“You First Have to Check Out the Doctors”: Transition Expectations and Experiences of Survivors After Pediatric Cancer
ABSTRACT Purpose The shift from child‐centered to adult‐focused healthcare presents social and psychological challenges for adolescents and young adults with chronic conditions, which can affect their participation in follow‐up care. This study aims to investigate the factors that influence patient‐...
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| Vydáno v: | Cancer medicine (Malden, MA) Ročník 13; číslo 23; s. e70455 - n/a |
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| Hlavní autoři: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
John Wiley & Sons, Inc
01.12.2024
John Wiley and Sons Inc Wiley |
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| ISSN: | 2045-7634, 2045-7634 |
| On-line přístup: | Získat plný text |
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| Abstract | ABSTRACT
Purpose
The shift from child‐centered to adult‐focused healthcare presents social and psychological challenges for adolescents and young adults with chronic conditions, which can affect their participation in follow‐up care. This study aims to investigate the factors that influence patient‐driven motivations for adhering to follow‐up recommendations, while also exploring the barriers and supports that impact the transition process for pediatric cancer survivors.
Methods
We developed interview guidelines grounded in the Theory of Planned Behavior (TPB) and the stereotype priming model (SPM). We conducted 10 episodic narrative interviews with pediatric cancer survivors during their transition phase. The interview transcripts were analyzed through qualitative thematic content analysis, followed by quantitative analysis using multiple regression models. This research is a part of the broader VersKiK study, which aims to propose enhancements to the organization of (long‐term) follow‐up care after cancer in childhood and adolescence in Germany.
Results
In this study, pediatric cancer survivors transitioning to adult healthcare showed varied motivations for follow‐up care. Positive attitudes, driven by understanding the benefits, improved engagement, while anxiety and fear of losing familiar care created barriers. Family and peer support played a key role in encouraging adherence. Perceived control over healthcare management, supported by organizational help, was crucial, but logistical and financial challenges often undermined this control.
Conclusions
Several motives underlying pediatric cancer survivors' behavior significantly influence their transition experiences. Enhancing positive attitudes, strengthening social support, and improving perceived control through targeted interventions may support smoother transitions to adult healthcare facilities.
Trial Registration: Registered at German Clinical Trial Register (IDs: DRKS00025960 and DRKS00026092) |
|---|---|
| AbstractList | The shift from child-centered to adult-focused healthcare presents social and psychological challenges for adolescents and young adults with chronic conditions, which can affect their participation in follow-up care. This study aims to investigate the factors that influence patient-driven motivations for adhering to follow-up recommendations, while also exploring the barriers and supports that impact the transition process for pediatric cancer survivors.PURPOSEThe shift from child-centered to adult-focused healthcare presents social and psychological challenges for adolescents and young adults with chronic conditions, which can affect their participation in follow-up care. This study aims to investigate the factors that influence patient-driven motivations for adhering to follow-up recommendations, while also exploring the barriers and supports that impact the transition process for pediatric cancer survivors.We developed interview guidelines grounded in the Theory of Planned Behavior (TPB) and the stereotype priming model (SPM). We conducted 10 episodic narrative interviews with pediatric cancer survivors during their transition phase. The interview transcripts were analyzed through qualitative thematic content analysis, followed by quantitative analysis using multiple regression models. This research is a part of the broader VersKiK study, which aims to propose enhancements to the organization of (long-term) follow-up care after cancer in childhood and adolescence in Germany.METHODSWe developed interview guidelines grounded in the Theory of Planned Behavior (TPB) and the stereotype priming model (SPM). We conducted 10 episodic narrative interviews with pediatric cancer survivors during their transition phase. The interview transcripts were analyzed through qualitative thematic content analysis, followed by quantitative analysis using multiple regression models. This research is a part of the broader VersKiK study, which aims to propose enhancements to the organization of (long-term) follow-up care after cancer in childhood and adolescence in Germany.In this study, pediatric cancer survivors transitioning to adult healthcare showed varied motivations for follow-up care. Positive attitudes, driven by understanding the benefits, improved engagement, while anxiety and fear of losing familiar care created barriers. Family and peer support played a key role in encouraging adherence. Perceived control over healthcare management, supported by organizational help, was crucial, but logistical and financial challenges often undermined this control.RESULTSIn