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CC BY 4.0 · Journal of Health and Allied Sciences NU 2023; 13(04): 479-489
DOI: 10.1055/s-0042-1758527
Original Article

Effectiveness of Psychosocial Intervention on Quality of Life of Mothers of Children with Cancer: A Feasibility Study

Seema S. Chavan 
1   Department of Pediatric Nursing, Father Muller College of Nursing, Mangaluru, Karnataka, India
2   Department of Pediatric Nursing, Laxmi Memorial College of Nursing, Mangaluru, Karnataka, India
3   Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India
,
Theresa L. Mendonca
1   Department of Pediatric Nursing, Father Muller College of Nursing, Mangaluru, Karnataka, India
2   Department of Pediatric Nursing, Laxmi Memorial College of Nursing, Mangaluru, Karnataka, India
3   Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India
› Author Affiliations Funding The study was funded by Alumni association, Father Muller College of Nursing.
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Abstract

Background Mothers of children with cancer are reported to experience stress more often. For children with cancer, parents are the primary source of social and emotional support, and they are also in charge of how successfully patients manage their illness. The degree of difficulty parents suffer after learning that their child has cancer significantly influences the child's psychological adjustment.

Aim The study aimed to assess the effectiveness of psychosocial intervention on quality of life (QoL) among mothers of children with cancer.

Materials and Methods Quasi-intervention study design was undertaken, and a purposive sampling technique was used to select the 60 mothers of children with cancer who were assigned randomly to the intervention and control groups. A pretested and validated self-administered questionnaire was used; the sociodemographic, WHOQOL-BREF scale with 26 items was studied.

Statistical Analysis Prevalence, demographic pro forma of mother and child was analyzed in terms of frequency, percentage, mean, and standard deviation. Two-factor repeated measures analysis of variance was used to establish the effectiveness of the psychosocial intervention on QoL. Association was done by using the chi-square test. SPSS package was used for analysis.

Results Psychosocial intervention was found to be effective in improving QoL scores in psychological health domain (p = 0.02*, p < 0.05), social relationship domain (p = 0.04*, p < 0.05), and environmental health domain (p = 0.001**, p < 0.05). A significant association was found between the physical health domain and information on cancer (p = 0.01*), psychological health domain and financial status (p = 0.03*), social relationship domain and cost of treatment (p = 0.04*), Q1 and Q2 with the place of residence (p = 0.004**, p = 0.02*), and Q2 and financial status (p = 0.03*).

Conclusion Mothers of children with cancer undergo a lot of stress and emotional turmoil and are at risk of deteriorating their QoL. Hence, they need to be provided support to address their issues. Thus, health professionals must develop and implement interventions to promote the QoL.

Keywords

psychosocial intervention - cancer - children - mothers - quality of life

* is significant, ** highly significant.




