Met a Analysis

8/2/2019 Met a Analysis

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Approximately 1.2 million new cases ofinvasive cancers are diagnosed annually inthe United States. More than 12,000 of thesecases involve children

Childhood Cancer EpidemiologyAuthor: Gary M Kupfer, MD; Chief Editor: Robert J Arceci, MD,

PhDApril 2007


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In the Philippines, cancer ranks third inleading causes of morbidity and mortality

after communicable diseases andcardiovascular diseases (Department of

HealthHealth Intelligence Service or DOHHIS, 1992, 1996)

In the Philippines, 75% of all cancers occur afterage 50 years, and only about 3% occur at age 14years and below.Cancer and the Philippine Cancer Control Program (2010)

Corazon A. Ngelangel1 and

Edward H. M. Wang
http://jjco.oxfordjournals.org/search?author1=Corazon+A.+Ngelangel&sortspec=date&submit=Submithttp://jjco.oxfordjournals.org/content/32/suppl_1/S52.fullhttp://jjco.oxfordjournals.org/search?author1=Edward+H.+M.+Wang&sortspec=date&submit=Submithttp://jjco.oxfordjournals.org/search?author1=Edward+H.+M.+Wang&sortspec=date&submit=Submithttp://jjco.oxfordjournals.org/content/32/suppl_1/S52.fullhttp://jjco.oxfordjournals.org/search?author1=Corazon+A.+Ngelangel&sortspec=date&submit=Submit


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A diagnosis of childhood cancer is anunexpected life event that often precipitates a

situational crisis for all family members.

Required cancer treatments and otherongoing stressors for both child and familywill significantly disrupt the familysequilibrium and well-being.


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A META-ANALYSIS ON PARENTAL COPINGINTERVENTIONS FOR PARENTS OF PEDIATRICCANCER PATIENTS


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META-ANALYSIS


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to determine the potential efficacy of copingintervention programs for parents of pediatriccancer patients.

to determine the common potentialeffective coping intervention for parentsof children diagnosed with cancer.


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EBSCOhost and PubMed before 2011 using combinations

key words: parental coping/adjustment, parents, andpediatric cancer.

EBSCOhost yielded 55 results 22 were excluded upon limiting the search to

parental coping and/or adjustment.

narrowed to 3 upon restriction to randomizedcontrol, prospective designs.

PubMed, 245 articles were yielded. 2 articles when searching for randomized control and

prospective designs.


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analyzed the parental coping interventionsquantitatively.

included both the mother and the father ofthe child diagnosed with cancer.

No specific type of cancer was considered inthe research.


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TITLE VARIABLES DESIGN YEARSCONDUCTED THE

STUDYRESULTS/FINDINGS

Brief Report: AnIntervention

Programfor Parents ofPediatric CancerPatients:A RandomizedControlled Trial

Parents of pediatriccancer patients

Psychoeducationalintervention program(cognitive andbehavioraltechniques)

RCT Two (2) years.Parents were asked

to completequestionnaireswithin 14 days afterconsent (Tl);6 monthslater, which wasimmediatelypostintervention(T2); and at 12

months (T3)postdiagnosis, 6months aftercompletion of theintervention.

Although the clinical evaluation of theintervention was positive, it appeared that a

structured intervention program as describedin this study was not any more effective thanstandard care.

The intervention was psychoeducational andcognitive-behavioral techniques. Attention waspaid to the expression of emotions, to theidentification and challenging of negativeautomatic thoughts, to the encouragement of

problem-focused coping skills, tocommunication and assertiveness skills, and toinformation about the possible psychosocialconsequences of the treatment for the ill childand the whole family.

Conducting aRandomizedClinical Trial ofanPsychologicalIntervention forParents/Caregivers of Childrenwith CancerShortly

after Diagnosis

brief intervention forcaregivers of childrennewly diagnosed withcancer.Eighty-one familiesMeasures of stateanxiety andposttraumatic stresssymptoms served asoutcomes.

RCT 36 months (threeyears)

Those families who engaged in theintervention found the program helpful andsuited to their needs.

Caregivers commented on the unique formatof the multi-family group video discussiongroups and reported that the video-tapeddiscussions of other families talking about thetime period following diagnosis were especiallyhelpful in providing support and reassurance.


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TITLE VARIABLES DESIGN YEARSCONDUCTEDTHE STUDY

RESULTS/FINDINGS

Feasibility andPreliminaryOutcomes from aPilot Study of aBriefPsychologicalIntervention forFamilies ofChildren NewlyDiagnosedwith Cancer

Three-sessionintervention forcaregivers ofchildren newlydiagnosed withcancer, SurvivingCancerCompetentlyInterventionProgramNewlyDiagnosed(SCCIP-ND).

38 caregivers

RCT Two months The positive responses of caregiversregarding The Multiple Family Video DiscussionGroup was an innovation introduced to providea sense of normalization and connection withother families.The video provides the opportunity tostandardizethe sessions in ways that in-person familydiscussion groups do not

Parental CopingWith the Diagnosisof ChildhoodCancer; GenderEffects,Dissimilarity withinCouples, andQuality of Life

Parental Coping108 parents outof 54 completefamilies

Prospective study

January1998 andJune 1999(one yearand sixmonths)

Compared with fathers, mothers morefrequently use social support seekingstrategies, information seeking, and religiouscoping, and they are more successful inmaintaining family integration and optimism,in maintaining personal stability, and inunderstanding the medical situation of theirchild. This study, by including and retainingfathers, showed that, surprisingly, no majordifferences were found between fathers andmothers in psychological functioning andcoping behaviour following the diagnosis andwith time.Both partners seem to have a benefit fromcomplementary coping styles in social support

seeking and religious strategies, at least interms of an increased personal quality of life.


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TITLE VARIABLES DESIGN YEARSCONDUCTEDTHE STUDY

RESULTS/FINDINGS

The feasibilityof offering a

family levelintervention toparentsof childrenwith cancer

Family levelinterventions

Parents ofchildren withcancer

Longitudinal 26 months(two years and

two months)

Majority of the participatingfamilies visited the

information and educationalpart of the website (whichwas developed specifically forthis intervention study), overthe time period of the study,and about two of the three ofthe families asked for twosupport interviews.

However, to conclude abouteffects on parents wellbeing,coping, hardiness andadaptation, the interventionneeds to be refined (e.g.updating information on the

website and criticallyevaluating the supportprovided via the Internet)and to be tested with abigger sample, a controlgroup, and for a longerperiod of time.


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All coping interventions provided in the researcheswere found effective for parents of pediatriccancer patients. However, in the randomized controlresearches, the intervention programs had nosignificant difference in terms of efficacy with thestandard or usual interventions rendered.

Of all the five researches, the most commonparental coping intervention used, which was foundeffective, was the through the use ofinformation. Thus, the evidence ofinformationseeking behavior was proven in all of the studies.Coping was evident through the sessions with socialworkers, discussion groups, and website related toinformation and education in the researches.


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More randomized control studies shouldbe done on the significant difference with thenormal or standard interventions andprogram interventions in terms of parental

coping for parents of pediatric cancerpatients.

Further research is recommended on thefocus of the study with consideration on the

sample population. A large populationsample is suggested to further verify theresult of this meta-analysis.

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Met a Analysis