Enhancing Sibling Support in Oncology: Collaborative Care for Families Facing Cancer in Young People
Abstract
Purpose:Â This study investigates the support systems and needs of siblings of young people with cancer, shedding light on the emotional and informational challenges they face.
Design and Methods:Â Qualitative interviews were conducted, and thematic analysis was employed to gain in-depth insights into the experiences and perspectives of siblings. While the study's relatively small sample size and participant homogeneity are acknowledged limitations, it offers several strengths, including relevance and participant diversity across age cohorts.
Results:Â The findings underscore the essential role of healthcare professionals, particularly nurses, in providing emotional and informational support to siblings. Family-centered care, psychosocial support, tailored interventions, and ongoing research and education are recommended to address the unique needs of siblings effectively.
Conclusion:Â Overall, this study highlights the importance of recognizing and addressing the support needs of siblings in pediatric oncology care, emphasizing their role as a vital component of the family system and advocating for holistic support throughout the cancer journey and beyond.
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Keywords:Â childhood cancer, cancer in young people, siblings, health education, support, nursing, healthcare professionals, psychological support, informative support
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Ahlberg, K., Ekman, T., Gaston-Johansson, F., & Mock, V. (2003). Assessment and management of cancer-related fatigue in adults. Lancet, 362(9384), 640–650. https://doi.org/10.1016/S0140-6736(03)14186-4
Alderfer, M. A., & Hodges, J. A. (2010). Supporting siblings of children with cancer: A need for family-school partnerships. School Mental Health, 2(2), 72–81. https://doi.org/10.1007/s12310-010-9027-4
Alderfer, M. A., Labay, E. L., & Kazak, A. E. (2003). Brief report: Does posttraumatic stress apply to siblings of childhood cancer survivors? Journal of Pediatric Psychology, 28(4), 281–286. https://doi.org/10.1093/jpepsy/jsg016
Barrera, M., Chung, J. Y. Y., & Fleming, C. F. (2005). A group intervention for siblings of pediatric cancer patients. Journal of Psychosocial Oncology, 22(2), 21–39. https://doi.org/10.1300/J077v22n02_02
Barrera, M., Chung, J. Y. Y., Greenberg, M., & Fleming, C. (2002). Preliminary investigation of a group intervention for siblings of pediatric cancer patients. Children’s Health Care, 31(2), 131–142.
https://doi.org/10.1207/S15326888CHC3102_4
Bhatia, S., & Landier, W. (2005). Evaluating survivors of pediatric cancer. The Cancer Journal, 11(4), 340–354. https://doi.org/10.1097/00130404-200507000-00010
Buchbinder, D., Casillas, J., Krull, K. R., Goodman, P., Leisenring, W., Recklitis, C., Alderfer, M. A., Robison, L. L., Armstrong, G. T., Kunin-Batson, A., Stuber, M., & Zeltzer, L. K. (2011). Psychological outcomes of siblings of cancer survivors: A report from the Childhood Cancer Survivor Study. Psycho-Oncology, 20(12), 1259–1268. https://doi.org/10.1002/pon.1848
Canadian Cancer Statistics Advisory Committee. (2019). Canadian Cancer Statistics. Toronto, Ontario: Canadian Cancer Society. www.cancer.ca/Canadian-Cancer-Statistics-2019-EN
Carpenter, P. J., & Sahler, O. J. (1991). Sibling perception and adaption to childhood cancer: Conceptual and methodological considerations. In J. H. Johnson & S. B. Johnson (Eds.), Advances in child health psychology (pp. 193–205). J Hillis Miller Health Science Center.
