{"title":"Communication Interventions for Families with Parental Cancer With Dependents: Findings from a Scoping Review.","authors":"Cinzia Caparso, Zoe Bowen, Sung Won Choi","doi":"10.1111/wvn.70000","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Since 2019, invasive cancer diagnoses in people younger than 50 years old have increased by 12.8%, which impacts people of childbearing age. Currently, family interventions for parents with cancer primarily focus on the impacted parent communicating the initial cancer diagnosis or at end-of-life messages with their dependents through in-person interventions. Limited web-based interventions have been developed to increase communication across all family members (e.g., parents with cancer with co-parents or children with their parents) about communicating the impact of cancer on the individual's and family's well-being across the cancer trajectory, a key gap to improved outcomes in this population.</p><p><strong>Aim: </strong>This scoping review aimed to comprehensively summarize family communication interventions designed for a parent with cancer who has dependents and to identify and analyze any knowledge gaps regarding family communication interventions in this population.</p><p><strong>Methods: </strong>A comprehensive informationist-assisted search was completed in seven databases. Two reviewers independently performed title/abstract reviews and full-text reviews within the Rayyan software system. Two reviewers performed data extraction.</p><p><strong>Results: </strong>Thirty-five articles were included, and 24 different interventions were investigated. Most articles were published by European teams (45%). Fourteen articles (40%) evaluated interventions that included the entire family, seven (20%) reported family theories, and three (9%) used a web-based delivery. Most articles focused on the outcomes of the parent with cancer and the outcomes of their dependents (31%). Most interventions aimed to increase parent communication with dependents at end-of-life (43%) or at early diagnosis (32%) in the breast cancer population.</p><p><strong>Linking evidence to action: </strong>In-person communication interventions have been developed to communicate with dependents about an early or terminal cancer diagnosis. The impact of the intervention on parents with cancer and their children's outcomes were also investigated. No web-based interventions have been published that focus on the entire family, include family-level outcomes, or completed dyadic analysis across the family on the family-level outcomes to determine relationships. Web-based interventions are needed to address communication challenges for all family members affected by a cancer diagnosis, and equitable access to such interventions should be supported.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"22 1","pages":"e70000"},"PeriodicalIF":3.4000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Worldviews on Evidence-Based Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/wvn.70000","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Since 2019, invasive cancer diagnoses in people younger than 50 years old have increased by 12.8%, which impacts people of childbearing age. Currently, family interventions for parents with cancer primarily focus on the impacted parent communicating the initial cancer diagnosis or at end-of-life messages with their dependents through in-person interventions. Limited web-based interventions have been developed to increase communication across all family members (e.g., parents with cancer with co-parents or children with their parents) about communicating the impact of cancer on the individual's and family's well-being across the cancer trajectory, a key gap to improved outcomes in this population.
Aim: This scoping review aimed to comprehensively summarize family communication interventions designed for a parent with cancer who has dependents and to identify and analyze any knowledge gaps regarding family communication interventions in this population.
Methods: A comprehensive informationist-assisted search was completed in seven databases. Two reviewers independently performed title/abstract reviews and full-text reviews within the Rayyan software system. Two reviewers performed data extraction.
Results: Thirty-five articles were included, and 24 different interventions were investigated. Most articles were published by European teams (45%). Fourteen articles (40%) evaluated interventions that included the entire family, seven (20%) reported family theories, and three (9%) used a web-based delivery. Most articles focused on the outcomes of the parent with cancer and the outcomes of their dependents (31%). Most interventions aimed to increase parent communication with dependents at end-of-life (43%) or at early diagnosis (32%) in the breast cancer population.
Linking evidence to action: In-person communication interventions have been developed to communicate with dependents about an early or terminal cancer diagnosis. The impact of the intervention on parents with cancer and their children's outcomes were also investigated. No web-based interventions have been published that focus on the entire family, include family-level outcomes, or completed dyadic analysis across the family on the family-level outcomes to determine relationships. Web-based interventions are needed to address communication challenges for all family members affected by a cancer diagnosis, and equitable access to such interventions should be supported.
期刊介绍:
The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings.
Worldviews on Evidence-Based Nursing is written especially for:
Clinicians
Researchers
Nurse leaders
Managers
Administrators
Educators
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Worldviews on Evidence-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring:
Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings
Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare
Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership
Commentaries about current evidence-based practice issues and developments
A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing
Reviews of the latest publications and resources on evidence-based nursing and healthcare
News about professional organizations, conferences and other activities around the world related to evidence-based nursing
Links to other global evidence-based nursing resources and organizations.