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The purpose of the study is to evaluate the effect of changes in the care environment in pediatric radiotherapy. The definitions of the changes is a part of the study, and is constructed in collaboration with the institute of design at Umeå University. The implementation is however not part of the study, but done as part of Clinical routine.
The study consist of two parts, where the first 1.5 years are a Control phase where the changes are designed and also function as a baseline period. The following 1.5 years are the case period where the Changes that are accepted for Clinical implementation are implemented.
The impact of the changes are evaluated using surveys and interviews of both parents and children
The purpose of the study is to evaluate the effect of changes in the care environment in pediatric radiotherapy. The definitions of the changes is a part of the study, and is constructed in collaboration with the institute of design at Umeå University. The implementation is however not part of the study, but done as part of Clinical routine.
The study consist of two parts, where the first 1.5 years are a Control phase where the changes are designed and also function as a baseline period. The following 1.5 years are the case period where the Changes that are accepted for Clinical implementation are implemented.
The impact of the changes are evaluated using surveys and interviews of both parents and children. Interviews of the personnel regarding their experiences of the study and the changes is performed after the finalization of the case period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Pediatric patients and their parents who were treated with radiotherapy during baseline period and enrolled in the study. Recruitment to the Control Group took Place during one year. | ||
| Case group | Pediatric patients and their parents who were treated with radiotherapy during case period and enrolled in the study. Recruitment to the case group took place during one year after introduction of new methods and equipment in the in the clinic.. |
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| Measure | Description | Time Frame |
|---|---|---|
| Parents anxiety during treatment period | VAS-anxiety scoring in connection to therapy | 1 day |
| Childrens anxiety during treatment period | FAS-evaluation | 1 day |
| Parents quality of Life during treatment period | PedsQL survey | 1 day |
| Parents view of the care and care environment | Semi structured interview | After treatment period (within 2 months after last treatment) |
| Childrens reflections regarding the treatment period | Semi structured interview | After treatment period (within 2 months after last treatment) |
| Measure | Description | Time Frame |
|---|---|---|
| Use of sedative treatment in connection to radiotherapy | The use of sedative treatments were recorded for each fraction | up to 2 months |
| Experiences of the personnel | Interviews |
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Inclusion Criteria:
Exclusion Criteria:
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All pediatric patients treated with radiotherapy at the study centres were candidates for the study.
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27055258 | Result | Engvall G, Angstrom-Brannstrom C, Mullaney T, Nilsson K, Wickart-Johansson G, Svard AM, Nyholm T, Lindh J, Lindh V. It Is Tough and Tiring but It Works--Children's Experiences of Undergoing Radiotherapy. PLoS One. 2016 Apr 7;11(4):e0153029. doi: 10.1371/journal.pone.0153029. eCollection 2016. | |
| 26509449 | Result |
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| ID | Term |
|---|---|
| D054198 | Precursor Cell Lymphoblastic Leukemia-Lymphoma |
| D011832 | Radiation Injuries |
| ID | Term |
|---|---|
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| After the case period (within 1 year) |
| Angstrom-Brannstrom C, Engvall G, Mullaney T, Nilsson K, Wickart-Johansson G, Svard AM, Nyholm T, Lindh J, Lindh V. Children Undergoing Radiotherapy: Swedish Parents' Experiences and Suggestions for Improvement. PLoS One. 2015 Oct 28;10(10):e0141086. doi: 10.1371/journal.pone.0141086. eCollection 2015. |
| 29357940 | Derived | Engvall G, Lindh V, Mullaney T, Nyholm T, Lindh J, Angstrom-Brannstrom C. Children's experiences and responses towards an intervention for psychological preparation for radiotherapy. Radiat Oncol. 2018 Jan 22;13(1):9. doi: 10.1186/s13014-017-0942-5. |
| D006402 |
| Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D014947 | Wounds and Injuries |