Various forms of psychosocial support have been suggested in working with adolescents and young adults (AYAs) as they attempt to cope with cancer, including peer-based interventions, individual psychoeducational counseling, and skill-based interventions. More recently, modern electronic applications created technology-based ways to deliver information and support and have grown in popularity to satisfy AYA needs for information and support. Such support should be offered routinely rather than in a response to a crisis.
View Article and Find Full Text PDFObjective: Health-promoting behaviors are recommended to childhood cancer survivors (CCS) to reduce late effects resulting from cancer treatment. Understanding factors associated with substance use is needed, especially among Hispanic CCS who are underrepresented in previous studies. The objective of this study is to examine substance use behaviors of recently treated Hispanic and non-Hispanic CCS.
View Article and Find Full Text PDFBackground: Follow-up care is critical for childhood cancer survivors (CCS), who are at high risk for comorbidities and late effects of cancer treatments. Understanding the factors associated with maintaining follow-up care is needed, especially for Hispanic CCS, who have been under-represented in previous studies.
Methods: Risk factors and protective factors for receiving cancer-related follow-up care were examined among 193 Los Angeles County CCS diagnosed between 2000 and 2007 (54% Hispanic; mean ± standard deviation age, 19.
This article discusses a novel service, webcasting of a live group, implemented in response to the 2009-2010 H1N1 Flu pandemic by Teen Impact, a program geared at providing social therapy to adolescents diagnosed with cancer or a blood disorder. To ensure that services were not disrupted to adolescents on treatment despite flu restrictions, Teen Impact obtained necessary equipment to webcast the group. A total of 6 Teen Impact members participated in the webcast portion of the group.
View Article and Find Full Text PDFBackground: Parents of childhood cancer survivors (CCS) experience considerable distress related to their child's cancer. However, little is known about cultural variation in this experience. We examine parental distress, specifically symptoms of post-traumatic stress (PTSS) and depression, comparing Hispanic and non-Hispanic parents of CCS.
View Article and Find Full Text PDFThe purpose of this article is to review the current literature on the provision of support groups for adolescent and young adult (AYA) patients with cancer with a focus on the challenges that are faced by these initiatives. The value of group support to patients with cancer and particularly to this age group has been well documented. However, with the advent and increase in popularity of online support options, it is an opportune time to examine the options available to the AYA group and highlight areas that would benefit from further investigation.
View Article and Find Full Text PDFThe adolescent at the end of life poses a unique combination of challenges resulting from the collision of failing health with a developmental trajectory meant to lead to attainment of personal independence. Because virtually all spheres of the dying adolescent's life are affected, optimal palliative care for these young persons requires a multidisciplinary team whose members have a good understanding of their complementary roles and a shared commitment to providing well-coordinated care. Members of the team include the physician (to initiate and coordinate palliative care management); the nurse (to work collaboratively with the physician and adolescent, especially through effective patient advocacy); the psychologist (to assess and manage the patient's neurocognitive and emotional status); the social worker (to assess and optimize support networks); the chaplain (to support the adolescent's search for spiritual meaning); and the child life specialist (to facilitate effective communication in preparing for death).
View Article and Find Full Text PDF