OncoLog Volume 48, Number 12, December 2003

On the Move: Efforts Under Way to Improve Outcomes for Patients with Renal Cancer Protocols: Studies Examine Treatments for Renal Cell Carcinoma Art Therapy Helps Children Affected by Cancer Express Their Emotions Children\u27s Art Project Has Been Improving the Lives of Children with Cancer for 30 Years DiaLog: When a Parent Is Sick: Talking to Children about Cancer, by Martha A. Askins, PhD, Division of Pediatrics, and Martha Aschenbrenner, Director, Child Life Serviceshttps://openworks.mdanderson.org/oncolog/1116/thumbnail.jp

Evaluating patient engagement with a digital intervention for adolescent and young adult (AYA) stem cell transplant survivors

https://openworks.mdanderson.org/sumexp22/1109/thumbnail.jp

Psychometric properties of the 52-, 25-, and 10-item English and Spanish versions of the Social Problem-Solving Inventory-Revised

ObjectiveThe Social Problem-Solving Inventory-Revised (SPSI-R) is a widely used instrument to assess problem-solving ability. This study examined the factor structure of the 52-, 25-, and 10-item versions of the SPSI-R and assessed factorial invariance across English- and Spanish-speaking participants. In addition, the internal consistency, test-retest reliability and sensitivity to detect change in problem-solving skills over time were assessed across the three different versions of the SPSI-R.MethodsData from three randomized controlled trials, in which caregivers of children with cancer (N = 1,069) were assigned to either a problem-solving skills intervention (N = 728) or a control condition (N = 341), were combined. The SPSI-R was administered at baseline (T1) and immediately post intervention (T2). Reliability and multigroup analyses were performed with confirmatory factor analysis (CFA). Sensitivity to change analyses were performed using repeated measures ANOVA.ResultsConfirmatory factor analysis at T1 showed good fit statistics and internal consistency for the 52- and the 25-item versions, but not for the 10-item version. Factorial invariance was demonstrated across time (T1-T2) and language (Spanish-English) for both the 52- and 25-item versions. Adequate sensitivity to change over time was shown.ConclusionThe 52- and 25-item versions of the SPSI-R appear reliable and valid for assessment of problem-solving skills in English- and Spanish-speaking caregivers of children with newly diagnosed cancer. The 25-item SPSI-R can be used as a short version measuring problem-solving ability; the 10-item version cannot be considered a reliable measure for this population

Perceptions of Social Support among Children with Attention Deficit Hyperactivity Disorder, Pre- and Post-Parent Training

The literature demonstrates that children with Attention Deficit Hyperactivity Disorder (ADHD) often experience peer rejection as a result of their difficulties with interpersonal interactions. The manner in which children with ADHD process social information and the extent to which social difficulties may adversely impact these children has remained unclear. In the first part of the study, the perceptions of social support between boys (ages 7 to 11 years) with and without ADHD were compared. An analysis of variance procedure (ANOVA) was performed and children with ADHD were found to perceive significantly lower levels of social support from their classmates than normal peers at pretreatment. The groups did not differ significantly with regard to perceptions of parent, teacher, and close friend support. In the second part of the study, the role of ADHD parent training and its effectiveness in decreasing problem-behaviors, ameliorating social problems, and enhancing perceptions of social support was examined. Repeated measures MANOVAs revealed a significant rater (mother and teacher) by time (pretreatment and posttreatment) interaction effect for total behavior problems, externalizing behavior problems, internalizing behavior problems, and social problems. On each scale, mothers reported more behavior problems than teachers at pretreatment, but fewer problems than teachers at posttreatment assessment. Main effects were not detected. ANOVAs performed on social support ratings by children with ADHD demonstrated a significant increase in their perceptions of parental support between pretreatment and posttreatment. Children's ratings of teacher, close friend, and classmate support did not differ significantly between pretreatment and posttreatment. The findings suggest that children with ADHD are socially perspicacious and sensitive to subtle changes within their social support systems. The parent training program appeared to help with the amelioration of problem behaviors in the home, but results did not indicate generalization of improvements to the classroom. Implications of the findings were discussed and suggestions were made for providing assistance to children with ADHD

Neurocognitive and Psychosocial Outcomes in Pediatric Brain Tumor Survivors

The late neurocognitive and psychosocial effects of treatment for pediatric brain tumor (PBT) represent important areas of clinical focus and ongoing research. Neurocognitive sequelae and associated problems with learning and socioemotional development negatively impact PBT survivors’ overall health-related quality of life, educational attainment and employment rates. Multiple factors including tumor features and associated complications, treatment methods, individual protective and vulnerability factors and accessibility of environmental supports contribute to the neurocognitive and psychosocial outcomes in PBT survivors. Declines in overall measured intelligence are common and may persist years after treatment. Core deficits in attention, processing speed and working memory are postulated to underlie problems with overall intellectual development, academic achievement and career attainment. Additionally, psychological problems after PBT can include depression, anxiety and psychosocial adjustment issues. Several intervention paradigms are briefly described, though to date research on innovative, specific and effective interventions for neurocognitive late effects is still in its early stages. This article reviews the existing research for understanding PBT late effects and highlights the need for innovative research to enhance neurocognitive and psychosocial outcomes in PBT survivors