The Therapy Related Symptom Checklist for Children (TRSC-C) in Outpatient Clinics: Pilot Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/154107
Type:
Presentation
Title:
The Therapy Related Symptom Checklist for Children (TRSC-C) in Outpatient Clinics: Pilot Study
Abstract:
The Therapy Related Symptom Checklist for Children (TRSC-C) in Outpatient Clinics: Pilot Study
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Lopez, Violeta, RN, PhD, FRCNA
P.I. Institution Name:The Chinese University of Hong Kong
Title:Professor
Co-Authors:Phoebe D. Williams, PhD, RN, FAAN; Melanie Brewer, DNSc, FNP, RN, APRN; Arthur R. Williams, PhD, MPA, MA; Kristin Stegenga, PhD, RN, CNS, CPON; Deborah Del Favero, MSN, RN, CPN, CNA; Catherine Powell, BSN, MSN; Lavonne Ridder, MSN, MA, RN, CPON
[Research Paper or Poster Presentation] Study Aims: Examine among pediatric and adolescent oncology outpatients whether there are: 1. Frequent patient reported symptoms on the TRSC-C and severity/concern on each. 2. Age group differences (1-11 versus 12-18 years) in symptoms. 3. Age group differences in total TRSC-C severity/ôsymptom concernö scores. Method: Sample: 42 children; 4 outpatient clinics; mean age=10: 26 male, 16 female. Diagnoses: A.L.L, 43%; solid tumors, 17%; nervous system tumors, 26%; Other, 14%; mostly chemotherapy; few radiation. Instrument: 34 item TRSC-C checklist; child self-report or parent-report: ô0ö, None;ô1ö,A little bit;ö2ö,Quite a bit;ö3ö,A lot;ö4ö, A whole lot. Results: 1. 10 of 34 symptoms reported by 50%+ of respondents; 20 symptoms by 33%+. Most frequent: difficulty sleeping (78%); feeling sluggish (76%). Pain reported by 50%. Severity/concern means on items near ôquite a bitö: hairloss, feeling sluggish, nausea. [Details in handout] 2. Significant differences in severity by age group (Fisher's exact: greater severity in older): dizzy (p<.01); hairloss (p<.02); difficulty sleeping (p<.04); sore throat (p<.06); fever (p<.06); numbness fingers/toes (p<.08). 3. TRSC-C score (summated) by age group: Wilcoxon, z =-.27, p=.7855 [ns] Conclusion: TRSC-C useful as comprehensive list of symptoms of concern to patient. Implications: Symptoms often remain unreported in clinic interviews. 10-20 symptoms per patient may require attention at outpatient pediatric clinics with some symptoms varying by age. On-going work: Short term: a.) standardization of ôchild-friendlyö TRSC-C; b.) identification of symptom clusters. Longer term: a.) track patient symptoms across treatment with health information technologies (HIT); b.) provide accurate symptom information in medical records, and c.) track symptoms/clusters to assess improvements in outcomes. Reference: The adult standardized TRSC available and in use (see Lipscomb, Gotay, Snyder, 2005, Outcomes Assessment in Cancer, Cambridge University Press; and other references). Contact: pwilliam@kumc.edu.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Therapy Related Symptom Checklist for Children (TRSC-C) in Outpatient Clinics: Pilot Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154107-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Therapy Related Symptom Checklist for Children (TRSC-C) in Outpatient Clinics: Pilot Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lopez, Violeta, RN, PhD, FRCNA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Chinese University of Hong Kong</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">violeta@cuhk.edu.hk</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Phoebe D. Williams, PhD, RN, FAAN; Melanie Brewer, DNSc, FNP, RN, APRN; Arthur R. Williams, PhD, MPA, MA; Kristin Stegenga, PhD, RN, CNS, CPON; Deborah Del Favero, MSN, RN, CPN, CNA; Catherine Powell, BSN, MSN; Lavonne Ridder, MSN, MA, RN, CPON</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Study Aims: Examine among pediatric and adolescent oncology outpatients whether there are: 1. Frequent patient reported symptoms on the TRSC-C and severity/concern on each. 2. Age group differences (1-11 versus 12-18 years) in symptoms. 3. Age group differences in total TRSC-C severity/&ocirc;symptom concern&ouml; scores. Method: Sample: 42 children; 4 outpatient clinics; mean age=10: 26 male, 16 female. Diagnoses: A.L.L, 43%; solid tumors, 17%; nervous system tumors, 26%; Other, 14%; mostly chemotherapy; few radiation. Instrument: 34 item TRSC-C checklist; child self-report or parent-report: &ocirc;0&ouml;, None;&ocirc;1&ouml;,A little bit;&ouml;2&ouml;,Quite a bit;&ouml;3&ouml;,A lot;&ouml;4&ouml;, A whole lot. Results: 1. 10 of 34 symptoms reported by 50%+ of respondents; 20 symptoms by 33%+. Most frequent: difficulty sleeping (78%); feeling sluggish (76%). Pain reported by 50%. Severity/concern means on items near &ocirc;quite a bit&ouml;: hairloss, feeling sluggish, nausea. [Details in handout] 2. Significant differences in severity by age group (Fisher's exact: greater severity in older): dizzy (p&lt;.01); hairloss (p&lt;.02); difficulty sleeping (p&lt;.04); sore throat (p&lt;.06); fever (p&lt;.06); numbness fingers/toes (p&lt;.08). 3. TRSC-C score (summated) by age group: Wilcoxon, z =-.27, p=.7855 [ns] Conclusion: TRSC-C useful as comprehensive list of symptoms of concern to patient. Implications: Symptoms often remain unreported in clinic interviews. 10-20 symptoms per patient may require attention at outpatient pediatric clinics with some symptoms varying by age. On-going work: Short term: a.) standardization of &ocirc;child-friendly&ouml; TRSC-C; b.) identification of symptom clusters. Longer term: a.) track patient symptoms across treatment with health information technologies (HIT); b.) provide accurate symptom information in medical records, and c.) track symptoms/clusters to assess improvements in outcomes. Reference: The adult standardized TRSC available and in use (see Lipscomb, Gotay, Snyder, 2005, Outcomes Assessment in Cancer, Cambridge University Press; and other references). Contact: pwilliam@kumc.edu.</td></tr></table>en_GB
dc.date.available2011-10-26T12:44:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:44:58Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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