DOI QR코드

DOI QR Code

Healthy lifestyles in childhood cancer survivors in South Korea: a comparison between reports from children and their parents

  • Received : 2022.06.19
  • Accepted : 2022.07.13
  • Published : 2022.07.31

Abstract

Purpose: This study investigated childhood cancer survivors' behavior related to a healthy lifestyle during their survival period by comparing reports between childhood cancer survivors and their parents. Methods: In this comparative descriptive study, a survey was conducted with a 33-item questionnaire and one open-ended question about areas for improvement. The participants comprised 69 childhood cancer survivors and 69 of their parents, for a total of 138. Results: The total mean healthy lifestyle score, on a 4-point Likert scale, reported by childhood cancer survivors was 2.97, while that reported by their parents was 3.03. No significant differences in children's healthy lifestyles were found between childhood cancer survivors' and their parents' reports (t=0.86, p=.390). For the open-ended question, the main keywords based on the results of degree and eigenvector centrality were "exercise", "unbalanced diet", and "food". These keywords were present in both the children's and parents' responses. Conclusion: Obtaining information on childhood cancer survivors' healthy lifestyles based on reports from themselves and their parents provides meaningful insights into the improvement of health care management. The results of this study may be used to develop and plan healthy lifestyle standards to meet childhood cancer survivors' needs.

Keywords

Acknowledgement

This study was supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (No. 2020R1A2C1100912).

