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Pretend Play as an Intervention for Children With Cancer: A Feasibility Study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.ORCID iD: 0000-0002-0609-5683
Case Western Reserve University, Cleveland, OH, USA.
University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Clinical Psychology in Healthcare.
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2019 (English)In: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 37, no 1, p. 65-75Article in journal (Refereed) Published
Abstract [en]

Children with cancer suffer from symptoms and burdensome treatments that often cause distress to children and their families. Mortality is one aspect of cancer diagnosis, while another is the quality of life and well-being during and after the treatment. By supporting children's communication, self-efficacy and coping ability in the care situation, children are given the possibilities for increased independence and participation and are allowed to develop an influence over their care. The aim of this study was to develop and evaluate the feasibility and acceptability of an adult-facilitated pretend play intervention for children with cancer. Five children with ongoing treatment for cancer were invited to a play intervention that consisted of six to eight sessions of structured pretend play aimed at increasing participation, independence, and well-being. A mixed method design was used to evaluate the feasibility and acceptability of the play intervention. Measures were collected before and after interventions, and in conjunction with every play session. Results suggest that the children enjoyed the play intervention. Findings indicate small improvements regarding self-efficacy in care situations and equal or increased quality of life for participants. A main finding was that no adverse events or increased worrying was reported in conjunction with play sessions. Therefore, the intervention is regarded as safe, feasible, and acceptable as reported by participants and their primary caregivers and a possible means of increasing participation and independence in children with a cancer diagnosis.

Place, publisher, year, edition, pages
2019. Vol. 37, no 1, p. 65-75
Keywords [en]
Intervention, pediatric oncology, pretend play, self-efficacy
National Category
Cancer and Oncology Pediatrics
Research subject
Oncology; Pediatrics; Psychology
Identifiers
URN: urn:nbn:se:uu:diva-399071DOI: 10.1177/1043454219874695ISI: 000498992800006PubMedID: 31540566OAI: oai:DiVA.org:uu-399071DiVA, id: diva2:1377628
Funder
Swedish Childhood Cancer Foundation, PR2013-0123Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2020-01-08Bibliographically approved

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Frygner-Holm, SaraRing, LenaHansson, Mats G.Ljungman, GustafHöglund, Anna T.

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Frygner-Holm, SaraRing, LenaHansson, Mats G.Ljungman, GustafHöglund, Anna T.
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Åsenlöf: PhysiotheraphyClinical Psychology in HealthcareCentre for Research Ethics and BioethicsNeuropediatrics/Paediatric oncology
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Journal of Pediatric Oncology Nursing
Cancer and OncologyPediatrics

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