this study, pediatric cancer survivors transitioning to adult healthcare showed varied motivations for follow-up care. Positive attitudes, driven by understanding the benefits, improved engagement, while anxiety and fear of losing familiar care created barriers. Family and peer support played a key role in encouraging adherence. Perceived control over healthcare management, supported by organizational help, was crucial, but logistical and financial challenges often undermined this control.Several motives underlying pediatric cancer survivors' behavior significantly influence their transition experiences. Enhancing positive attitudes, strengthening social support, and improving perceived control through targeted interventions may support smoother transitions to adult healthcare facilities.CONCLUSIONSSeveral motives underlying pediatric cancer survivors' behavior significantly influence their transition experiences. Enhancing positive attitudes, strengthening social support, and improving perceived control through targeted interventions may support smoother transitions to adult healthcare facilities.Registered at German Clinical Trial Register (IDs: DRKS00025960 and DRKS00026092).TRIAL REGISTRATIONRegistered at German Clinical Trial Register (IDs: DRKS00025960 and DRKS00026092). ABSTRACT Purpose The shift from child‐centered to adult‐focused healthcare presents social and psychological challenges for adolescents and young adults with chronic conditions, which can affect their participation in follow‐up care. This study aims to investigate the factors that influence patient‐driven motivations for adhering to follow‐up recommendations, while also exploring the barriers and supports that impact the transition process for pediatric cancer survivors. Methods We developed interview guidelines grounded in the Theory of Planned Behavior (TPB) and the stereotype priming model (SPM). We conducted 10 episodic narrative interviews with pediatric cancer survivors during their transition phase. The interview transcripts were analyzed through qualitative thematic content analysis, followed by quantitative analysis using multiple regression models. This research is a part of the broader VersKiK study, which aims to propose enhancements to the organization of (long‐term) follow‐up care after cancer in childhood and adolescence in Germany. Results In this study, pediatric cancer survivors transitioning to adult healthcare showed varied motivations for follow‐up care. Positive attitudes, driven by understanding the benefits, improved engagement, while anxiety and fear of losing familiar care created barriers. Family and peer support played a key role in encouraging adherence. Perceived control over healthcare management, supported by organizational help, was crucial, but logistical and financial challenges often undermined this control. Conclusions Several motives underlying pediatric cancer survivors' behavior significantly influence their transition experiences. Enhancing positive attitudes, strengthening social support, and improving perceived control through targeted interventions may support smoother transitions to adult healthcare facilities. Trial Registration: Registered at German Clinical Trial Register (IDs: DRKS00025960 and DRKS00026092) ABSTRACT Purpose The shift from child‐centered to adult‐focused healthcare presents social and psychological challenges for adolescents and young adults with chronic conditions, which can affect their participation in follow‐up care. This study aims to investigate the factors that influence patient‐driven motivations for adhering to follow‐up recommendations, while also exploring the barriers and supports that impact the transition process for pediatric cancer survivors. Methods We developed interview guidelines grounded in the Theory of Planned Behavior (TPB) and the stereotype priming model (SPM). We conducted 10 episodic narrative interviews with pediatric cancer survivors during their transition phase. The interview transcripts were analyzed through qualitative thematic content analysis, followed by quantitative analysis using multiple regression models. This research is a part of the broader VersKiK study, which aims to propose enhancements to the organization of (long‐term) follow‐up care after cancer in childhood and adolescence in Germany. Results In this study, pediatric cancer survivors transitioning to adult healthcare showed varied motivations for follow‐up care. Positive attitudes, driven by understanding the benefits, improved engagement, while anxiety and fear of losing familiar care created barriers. Family and peer support played a key role in encouraging adherence. Perceived control over healthcare management, supported by organizational help, was crucial, but logistical and financial challenges often undermined this control. Conclusions Several motives underlying pediatric cancer survivors' behavior significantly influence their transition experiences. Enhancing positive attitudes, strengthening social support, and improving perceived control through targeted interventions may support smoother transitions to adult healthcare facilities. Trial Registration: Registered at German Clinical Trial Register (IDs: DRKS00025960 and DRKS00026092) The shift from child-centered to adult-focused healthcare presents social and psychological challenges for adolescents and young adults with chronic conditions, which can affect their participation in follow-up care. This study aims to investigate the factors that