Development of a Program to Optimize the Experience and the Use of At-Home Oral Chemotherapies in Pediatric Acute Lymphoblastic Leukemia: A Participatory Approach Using the Behavior Change Wheel.
Background: Children diagnosed with acute lymphoblastic leukemia (ALL) receive oral chemotherapies (OCs) for 2 years. The at-home self-management of OCs and their consequences on the child lead to multifaceted difficulties that can impact their optimal use and the family's well-being. We report the...
| Publicado en: | Journal of Pediatric Hematology/Oncology Nursing Vol. 42; no. 3; pp. 85 - 100 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May/Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187071551&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187071551 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27527530 MXRW jtl: Journal of Pediatric Hematology/Oncology Nursing issn: 27527530 maglogo: Y pubinfo: dt: May/Jun2025 vid: 42 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 187071551 186686928 187071551 187071551 10.1177/27527530251337037 187071551 ppf: 85 ppct: 15 formats: tig: atl: Development of a Program to Optimize the Experience and the Use of At-Home Oral Chemotherapies in Pediatric Acute Lymphoblastic Leukemia: A Participatory Approach Using the Behavior Change Wheel. aug: au: Labbé, Angéline Guillaumie, Laurence D'Avignon, Marianne Olivier David, Pierre-Marie Lauzier, Sophie Laverdière, Isabelle affil: Faculty of Pharmacy, Université Laval, Québec, QC, Canada sug: subj: Leukemia, Lymphocytic, Acute Psychosocial Factors Leukemia, Lymphocytic, Acute Drug Therapy Chemotherapy, Cancer Antineoplastic Agents Administration and Dosage Administration, Oral Home Health Care Family Support Implementation Science Program Development Treatment Outcomes Human Funding Source Canada Male Female Child, Preschool Child Parents Behavioral Changes Health Services Research Conceptual Framework Action Research Attitude to Change Research Personnel Health Personnel Meetings Collaboration Psychological Well-Being Descriptive Statistics Patient Education Patient Safety Counseling Antineoplastic Agents Adverse Effects Empowerment Self-Management Family Education Academic Medical Centers Pediatric Oncology Nursing Medication Compliance Goodness of Fit Chi Square Test Thematic Analysis Support, Social Health Knowledge Child, Preschool: 2-5 years Child: 6-12 years Male Female ab: Background: Children diagnosed with acute lymphoblastic leukemia (ALL) receive oral chemotherapies (OCs) for 2 years. The at-home self-management of OCs and their consequences on the child lead to multifaceted difficulties that can impact their optimal use and the family's well-being. We report the development process and the detailed plan of a program to support families throughout the treatment. Method: The development combined a participatory approach with the three stages of Behavior Change Wheel (BCW) framework, namely understanding the behavior to change, identifying intervention options, and identifying content and implementation options. A working group (i.e., researchers, parents, and professionals involved in the care of children with ALL) participated at all development stages through online meetings and co-construction activities. Results: The core objective targeted by the program was defined as: to enable families to face the difficulties met with OC by mobilizing tools and resources in collaboration with the healthcare team to support the proper use of OC and the family well-being. The program plan comprises three components with various interventions dispensed at key times during treatment: education and training for OC management and safe use, evaluation and counseling about OC side effects, and empowerment of families and normalization of their experience with OC. Discussion: The combination of a participatory approach and a structured framework for the program development is likely to increase its relevance, acceptability, and efficacy. This program has the potential to support more effective and safe use of OC, as well as the well-being of the child and their family. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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