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|Title||Changing factors associated with parent activation after pediatric hematopoietic stem cell transplant.|
|Publication Type||Journal Article|
|Year of Publication||2015|
|Authors||Pennarola BW, Rodday AMae, Bingen K, Schwartz LA, Patel SK, Syrjala KL, Mayer DK, Ratichek SJ, Guinan EC, Kupst MJo, Hibbard JH, Parsons SK|
|Journal||Support Care Cancer|
|Date Published||2015 Jul|
|Keywords||Adult, Child, Demography, Emotions, Female, Hematopoietic Stem Cell Transplantation, Humans, Male, Neoplasms, Parent-Child Relations, Parents, Personal Satisfaction, Randomized Controlled Trials as Topic|
PURPOSE: To identify factors associated with parent activation in parents of children undergoing pediatric hematopoietic stem cell transplant (HSCT) in the 6 months following HSCT, and to address if their association with parent activation changes over time.
METHODS: Measures for this analysis, including the Parent-Patient Activation Measure (Parent-PAM), were completed by parents (N = 198) prior to their child's HSCT preparative regimen and again at 6 months post-HSCT. Clinical data were also collected. A repeated measures model was built to estimate the association between clinical and demographic factors and parent well-being on Parent-PAM scores. Interactions with time were considered to test for changing effects over time.
RESULTS: Throughout the HSCT course, older parent age was associated with lower Parent-PAM scores (β = -0.29, p = 0.02) and never being married was associated with higher scores (versus married, β = 12.27, p = 0.03). While higher parent emotional functioning scores were not associated with activation at baseline, they were important at 6 months (baseline, β = -0.002, p = 0.96; interaction, β = 0.14, p = 0.03). At baseline, longer duration of illness was associated with increased activation, but this effect diminished with time (baseline, β = 3.29, p = 0.0002; interaction, β = -2.40, p = 0.02). Activation levels dropped for parents of children who went from private to public insurance (baseline, β = 2.95, p = 0.53; interaction, β = -13.82, p = 0.004). Clinical events did not affect Parent-PAM scores.
CONCLUSIONS: Our findings reveal important changes in the factors associated with parent activation in the first 6 months after pediatric HSCT. These findings may reflect the emotional and financial toll of pediatric HSCT on parent activation.
|Alternate Journal||Support Care Cancer|
|PubMed Central ID||PMC4449787|
|Grant List||R01 CA 119196 / CA / NCI NIH HHS / United States |
R01 CA112631 / CA / NCI NIH HHS / United States
R01 CA119196 / CA / NCI NIH HHS / United States
R01 CA160684 / CA / NCI NIH HHS / United States