influence patient-driven motivations for adhering to follow-up recommendations, while also exploring the barriers and supports that impact the transition process for pediatric cancer survivors. We developed interview guidelines grounded in the Theory of Planned Behavior (TPB) and the stereotype priming model (SPM). We conducted 10 episodic narrative interviews with pediatric cancer survivors during their transition phase. The interview transcripts were analyzed through qualitative thematic content analysis, followed by quantitative analysis using multiple regression models. This research is a part of the broader VersKiK study, which aims to propose enhancements to the organization of (long-term) follow-up care after cancer in childhood and adolescence in Germany. In this study, pediatric cancer survivors transitioning to adult healthcare showed varied motivations for follow-up care. Positive attitudes, driven by understanding the benefits, improved engagement, while anxiety and fear of losing familiar care created barriers. Family and peer support played a key role in encouraging adherence. Perceived control over healthcare management, supported by organizational help, was crucial, but logistical and financial challenges often undermined this control. Several motives underlying pediatric cancer survivors' behavior significantly influence their transition experiences. Enhancing positive attitudes, strengthening social support, and improving perceived control through targeted interventions may support smoother transitions to adult healthcare facilities. Registered at German Clinical Trial Register (IDs: DRKS00025960 and DRKS00026092). |
| Author | Langer, Thorsten Swart, Enno Glogner, Juliane Haugke, Henrike Calaminus, Gabriele Baust, Katja Aleshchenko, Ekaterina Trocchi, Pietro |
| AuthorAffiliation | 2 University Hospital of Schleswig‐Holstein, Campus Luebeck Luebeck Germany 1 Institute of Social Medicine and Health Systems Research, Faculty of Medicine Otto von Guericke University Magdeburg Germany 3 Department of Pediatric Hematology and Oncology University Hospital Bonn Bonn Germany |
| AuthorAffiliation_xml | – name: 2 University Hospital of Schleswig‐Holstein, Campus Luebeck Luebeck Germany – name: 3 Department of Pediatric Hematology and Oncology University Hospital Bonn Bonn Germany – name: 1 Institute of Social Medicine and Health Systems Research, Faculty of Medicine Otto von Guericke University Magdeburg Germany |
| Author_xml | – sequence: 1 givenname: Ekaterina orcidid: 0000-0001-6338-5014 surname: Aleshchenko fullname: Aleshchenko, Ekaterina email: ekaterina.aleshchenko@med.ovgu.de organization: Otto von Guericke University – sequence: 2 givenname: Thorsten surname: Langer fullname: Langer, Thorsten organization: University Hospital of Schleswig‐Holstein, Campus Luebeck – sequence: 3 givenname: Gabriele surname: Calaminus fullname: Calaminus, Gabriele organization: University Hospital Bonn – sequence: 4 givenname: Juliane surname: Glogner fullname: Glogner, Juliane organization: University Hospital Bonn – sequence: 5 givenname: Henrike surname: Haugke fullname: Haugke, Henrike organization: University Hospital Bonn – sequence: 6 givenname: Pietro surname: Trocchi fullname: Trocchi, Pietro organization: Otto von Guericke University – sequence: 7 givenname: Enno surname: Swart fullname: Swart, Enno organization: Otto von Guericke University – sequence: 8 givenname: Katja surname: Baust fullname: Baust, Katja organization: University Hospital Bonn |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39655443$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_3390_children12091171 |
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| Copyright | 2024 The Author(s). published by John Wiley & Sons Ltd. 2024 The Author(s). Cancer Medicine published by John Wiley & Sons Ltd. 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Keywords | theory of planned behavior cancer survivorship transition from pediatric to adult healthcare stereotype priming model pediatric cancer |
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| License | Attribution 2024 The Author(s). Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
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The shift from child‐centered to adult‐focused healthcare presents social and psychological challenges for adolescents and young adults with... The shift from child-centered to adult-focused healthcare presents social and psychological challenges for adolescents and young adults with chronic... ABSTRACT Purpose The shift from child‐centered to adult‐focused healthcare presents social and psychological challenges for adolescents and young adults with... |
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| SubjectTerms | Adolescent Adult Agreements Cancer Cancer Survivors - psychology cancer survivorship Caregivers Child Children Female Germany Health behavior Health care Hospitals Humans Interviews Male Motivation Narratives Neoplasms - psychology Neoplasms - therapy pediatric cancer Pediatrics Qualitative Research Regression analysis Social behavior Social interactions stereotype priming model Teenagers theory of planned behavior transition from pediatric to adult healthcare Transition to Adult Care Young Adult Young adults |
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| Title | “You First Have to Check Out the Doctors”: Transition Expectations and Experiences of Survivors After Pediatric Cancer |
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