Chari, U., Hirisave, U., & Appaji, L. (2013). Exploring play therapy in pediatric oncology: A preliminary endeavour. The Indian Journal of Pediatrics, 80(4), 303–308. https://doi.org/10.1007/s12098-012-0807-8
Cheung, C., & Mok, B. (2013). Psychosocial adaptation of childhood cancer survivors and their siblings. Journal of Child and Family Studies, 22(2), 253–267. https://doi.org/10.1007/s10826-012-9575-3
Evans, G. W., Li, D., & Whipple, S. S. (2013). Cumulative risk and child development. Psychological Bulletin, 139(6), 1342–1396. https://doi.org/10.1037/a0031808
Evans, Stevens, M., Cushway, D., & Houghton, J. (1992). Sibling response to childhood cancer: A new approach. Child: Care, Health and Development, 18(4), 229–244. https://doi.org/10.1111/j.1365-2214.1992.tb00356.x
Flowers, S. R., & Birnie, K. A. (2015). Procedural preparation and support as a standard of care in pediatric oncology. Pediatric Blood and Cancer, 62, S668–S697. https://doi.org/10.1002/pbc.25813
Fortunato, G. (2000). Preparing your child for urologic surgery. Journal of Family Urology, 1, 18–21.
Hamama, R., Ronen, T., & Feigin, R. (2000). Self-control, anxiety, and loneliness in siblings of children with cancer. Social Work in Health Care, 31(1), 63–83.
https://doi.org/10.1300/J010v31n01_05
Hancock, L. (2011). The camp experience for siblings of pediatric cancer patients. Journal of Pediatric Oncology Nursing, 28(3), 137–142. https://doi.org/10.1177/1043454211408102
Houtzager, B. A., Grootenhuis, M. A., Caron, H. N., & Last, B. F. (2004). Quality of life and psychological adaptation in siblings of paediatric cancer patients, 2 years after diagnosis. Psycho-Oncology, 13(8), 499–511. https://doi.org/10.1002/pon.759
Houtzager, B. A., Oort, F. J., Hoekstra-Weebers, J. E., Caron, H. N., Grootenhuis, M. A., & Last, B. F. (2004). Coping and family functioning predict longitudinal psychological adaptation of siblings of childhood cancer patients. Journal of Pediatric Psychology, 29(8), 591–605. https://doi.org/10.1093/jpepsy/jsh061
Kaplan, L. M., Kaal, K. J., Bradley, L., & Alderfer, M. A. (2013). Cancer-related traumatic stress reactions in siblings of children with cancer. Families, Systems, & Health, 31(2), 205–217. https://doi.org/10.1037/a0032550
Lehna, C. (1998). A childhood cancer sibling’s oral history. Journal of Pediatric Oncology Nursing, 15(3), 163–171. https://doi.org/10.1016/S1043-4542(98)90085-6
Li, W. H. C., Chung, J. O. K., Ho, K. Y., & Kwok, B. M. C. (2016). Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatrics, 16(1), 36. https://doi.org/10.1186/s12887-016-0570-5
Li, W. H. C., & Lopez, V. (2008). Effectiveness and appropriateness of therapeutic play intervention in preparing children for surgery: A randomized controlled trial study. Journal for Specialists in Pediatric Nursing, 13(2), 63–73. https://doi.org/10.1111/j.1744-6155.2008.00138.x
Long, K. A., Marsland, A. L., & Alderfer, M. A. (2013). Cumulative family risk predicts sibling adjustment to childhood cancer. Cancer, 119(13), 2503–2510. https://doi.org/10.1002/cncr.28077
Long, K. A., Marsland, A. L., Wright, A., & Hinds, P. (2015). Creating a tenuous balance: Siblings’ experience of a brother’s or sister’s childhood cancer diagnosis. Journal of Pediatric Oncology Nursing, 32(1), 21–31.
