Psychosocial interventions for rehabilitation and reintegration into daily life of pediatric cancer survivors and their families: A systematic review
Open accessAbstract
BACKGROUND: The survival rate of childhood cancer patients increased over the past decades. However, even after successful treatment the transition back to normalcy is often a major challenge for the whole family. Therefore, this study aims to provide an overview of psychosocial interventions for childhood cancer survivors and their families in the first years after the end of cancer treatment. METHODS: We conducted a systematic review following the PRISMA Checklist (Preferred Reporting Items for Systematic Reviews and Meta-Analyses; PROSPERO registration number: CRD42017059782). In November 2016 and September 2017, we searched the databases CINAHL, MEDLINE, PSYNDEX, and Web of Science. We included studies investigating psychosocial interventions for childhood cancer survivors diagnosed under the age of 21, their family members or the family as a whole. Further, we summarized the study characteristics and conducted a narrative synthesis of the results. Finally, we assessed the study quality with the Effective Public Health Practice Project Quality Assessment Tool. RESULTS: We identified a total of 8215 records based on our database searches and 17 additional records through hand searches. We included 33 articles in the qualitative synthesis. Most of the studies described interventions for the cancer survivor (n = 15). Nine studies investigated interventions for the whole family, and two studies interventions for siblings. The interventions mainly take place in an outpatient group setting (n = 15). Overall, most of the studies reported a significant psychosocial benefit of the interventions. However, the quality of the included studies was limited. CONCLUSION: In summary, we identified a broad range of different interventions and thus could give a comprehensive overview of existing interventions for childhood cancer survivors and their families. However, there is a necessity for high quality studies. The results may help to optimize health care services that support families with the re-entry into daily life.
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Psychological interventions can be effective for parents of children with cancer and other serious illnesses, yielding small-moderate improvements in QOL, anxiety, and other outcomes.
“Psychological interventions can be effective for parents of children with cancer and other serious illnesses [22,23], yielding small–moderate improvements in QOL, anxiety, and other outcomes [23,24,25,26,27,28,29].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [26]
The Results (Study characteristics and synthesis of results; page unavailable) report improvements in some parental outcomes, including anxiety, but also mixed findings and no improvement in parental quality of life in one intervention. The review concerns childhood cancer survivors and their families; it does not establish effects for parents of children with other serious illnesses or characterize the improvements as small–moderate. (LLM, conf=0.86)
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- Authors
- Peikert, M. L., Inhestern, L., & Bergelt, C.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Corresponding author
- Peikert, Mona Leandra
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2018-04-19
- Volume
- 13
- Issue
- 4
- Pages
- e0196151
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5908186
- OpenAlex
- W2802918511
- Cited by
- 59
- References
- 87
- Citations by year
- 2026: 5 · 2025: 16 · 2024: 9 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 9 · 2019: 5
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- childhood cancer survivors, psychosocial interventions, family support, siblings, survivorship care
- MeSH terms
- Cancer Survivors, Activities of Daily Living, Age Factors, Child, Family, Humans, Neoplasms, Psychotherapy, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Databases, Factual, Publication Bias
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