Parent distress, parent-child interactions, child distress and child cooperation during cancer treatment-related port starts: A caring perspective
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Bai, Jinbing by View
Popular Works for Bai, Jinbing by Download
Children reported more suffering from cancer treatment-related painful procedures than cancer itself. Appropriate parent interaction behaviors can help children cope with these painful procedures. Swanson’s Theory of Caring provides a framework to formulate parent interaction behaviors. This dissertation consisted of three separate papers to investigate parent-child interactions during cancer treatment-related port starts.
The first paper reviewed 15 extant observational coding systems of parent-child interactions during painful procedures. These measures had at least an acceptable reliability and some evidence for validity. Only two coding systems were informed with clear theoretical foundations. Parent nonverbal behaviors were under-represented especially for older children (ages 3–18 years). Four of the coding systems were evaluated well-established measures.
The second paper reported the development of the Parent Caring Response Scoring System (P-CaReSS) by the hybrid approach of inductive and deductive coding and tested its psychometric properties. The 18-item P-CaReSS assesses parent verbal (11 items), nonverbal (6 items), and emotional behaviors (1 item). It is feasible to develop an observational measure based on Swanson’s Theory of Caring. The P-CaReSS has acceptable inter-rater reliability and construct validity for use during cancer painful procedures.
The third paper explored the change of parent interaction behaviors over time and the temporal relationships between parent interaction behaviors and child distress during repeated port starts procedures. We found that more parents significantly displayed nonverbal caring behaviors over time and parent verbal caring behaviors did not change significantly. Sequential analyses showed that children were significantly less likely to display verbal and behavioral distress following parent caring behaviors than at any other time. If a child is already engaged with distress, parent verbal and nonverbal caring behaviors can significantly reduce child verbal and behavioral distress.
This dissertation adds new knowledge to current literature in two ways-validating the impact of theory-based parent caring behaviors on child treatment-related responses by sequential analyses and providing new solutions to design evidence-based interventions during cancer procedures. Future studies are needed to explore the moderators of the relationships between parent-child interaction behaviors and intervention programs can be developed to facilitate parents to use caring verbal and nonverbal behaviors.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10119958; ProQuest document ID: 1806124684. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Association between treatment-related symptoms and quality of life among a sample of patients with breast cancer Tsai, Ching-Fen; Liu, Chien-Liang; Liao, Yuan-Mei (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: Patients with breast cancer receiving disease related treatments might trigger early onset of menopause and lead to early exposure of menopause related symptoms. ...
Docherty, Sharron LeeChildhood cancer treatment can be extremely aggressive and has been found to be more distressing and painful than the disease itself. This distress is a direct response to the symptoms caused by the side effects of treatment ...
Shapiro, Tina J.Invasive procedures are often painful and distressing for children and disturbing for their parents. The purpose of this study was to develop a substantive theory of parental perceptions of their school-aged child's responses ...
Shin, Hyunsook; Shon, Soonyoung; Rim, Da HaeParents in this study frequently used direct and indirect commands but were unlikely to use responsive interaction behaviors with their children. Children dominantly showed compliance and demonstrated a low level of ...
Treatment-related decisional conflict, quality of life, and comorbid illness in older adults with cancer Kates, Jeannette M. (2018-05-09)As the aging population the nation increases, cancer diagnoses in this age group will also increase. The many chronic medical conditions associated with older adults will be confounded by a diagnosis of cancer. Older adults ...