-Oncology, 1057-9249, 2023, 32:2, s. 237-246 orcid:0000-0003-3964-747X orcid:0000-0001-5062-6798 orcid:0000-0001-5816-7231 http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-490357 doi:10.1002/pon.6074 PMID 36447354 ISI:000894155600001 info:eu-repo/semantics/openAccess adolescent child childhood cancer intervention development mental health parenting parenting concerns parents qualitative research Other Health Sciences Annan hälsovetenskap Article in journal info:eu-repo/semantics/article text 2023 ftuppsalauniv https://doi.org/10.1002/pon.6074 2023-10-11T22:32:04Z Abstract Objective Childhood cancer treatment completion is associated with mental health difficulties and negative socioeconomic consequences for parents. However, psychological support needs are often unmet. We developed an internet-administered, guided, low-intensity cognitive behavioral therapy-based self-help intervention (EJDeR) and examined feasibility and acceptability with a single-arm feasibility trial (ENGAGE). Results suggest EJDeR is acceptable, however, adherence, especially for fathers, could be improved. Following the Medical Research Council complex interventions framework, this study explores concerns experienced by parents actively seeking support related to their child's cancer who were recruited into ENGAGE to inform further adaptation of EJDeR. Method Seventy-three semi-structured interviews (26 fathers, 47 mothers) were conducted, with data analyzed using manifest content analysis. Results Analysis resulted in seven categories: (1) Feeling lost and lonely in life; (2) Low mood; (3) Parenting difficulties; (4) Productivity difficulties; (5) Relationship challenges; (6) Stress reactions; and (7) Worry. With the exception of subcategories Afraid of not being a good parent, Cancer recurrence, and Child's development and future a somewhat higher percentage of mothers than fathers mentioned all identified concerns. Conclusion Parents described experiencing a range of concerns after their child had completed cancer treatment. EJDeR will be adapted to address these concerns and include indirect intervention modules targeting concerns such as stress. Information to support parenting, relationships, finance, and employment difficulties, alongside signposting to inform help-seeking, will be included. Findings also suggest a need to improve the gender-sensitivity of EJDeR. Article in Journal/Newspaper ejder Uppsala University: Publications (DiVA) Psycho-Oncology 32 2 237 246 |
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Open Polar |
collection |
Uppsala University: Publications (DiVA) |
op_collection_id |
ftuppsalauniv |
language |
English |
topic |
adolescent child childhood cancer intervention development mental health parenting parenting concerns parents qualitative research Other Health Sciences Annan hälsovetenskap |
spellingShingle |
adolescent child childhood cancer intervention development mental health parenting parenting concerns parents qualitative research Other Health Sciences Annan hälsovetenskap Lundgren, Johan Thiblin, Ella Lutvica, Nina Reuther, Christina Farrand, Paul Woodford, Joanne von Essen, Louise Concerns experienced by parents of children treated for cancer : A qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention |
topic_facet |
adolescent child childhood cancer intervention development mental health parenting parenting concerns parents qualitative research Other Health Sciences Annan hälsovetenskap |
description |
Abstract Objective Childhood cancer treatment completion is associated with mental health difficulties and negative socioeconomic consequences for parents. However, psychological support needs are often unmet. We developed an internet-administered, guided, low-intensity cognitive behavioral therapy-based self-help intervention (EJDeR) and examined feasibility and acceptability with a single-arm feasibility trial (ENGAGE). Results suggest EJDeR is acceptable, however, adherence, especially for fathers, could be improved. Following the Medical Research Council complex interventions framework, this study explores concerns experienced by parents actively seeking support related to their child's cancer who were recruited into ENGAGE to inform further adaptation of EJDeR. Method Seventy-three semi-structured interviews (26 fathers, 47 mothers) were conducted, with data analyzed using manifest content analysis. Results Analysis resulted in seven categories: (1) Feeling lost and lonely in life; (2) Low mood; (3) Parenting difficulties; (4) Productivity difficulties; (5) Relationship challenges; (6) Stress reactions; and (7) Worry. With the exception of subcategories Afraid of not being a good parent, Cancer recurrence, and Child's development and future a somewhat higher percentage of mothers than fathers mentioned all identified concerns. Conclusion Parents described experiencing a range of concerns after their child had completed cancer treatment. EJDeR will be adapted to address these concerns and include indirect intervention modules targeting concerns such as stress. Information to support parenting, relationships, finance, and employment difficulties, alongside signposting to inform help-seeking, will be included. Findings also suggest a need to improve the gender-sensitivity of EJDeR. |
format |
Article in Journal/Newspaper |
author |
Lundgren, Johan Thiblin, Ella Lutvica, Nina Reuther, Christina Farrand, Paul Woodford, Joanne von Essen, Louise |
author_facet |
Lundgren, Johan Thiblin, Ella Lutvica, Nina Reuther, Christina Farrand, Paul Woodford, Joanne von Essen, Louise |
author_sort |
Lundgren, Johan |
title |
Concerns experienced by parents of children treated for cancer : A qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention |
title_short |
Concerns experienced by parents of children treated for cancer : A qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention |
title_full |
Concerns experienced by parents of children treated for cancer : A qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention |
title_fullStr |
Concerns experienced by parents of children treated for cancer : A qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention |
title_full_unstemmed |
Concerns experienced by parents of children treated for cancer : A qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention |
title_sort |
concerns experienced by parents of children treated for cancer : a qualitative study to inform adaptations to an internet-administered, low-intensity cognitive behavioral therapy intervention |
publisher |
Uppsala universitet, Hälsovetenskap och e-hälsa |
publishDate |
2023 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-490357 https://doi.org/10.1002/pon.6074 |
genre |
ejder |
genre_facet |
ejder |
op_relation |
Psycho-Oncology, 1057-9249, 2023, 32:2, s. 237-246 orcid:0000-0003-3964-747X orcid:0000-0001-5062-6798 orcid:0000-0001-5816-7231 http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-490357 doi:10.1002/pon.6074 PMID 36447354 ISI:000894155600001 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1002/pon.6074 |
container_title |
Psycho-Oncology |
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32 |
container_issue |
2 |
container_start_page |
237 |
op_container_end_page |
246 |
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1781698274284011520 |