Health literacy on quality of life for children with cancer: modules on pediatric palliative care

Author:

García-Quintero Ximena12,Bastardo Blanco Daniel3,Vásquez Liliana4,Fuentes-Alabí Soad4,Benites-Majano Sara4,Maza Mauricio4,Ugaz Cecilia5,Morales Roxana5,Baker Justin N1,McNeil Michael J.1

Affiliation:

1. Department of Global Pediatric Medicine, St. Jude Children’s Research Hospital, Memphis, United States of America.

2. ximena.garcia@stjude.org

3. Department of Strategic Communication, Education and Outreach. St. Jude Children’s Research Hospital, Memphis, United States of America.

4. Noncommunicable Diseases Unit, Pan American Health Organization/World Health Organization, Washington, DC, United States.

5. Department of Oncology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru.

Abstract

Objective.

To describe the development of educational materials for parents and other caregivers of children with cancer, which utilized a culturally sensitive approach to reduce acceptance barriers to palliative care (PC).

Methods.

The Pan American Health Organization (PAHO), St. Jude Children’s Research Hospital, and partners in Latin America and the Caribbean collaborated in a three-phase project, beginning with a needs assessment survey of caregivers of children with cancer in Peru. Based on this finding, an interdisciplinary team of pediatric PC experts developed educational content that was designed and validated by an international committee of PC and communication experts.

Results.

The collaboration resulted in the development of an eight-module series that introduces caregivers to key concepts of pediatric PC, including management of pain, quality of life, and end of life care. The series was designed to reduce caregiver stigma associated with PC through culturally sensitive education that addresses the low levels of health literacy among caregivers in Latin America and the Caribbean. In the 15 months since the launch, these modules have been distributed throughout Latin America and were downloaded 2 825 times.

Conclusions.

Educational materials and anticipatory guidance of PC were considered to be a priority for parents and other caregivers of children with cancer throughout Latin America. The materials developed through this project have been widely utilized and are available through the PAHO website and the Together by St. Jude™ online resource.

Publisher

Pan American Health Organization

Subject

Public Health, Environmental and Occupational Health

Reference10 articles.

1. Ward ZJ, Yeh JM, Bhakta N, Frazier AL, Girardi F, Atun R. Global childhood cancer survival estimates and priority-setting: a simulation-based analysis. Lancet Oncol. 2019;20(7): 972-83.

2. Lam CG, Howard SC, Bouffet E, Pritchard-Jones K. Science and health for all children with cancer. Science. 2019;363(6432):1182-6.

3. World Health Organization. CureAll framework: WHO global initiative for childhood cancer: increasing access, advancing quality, saving lives. WHO; 2021. [Accessed 8 August 2023]. Available from: https://apps.who.int/iris/handle/10665/347370

4. World Health Organization. Integrating palliative care and symptom relief into paediatrics: a WHO guide for health-care planners, implementers and managers. WHO; 2018. [Accessed 8 August 2023]. Available from: https://apps.who.int/iris/handle/10665/274561

5. McNeil MJ, Ehrlich B, Wang H, Bustamante M, Dussel V, Friedrich P, et al. Assessing Doctors’ Attitudes on Palliative Treatment (ADAPT) Latin America study group. Ideal vs actual timing of palliative care integration for children with cancer in Latin America. JAMA Netw Open. 2023;6(1):e2251496.

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