2.50
Hdl Handle:
http://hdl.handle.net/10755/157484
Type:
Presentation
Title:
THE THERAPY RELATED SYMPTOM CHECKLIST FOR CHILDREN IN INPATIENTS: PILOT STUDY
Abstract:
THE THERAPY RELATED SYMPTOM CHECKLIST FOR CHILDREN IN INPATIENTS: PILOT STUDY
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Dobos, Carol, PhD, RN-C
P.I. Institution Name:Phoenix Children's Hospital
Title:Director
Contact Address:1919 E. Thomas Drive, Phoenix, AZ, 85016, USA
Co-Authors:Annie T. Gieseking; Phoebe Williams; Arthur R. Williams
The Therapy Related Symptom Checklist for Children (TRSC-C) in Inpatients: Pilot Study
STUDY AIMS: Examine among pediatric and adolescent oncology inpatients 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/"symptom concern" scores.
METHOD: Sample: 32 children; 5 inpatient settings; mean age=9.7 years: 56% male, 44% female. Diagnoses: A.L.L, 41%; solid tumors, 15%; nervous system tumors, 21%; Other, 23%; mostly chemotherapy; few radiation.
Instrument: 34 item TRSC-C checklist; child self-report or parent-report: "0", None; "1", A little bit; "2", Quite a bit; "3",A lot; "4", A whole lot.
RESULTS:
1. 12 of 34 symptoms reported by 50%+ of respondents; 22 symptoms by 33%+. Most frequent: feeling sluggish (81%); nausea (75%); difficulty sleeping (41%). Pain reported by 50%. Severity/concern means on items near or over ôquite a bitö: hairloss (over), feeling sluggish (over), nausea, vomiting, loss of appetite. [Details in handout]
2. Significant differences in severity/concern by age group (Fisher's exact: greater concern in older): dizzy (p<.01); taste change (p<.01); sore throat (p<.02); skin changes (p<.02); loss of appetite (p<.03); afraid (p<.05).
3. TRSC-C score (summated) by age group: Wilcoxon, z =-1.056, p=.2909 [ns]
CONCLUSION: TRSC-C useful as comprehensive list of symptoms of concern to patient.
IMPLICATIONS: 22 symptoms per patient may require attention during inpatient pediatric oncology treatments with some symptoms varying by age. Comparison study on outpatients (Ref.2) found 10 of 34 symptoms reported by 50%+ of 90 respondents - evidence of construct validity of TRSC-C
On-going work: Short term: a.) standardization of "child-friendly" 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.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTHE THERAPY RELATED SYMPTOM CHECKLIST FOR CHILDREN IN INPATIENTS: PILOT STUDYen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157484-
dc.description.abstract<table><tr><td colspan="2" class="item-title">THE THERAPY RELATED SYMPTOM CHECKLIST FOR CHILDREN IN INPATIENTS: PILOT STUDY</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dobos, Carol, PhD, RN-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Phoenix Children's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1919 E. Thomas Drive, Phoenix, AZ, 85016, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cdobos@phoenixchildrens.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Annie T. Gieseking; Phoebe Williams; Arthur R. Williams</td></tr><tr><td colspan="2" class="item-abstract">The Therapy Related Symptom Checklist for Children (TRSC-C) in Inpatients: Pilot Study <br/>STUDY AIMS: Examine among pediatric and adolescent oncology inpatients whether there are:<br/>1. Frequent patient reported symptoms on the TRSC-C and severity/concern on each. <br/>2. Age group differences (1-11 versus 12-18 years) in symptoms. <br/>3. Age group differences in total TRSC-C severity/&quot;symptom concern&quot; scores. <br/>METHOD: Sample: 32 children; 5 inpatient settings; mean age=9.7 years: 56% male, 44% female. Diagnoses: A.L.L, 41%; solid tumors, 15%; nervous system tumors, 21%; Other, 23%; mostly chemotherapy; few radiation.<br/>Instrument: 34 item TRSC-C checklist; child self-report or parent-report: &quot;0&quot;, None; &quot;1&quot;, A little bit; &quot;2&quot;, Quite a bit; &quot;3&quot;,A lot; &quot;4&quot;, A whole lot. <br/>RESULTS:<br/>1. 12 of 34 symptoms reported by 50%+ of respondents; 22 symptoms by 33%+. Most frequent: feeling sluggish (81%); nausea (75%); difficulty sleeping (41%). Pain reported by 50%. Severity/concern means on items near or over &ocirc;quite a bit&ouml;: hairloss (over), feeling sluggish (over), nausea, vomiting, loss of appetite. [Details in handout]<br/>2. Significant differences in severity/concern by age group (Fisher's exact: greater concern in older): dizzy (p&lt;.01); taste change (p&lt;.01); sore throat (p&lt;.02); skin changes (p&lt;.02); loss of appetite (p&lt;.03); afraid (p&lt;.05).<br/>3. TRSC-C score (summated) by age group: Wilcoxon, z =-1.056, p=.2909 [ns]<br/>CONCLUSION: TRSC-C useful as comprehensive list of symptoms of concern to patient. <br/>IMPLICATIONS: 22 symptoms per patient may require attention during inpatient pediatric oncology treatments with some symptoms varying by age. Comparison study on outpatients (Ref.2) found 10 of 34 symptoms reported by 50%+ of 90 respondents - evidence of construct validity of TRSC-C<br/>On-going work: Short term: a.) standardization of &quot;child-friendly&quot; 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.<br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:54:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:54:51Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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