Publication History

Article published online:
09 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Robinson KE, Gerhardt CA, Vannatta K, Noll RB. Parent and family factors associated with child adjustment to pediatric cancer. J Pediatr Psychol 2007; 32 (04) 400-410
    CrossrefPubMedSearch in Google Scholar
  • 2 Rosenberg AR, Dussel V, Kang T. et al. Psychological distress in parents of children with advanced cancer. JAMA Pediatr 2013; 167 (06) 537-543
    CrossrefPubMedSearch in Google Scholar
  • 3 Rosenberg AR, Baker KS, Syrjala K, Wolfe J. Systematic review of psychosocial morbidities among bereaved parents of children with cancer. Pediatr Blood Cancer 2012; 58 (04) 503-512
    CrossrefPubMedSearch in Google Scholar
  • 4 Wakefield CE, McLoone JK, Butow P, Lenthen K, Cohn RJ. Parental adjustment to the completion of their child's cancer treatment. Pediatr Blood Cancer 2011; 56 (04) 524-531
    CrossrefPubMedSearch in Google Scholar
  • 5 Kearney JA, Salley CG, Muriel AC. Standards of psychosocial care for parents of children with cancer. Pediatr Blood Cancer 2015; 62 (Suppl. 05) S632-S683
    PubMedSearch in Google Scholar
  • 6 Nurhidayah I, Hendrawati S, Hasriyadhi DP. Quality of life of family caregivers of children with leukemia: a descriptive quantitative study. Belitung Nurs J 2020; 6 (02) 52-58
    CrossrefSearch in Google Scholar
  • 7 Pathirana TI, Goonawardena CSE, Wijesiriwardane I. Quality of life of caregivers and impact on the nuclear family of children with leukaemia in the National Cancer Institute of Sri Lanka. J Postgrad Inst Med 2015; 2 (00) 18
    CrossrefSearch in Google Scholar
  • 8 Stehl ML, Kazak AE, Alderfer MA. et al. Conducting a randomized clinical trial of an psychological intervention for parents/caregivers of children with cancer shortly after diagnosis. J Pediatr Psychol 2009; 34 (08) 803-816
    CrossrefPubMedSearch in Google Scholar
  • 9 Sahler OJ, Dolgin MJ, Phipps S. et al. Specificity of problem-solving skills training in mothers of children newly diagnosed with cancer: results of a multisite randomized clinical trial. J Clin Oncol 2013; 31 (10) 1329-1335
    CrossrefPubMedSearch in Google Scholar
  • 10 Askins MA, Sahler OJ, Sherman SA. et al. Report from a multi-institutional randomized clinical trial examining computer-assisted problem-solving skills training for English- and Spanish-speaking mothers of children with newly diagnosed cancer. J Pediatr Psychol 2009; 34 (05) 551-563
    CrossrefPubMedSearch in Google Scholar
  • 11 Bonanno GA, Westphal M, Mancini AD. Resilience to loss and potential trauma. Annu Rev Clin Psychol 2011; 7: 511-535
    CrossrefPubMedSearch in Google Scholar
  • 12 Rosenberg AR, Wolfe J, Bradford MC. et al. Resilience and psychosocial outcomes in parents of children with cancer. Pediatr Blood Cancer 2014; 61 (03) 552-557
    CrossrefPubMedSearch in Google Scholar
  • 13 Fraser E, Pakenham KI. Resilience in children of parents with mental illness: relations between mental health literacy, social connectedness and coping, and both adjustment and caregiving. Psychol Health Med 2009; 14 (05) 573-584
    CrossrefPubMedSearch in Google Scholar
  • 14 Eilertsen ME, Hjemdal O, Le TT, Diseth TH, Reinfjell T. Resilience factors play an important role in the mental health of parents when children survive acute lymphoblastic leukaemia. Acta Paediatr 2016; 105 (01) e30-e34
    CrossrefPubMedSearch in Google Scholar
  • 15 Kim S, Knight BG. Caregiving subgroups differences in the associations between the resilience resources and life satisfaction. J Appl Gerontol 2018; 37 (12) 1540-1563
    CrossrefPubMedSearch in Google Scholar
  • 16 American Academy of Pediatrics Section Statement Section on Hematology/Oncology. Guidelines for the pediatric cancer center and role of such centers in diagnosis and treatment. Pediatrics 1997; 99 (01) 139-141
    CrossrefPubMedSearch in Google Scholar
  • 17 Institute of Medicine. Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs. Washington, DC: The National Academies Press; 2008: 331-446
    Search in Google Scholar
  • 18 Kazak A, Alderfer M, Rourke M, Simms S, Streisand R, Grossman J. Posttraumatic stress symptoms (PTSS) and posttraumatic stress disorder (PTSD) in families of adolescent childhood cancer survivors. J Pediatr Psychol 2004; 29 (03) 211-219
    CrossrefPubMedSearch in Google Scholar
  • 19 Safarabadi-Farahani A, Maarefvand M, Biglarian A, Khubchandani J. Effectiveness of a brief psychosocial intervention on quality of life of primary caregivers of iranian children with cancer: a randomized controlled trial. J Pediatr Nurs 2016; 31 (04) e262-e270
    CrossrefPubMedSearch in Google Scholar
  • 20 Rosenberg AR, Yi-Frazier JP, Eaton L. et al. Promoting resilience in stress management: a pilot study of a novel resilience-promoting intervention for adolescents and young adults with serious illness. J Pediatr Psychol 2015; 40 (09) 992-999
    CrossrefPubMedSearch in Google Scholar
  • 21 Rosenberg AR, Bradford MC, Barton KS. et al. Hope and benefit finding: Results from the PRISM randomized controlled trial. Pediatr Blood Cancer 2019; 66 (01) e27485
    CrossrefPubMedSearch in Google Scholar