Semin Speech Lang 2023; 44(01): 004-014
DOI: 10.1055/s-0042-1756682
Review Article

Speech-Language Pathology Services in Pediatric Cancer: Survey and Interview Data on Caregiver Experiences

Stephanie M. Knollhoff
1   Department of Speech, Language and Hearing Services, University of Missouri, Columbia, Missouri
,
Breanna I. Krueger
2   Division of Communication Disorders, University of Wyoming, Laramie, Wyoming
,
Caitlin M. Imgrund
3   Department of Communication Sciences and Disorders, Florida Atlantic University, Boca Raton, Florida
› Author Affiliations

Abstract

Pediatric cancer and its treatment can cause disruption in typical child development, including the development of speech, language, and swallowing skills. Despite the potential for significant impact on communication and swallowing, speech-language pathologists are not routinely involved in the care teams of children diagnosed with cancer. The goal of this investigation was to enhance the understanding of the speech-language pathology services rendered and caregivers' perspectives on the current needs of children and adolescents who have undergone cancer treatment. Caregiver's perspectives offer unique insights and are beneficial when utilizing a person- and family-centered care framework. Eleven caregivers of children treated for cancer completed an online survey, and an additional three caregivers participated in a semistructured interview. Results provided insight into caregivers' perspectives regarding speech-language pathology-related needs and services. Survey results and thematic analysis of the semistructured interviews indicated the need for involvement of speech-language pathology services during and after cancer treatment. Cancer diagnoses and oncological treatment occur during key developmental periods, and may negatively impact children's speech, language, and swallowing abilities. Speech-language pathologists are uniquely positioned to provide support for children undergoing or following cancer treatment.



Publication History

Article published online:
17 January 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Howlader N, Noone AM, Krapcho M. et al, eds. SEER Cancer Statistics Review, 1975–2018, National Cancer Institute. Bethesda, MD. Accessed August 30, 2022 at: https://seer.cancer.gov/csr/1975_2018/, based on November 2020 SEER data submission, posted to the SEER web site, April 2021
  • 2 Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin 2018; 68 (01) 7-30
  • 3 Meadows AT. Pediatric cancer survivorship: research and clinical care. J Clin Oncol 2006; 24 (32) 5160-5165
  • 4 Spurbeck WW, Davidoff AM, Lobe TE, Rao BN, Schropp KP, Shochat SJ. Minimally invasive surgery in pediatric cancer patients. Ann Surg Oncol 2004; 11 (03) 340-343
  • 5 Delanian S, Lefaix JL, Pradat PF. Radiation-induced neuropathy in cancer survivors. Radiother Oncol 2012; 105 (03) 273-282
  • 6 Ki Moore IM, Hockenberry MJ, Krull KR. Cancer-related cognitive changes in children, adolescents and adult survivors of childhood cancers. Semin Oncol Nurs 2013; 29 (04) 248-259
  • 7 American Speech-Language-Hearing Association. Scope of practice in speech-language pathology. 2016 Accessed August 30, 2022 at: https://www.asha.org/policy/
  • 8 Langeveld NE, Stam H, Grootenhuis MA, Last BF. Quality of life in young adult survivors of childhood cancer. Support Care Cancer 2002; 10 (08) 579-600
  • 9 Rosenberg AR, Orellana L, Ullrich C. et al. Quality of life in children with advanced cancer: a report from the PediQUEST study. J Pain Symptom Manage 2016; 52 (02) 243-253
  • 10 Taylor OD, Ware RS, Weir KA. Speech pathology services to children with cancer and nonmalignant hematological disorders. J Pediatr Oncol Nurs 2012; 29 (02) 98-108
  • 11 Gonçalves MIR, Radzinsky TC, da Silva NS, Chiari BM, Consonni D. Speech-language and hearing complaints of children and adolescents with brain tumors. Pediatr Blood Cancer 2008; 50 (03) 706-708
  • 12 Lewis FM, Murdoch BE, Docking KM. An investigation of general and high-level language skills in children treated with central nervous system-targeted chemotherapy for acute lymphoblastic leukemia. J Med Speech-Lang Pathol 2011; 19 (02) 27-37
  • 13 Buizer AI, de Sonneville LMJ, van den Heuvel-Eibrink MM, Veerman AJP. Behavioral and educational limitations after chemotherapy for childhood acute lymphoblastic leukemia or Wilms tumor. Cancer 2006; 106 (09) 2067-2075
  • 14 Ribi K, Relly C, Landolt MA, Alber FD, Boltshauser E, Grotzer MA. Outcome of medulloblastoma in children: long-term complications and quality of life. Neuropediatrics 2005; 36 (06) 357-365
  • 15 Catsman-Berrevoets CE, Van Dongen HR, Mulder PGH, Paz y Geuze D, Paquier PF, Lequin MH. Tumour type and size are high risk factors for the syndrome of “cerebellar” mutism and subsequent dysarthria. J Neurol Neurosurg Psychiatry 1999; 67 (06) 755-757
  • 16 Cornwell PL, Murdoch BE, Ward EC, Morgan A. Dysarthria and dysphagia following treatment for a fourth ventricle choroid plexus papilloma. J Clin Neurosci 2003; 10 (04) 506-512
  • 17 van Mourik M, Catsman-Berrevoets CE, Yousef-Bak E, Paquier PF, van Dongen HR. Dysarthria in children with cerebellar or brainstem tumors. Pediatr Neurol 1998; 18 (05) 411-414
  • 18 Otmani N. Oral and maxillofacial side effects of radiation therapy on children. J Can Dent Assoc 2007; 73 (03) 257-261
  • 19 Morris EB, Li C, Khan RB. et al. Evolution of neurological impairment in pediatric infratentorial ependymoma patients. J Neurooncol 2009; 94 (03) 391-398
  • 20 Morgan AT, Sell D, Ryan M, Raynsford E, Hayward R. Pre and post-surgical dysphagia outcome associated with posterior fossa tumour in children. J Neurooncol 2008; 87 (03) 347-354
  • 21 Institute of Medicine (US) and National Research Council, (US) National Cancer Policy Board. Hewitt M, Weiner SL, Simone JV. eds. Childhood Cancer Survivorship: Improving Care and Quality of Life. Washington, DC: National Academies Press (US); 2003
  • 22 Committee on Hospital Care and Institute for Patient- and Family-Centered Care. Patient- and family-centered care and the pediatrician's role. Pediatrics 2012; 129 (02) 394-404
  • 23 Baylis A, Chapman K, Whitehill TL. The Americleft Speech Group. Validity and reliability of visual analog scaling for assessment of hypernasality and audible nasal emission in children with repaired cleft palate. Cleft Palate Craniofac J 2015; 52 (06) 660-670
  • 24 Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3 (02) 77-101
  • 25 Braun V, Clarke V. Thematic analysis. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ. eds. APA Handbook of Research Methods in Psychology, Vol 2: Research Designs: Quantitative, Qualitative, Neuropsychological, and Biological. American Psychological Association; 2012: 57-71