Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Sep 19;30(9):8586-8601.
doi: 10.3390/curroncol30090623.

Prioritizing Solutions and Improving Resources among Young Pediatric Brain Tumor Survivors: Results of an Online Survey

Affiliations

Prioritizing Solutions and Improving Resources among Young Pediatric Brain Tumor Survivors: Results of an Online Survey

Marco Bonanno et al. Curr Oncol. .

Abstract

Pediatric Brain Tumor Survivors (PBTS) often experience social, academic and employment difficulties during aftercare. Despite their needs, they often do not use the services available to them. Following a previous qualitative study, we formulated solutions to help support PBTS return to daily activities after treatment completion. The present study aims to confirm and prioritize these solutions with a larger sample. We used a mixed-methods survey with 68 participants (43 survivors, 25 parents, PBTS' age: 15-39 years). Firstly, we collected information about health condition, and school/work experience in aftercare. Then, we asked participants to prioritize the previously identified solutions using Likert scales and open-ended questions. We used descriptive and inferential statistics to analyze data, and qualitative information to support participants' responses. Participants prioritized the need for evaluation, counseling, and follow-up by health professionals to better understand their post-treatment needs, obtain help to access adapted services, and receive information about resources at school/work. Responses to open-ended questions highlighted major challenges regarding the implementation of professionals' recommendations at school/work and the need for timely interventions. These results will help refine solutions for PBTS and provide key elements for future implementation. Translating these priorities into action will need further work involving professionals and decision makers.

Keywords: adolescent/young adult; brain tumor; parents; survey; survivorship.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Health status—Comparison of reported difficulties in four domains across informant (brain tumor survivors or parents) in 68 survey respondents. Note: Item wording was: What is the impact of these difficulties on daily life?
Figure 2
Figure 2
Perceived difficulties of school attendance in aftercare according to schooling during treatment in survey respondents (n = 65). Note: Item wording was: How would you describe your experience of continuing your studies [of returning to school] after the end of your treatments?
Figure 3
Figure 3
Mean and standard deviation of relevance judgments for each solution. Note: Values for the responses to solutions: 0 (Not at all helpful), 1 (Slightly helpful), 2 (Pretty helpful), 3 (Very helpful).
Figure 4
Figure 4
Suggested key actions to support social integration of pediatric brain tumor survivors.

References

    1. Biassoni V., Massimino M., Oprandi M.C., Clerici C.A., Veneroni L., Corti C., Schiavello E., Spreafico F., Poggi G. Rehabilitation for children and young people surviving a brain tumor, and their transition to adult services: The main challenges. Expert Rev. Qual. Life Cancer Care. 2017;2:137–152. doi: 10.1080/23809000.2017.1321957. - DOI
    1. Erdmann F., Frederiksen L.E., Bonaventure A., Mader L., Hasle H., Robison L.L., Winther J.F. Childhood cancer: Survival, treatment modalities, late effects and improvements over time. Cancer Epidemiol. 2021;71 Pt B:101733. doi: 10.1016/j.canep.2020.101733. - DOI - PubMed
    1. Stavinoha P.L., Askins M.A., Powell S.K., Pillay Smiley N., Robert R.S. Neurocognitive and Psychosocial Outcomes in Pediatric Brain Tumor Survivors. Bioengineering. 2018;5:73. doi: 10.3390/bioengineering5030073. - DOI - PMC - PubMed
    1. Nicklin E., Velikova G., Hulme C., Rodriguez Lopez R., Glaser A., Kwok-Williams M., Boele F. Long-term issues and supportive care needs of adolescent and young adult childhood brain tumour survivors and their caregivers: A systematic review. Psychooncology. 2019;28:477–487. doi: 10.1002/pon.4989. - DOI - PubMed
    1. Puhr A., Ruud E., Anderson V., Due-Tonnessen B.J., Skarbo A.B., Finset A., Andersson S. Executive Function and Psychosocial Adjustment in Adolescent Survivors of Pediatric Brain Tumor. Dev. Neuropsychol. 2021;46:149–168. doi: 10.1080/87565641.2021.1900191. - DOI - PubMed

Publication types