https://doi.org/10.1177/1043454214555194
Long, K. A., Pariseau, E. M., Muriel, A. C., Chu, A., Kazak, A. E., Leon, M., & Alderfer, M. A. (2017). Psychosocial screening for siblings of children with cancer: Barriers and preferences. Clinical Practice in Pediatric Psychology, 5(4), 364–375. https://doi.org/10.1037/cpp0000219
National Cancer Institute. (2023). Adolescents and Young Adults with Cancer. https://www.cancer.gov/types/aya
National Clinical Guideline Centre (UK). (2010). Psychological preparation (narrative review). In Sedation in children and young people sedation for diagnostic and therapeutic procedures in children and young people (Vol. 112). NICE Clinical Guidelines. https://www.ncbi.nlm.nih.gov/books/NBK82227/?report=reader
Newton, A. S., Wolgemuth, A., Gallivan, J., & Wrightson, D. (2010). Providing support to siblings of hospitalised children. Journal of Paediatrics and Child Health, 46(3), 72–75. https://doi.org/10.1111/j.1440-1754.2009.01640.x
O’Cathain, A., Hoddinott, P., Lewin, S., Thomas, K. J., Young, B., Adamson, J., Jansen, Y. J. F. M., Mills, N., Moore, G., & Donovan, J. L. (2015). Maximising the impact of qualitative research in feasibility studies for randomised controlled trials: Guidance for researchers. In Pilot and Feasibility Studies (Vol. 1, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s40814-015-0026-y
Packman, W., Greenhalgh, J., Chesterman, B., Shaffer, T., Fine, J., Vanzutphen, K., Golan, R., & Amylon, M. D. (2005). Siblings of pediatric cancer patients: The quantitative and qualitative nature of quality of life. Journal of Psychosocial Oncology, 23(1), 87–108. https://doi.org/10.1300/J077v23n01_06
Pompeo, M. N. (2009). When your “problem†becomes mine: Adult female siblings’ perspectives of having a brother with a disability. Exceptionality Education International, 19(2), 50–62. https://doi.org/10.5206/eei.v19i2.7643
Pope, C. (2000). Qualitative research in health care: Analysing qualitative data. BMJ, 320(7227), 114–116. https://doi.org/10.1136/bmj.320.7227.114
Porteous, E., Peterson, E. R., & Cartwright, C. (2019). Siblings of young people with cancer in NZ: Experiences that positively and negatively support well-being. Journal of Pediatric Oncology Nursing, 36(2), 119–130. https://doi.org/10.1177/1043454218819455
Public Health Agency of Canada. (2022). Childhood Cancer COUNTS in Canada. https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/diseases-conditions/childhood-cancer-counts-canada/childhood-cancer-counts-canada.pdf
Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality & Quantity, 52(4), 1893–1907. https://doi.org/10.1007/s11135-017-0574-8
Sidhu, R., Passmore, A., & Baker, D. (2006). The effectiveness of a peer support camp for siblings of children with cancer. Pediatric Blood & Cancer, 47(5), 580–588. https://doi.org/https://doi.org/10.1002/pbc.20653
Sloper, P., & While, D. (1996). Risk factors in the adjustment of siblings of children with cancer. Journal of Child Psychology and Psychiatry, 37(5), 597–607. https://doi.org/10.1111/j.1469-7610.1996.tb01446.x
Statistics Canada. (2015). Childhood cancer incidence and mortality in Canada. Health at a Glance. https://www150.statcan.gc.ca/n1/en/pub/82-624-x/2015001/article/14213-eng.pdf?st=Kpaw9kjl
Stroebe, M. S., Stroebe, W., Hansson, R. O., & Schutt, H. A. W. (2001). Handbook of bereavement research consequences, coping and care (1st edition). American Psychological Association.
Tasker, S. L., & Stonebridge, G. G. S. (2016). Siblings, you matter: Exploring the needs of adolescent siblings of children and youth with cancer. Journal of Pediatric Nursing, 31(6), 712–722. https://doi.org/10.1016/j.pedn.2016.06.005
Waller, A., Forshaw, K., Bryant, J., Carey, M., Boyes, A., & Sanson-Fisher, R. (2015). Preparatory education for cancer patients undergoing surgery: A systematic review of volume and quality of research output over time. Patient Education and Counseling, 98(12), 1540–1549. https://doi.org/10.1016/j.pec.2015.05.008
Wiener, L., Oppenheim, D., Breyer, J., Battles, H., Zadeh, S., & Patenaude, A. F. (2012). A worldview of the professional experiences and training needs of pediatric psycho-oncologists. Psycho-Oncology, 21(9), 944–953. https://doi.org/10.1002/pon.3064
Woodgate, R. L. (2006). Siblings’ experiences with childhood cancer: A different way of being in the family. Cancer Nursing, 29(5), 406–414. https://doi.org/10.1097/00002820-200609000-00010
World Health Organization. (2021). Cure All framework: WHO global initiative for childhood cancer: Increasing access, advancing quality, saving lives. World Health Organization. https://apps.who.int/iris/handle/10665/347370
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