References

  1. Gebauer J, Baust K, Bardi E, Grabow D, Stein A, Van der Pal HJ, et al. Guidelines for long-term follow-up after childhood cancer: practical implications for the daily work. Oncology Research and Treatment. 2020;43(6):61-68. https://doi.org/10.1159/000504200
  2. Moore K, Talwar V, Gomez-Garibello C, Bosacki S, Moxley-Haegert L. Children's spirituality: exploring spirituality in the lives of cancer survivors and a healthy comparison group. Journal of Health Psychology. 2020;25(7):888-899. https://doi.org/10.1177/1359105317737605
  3. Werk RS, Ford JS. Covariates of risky health behaviors in pediatric cancer survivors during adolescence. Journal of Psychosocial Oncology. 2021;39(1):74-88. https://doi.org/10.1080/07347332.2020.1795779
  4. Jones JM, Fitch M, Bongard J, Maganti M, Gupta A, D'Agostino N, et al. The needs and experiences of post-treatment adolescent and young adult cancer survivors. Journal of Clinical Medicine. 2020;9(5):1444. https://doi.org/10.3390/jcm9051444
  5. Mizrahi D, Wakefield CE, Simar D, Ha L, McBride J, Field P, et al. Barriers and enablers to physical activity and aerobic fitness deficits among childhood cancer survivors. Pediatric Blood and Cancer. 2020;67(7):e28339. https://doi.org/10.1002/pbc.28339
  6. Korea Disease Control and Prevention Agency (KDCA). Annual of report of cancer statics in Korea in 2018. Sejong: Ministry of Health and Welfare; 2021 January. Report No.: 11-1352000-000145-10.
  7. Mann K, Wu YP, Pannier ST, Hacking C, Warner EL, Rosen S, et al. Healthcare provider perspectives on pediatric cancer survivorship care plans: a single institution pilot study. Supportive Care in Cancer. 2021;29(2):697-706. https://doi.org/10.1007/s00520-020-05522-w
  8. Bernasconi A, Barigelletti G, Tittarelli A, Botta L, Gatta G, Tagliabue G, et al. Adolescent and young adult cancer survivors: design and characteristics of the first nationwide populationbased cohort in Italy. Journal of Adolescent and Young Adult Oncology. 2020;9(5):586-593. https://doi.org/10.1089/jayao.2019.0170
  9. Marchak JG, Cherven B, Lewis RW, Edwards P, Meacham LR, Palgon M, et al. User-centered design and enhancement of an electronic personal health record to support survivors of pediatric cancers. Supportive Care in Cancer. 2020;28(8):3905-3914. https://doi.org/10.1007/s00520-019-05199-w
  10. Piaget J. The child's conception of the world. Totowa, NJ: Littlefiedl, Adams; 1972. p. 60.
  11. Erickson SJ, Hile S, Kubinec N, Annett RD. Self-reported and parent proxy reported functional impairment among pediatric cancer survivors and controls. Health and Quality of Life Outcomes. 2020;18(1):142. https://doi.org/10.1186/s12955-020-01387-z
  12. Andres-Jensen L, Larsen HB, Johansen C, Frandsen TL, Schmiegelow K, Wahlberg A. Everyday life challenges among adolescent and young adult survivors of childhood acute lymphoblastic leukemia: an in-depth qualitative study. Psycho-Oncology. 2020;29(10):1630-1637. https://doi.org/10.1002/pon.5480
  13. Hayek S, Brinkman TM, Plana JC, Joshi VM, Leupker RV, Durand JB, et al. Association of exercise intolerance with emotional distress, attainment of social roles, and health-related quality of life among adult survivors of childhood cancer. JAMA Oncology. 2020;6(8):1194-1202. https://doi.org/10.1001/jamaoncol.2020.2054
  14. Ke Y, Tan CJ, Ng T, Tan IM, Goh WL, Poon E, et al. Optimizing survivorship care services for Asian adolescent and young adult cancer survivors: a qualitative study. Journal of Adolescent and Young Adult Oncology. 2020;9(3):384-393. https://doi.org/10.1089/jayao.2019.0145
  15. Bradford N, Walker R, Cashion C, Henney R, Yates P. Do specialist youth cancer services meet the physical, psychological and social needs of adolescents and young adults? A cross sectional study. European Journal of Oncology Nursing. 2020;44:101709. https://doi.org/10.1016/j.ejon.2019.101709
  16. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/bf03193146
  17. Gaete J, Olivares E, Godoy MI, Carcamo M, Montero-Marin J, Hendricks C, et al. Adolescent lifestyle profile-revised 2: validity and reliability among adolescents in Chile. Joural de Pediatria. 2021;97(1):52-60. https://doi.org/10.1016/j.jped.2019.11.005
  18. Lee S. Network analysis methodology. Seoul: Nonhyung; 2012. p. 370.
  19. NetMiner. Semantic network analysis [Internet]. Seongnam: Cyram Inc.; 2018 [cited 2022 may 10]. Available from: https://www.netminer.com/aboutus/publications.do#manual
  20. Beddard N, McGeechan GJ, Taylor J, Swainston K. Childhood eye cancer from a parental perspective: the lived experience of parents with children who have had retinoblastoma. European Journal of Cancer Care. 2020;29(2):e13209. https://doi.org/10.1111/ecc.13209
  21. Sleight AG, Boyd P, Klein WM, Jensen RE. Spiritual peace and life meaning may buffer the effect of anxiety on physical well-being in newly diagnosed cancer survivors. Psycho-Oncology. 2020;30(1):52-58. https://doi.org/10.1002/pon.5533
  22. Barone R, Gulisano M, Cannata E, Padalino S, Saia F, Maugeri N, et al. Self- and parent-reported psychological symptoms in young cancer survivors and control peers: results from a clinical center. Journal of Clinical Medicine. 2020;9(11):3444. https://doi.org/10.3390/jcm9113444
  23. McDonnell GA, Pope AW, Ford JS. Associations among perceived parent and peer support, self-esteem, and cancer-related worry in adolescent and young adult cancer survivors. Journal of Adolescent and Young Adult Oncology. 2021;10(2):209-216. https://doi.org/10.1089/jayao.2020.0111
  24. Evered JA. Friendship in adolescents and young adults with experience of cancerr: a dimensional analysis. Cancer Nursing. 2020; 43(2):e61-e70. https://doi.org/10.1097/NCC.0000000000000686
  25. Hebdon M, Foli K, McComb S. Survivor in the cancer context: a concept analysis. Journal of Advanced Nursing. 2015;71(8):1774-1786. https://doi.org/10.1111/jan.12646
  26. Cheung SY, Delfabbro P. Are you a cancer survivor? A review on cancer identity. Journal of Cancer Survivorship. 2016;10(4):759-771. https://doi.org/10.1007/s11764-016-0521-z
  27. Cho YB, Lee SH, Park JH, Park MH. KMMQL-AF-based evaluation of the quality of life for survivors of childhood cancer by age. Journal of Convergence for Information Technology. 2016;6(3):71-77. https://doi.org/10.22156/CS4SMB.2016.6.3.071
  28. Skiba MB, McElfresh JJ, Howe CL, Crane TE, Kopp LM, Jacobs ET, et al. Dietary interventions for adult survivors of adolescent and young adult cancer: a systematic review and narrative synthesis. Journal of Adolescent and Young Adult Oncology. 2020;9(3):315-327. https://doi.org/10.1089/jayao.2019.0105
  29. Lim SJ. Health-related needs and quality of life in childhood cancer survivors. Asian Oncology Nursing. 2015;15(4):246-255. https://doi.org/10.5388/aon.2015.15.4.246