虚拟艺术项目对儿童、青少年和年轻癌症患者生活质量的影响。

IF 1.5 4区 医学 Q3 NURSING
Sarah M Wolff, Howard L Smith, Neill F Piland, Kerstin Lynam
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引用次数: 0

摘要

儿童癌症影响儿童的身体、认知和心理健康。为了改善生活质量和解决社会孤立问题,需要采取循证干预措施。虚拟艺术程序可以通过提高可访问性来满足这些需求。方法本研究分析了虚拟Pablove Shutterbugs摄影课程(vPSPP)的次要数据,vPSPP是一个为期6周的儿童癌症患者虚拟摄影课程。使用PedsQL 4.0 SF15量表在基线、程序中和程序后测量生活质量(n = 201)。采用多层次模型评估生活质量的变化,考虑个体差异。半结构化访谈(n = 15名参与者和家长)探讨了感知到的项目好处。结果多层模型显示,儿童和青少年的生活质量随着时间的推移而显著增加。效应量为中等(d = 0.67)。基线生活质量较低的参与者获益最大,随机斜率方差突出了项目反应的个体差异。定性主题包括(a)减少孤立和加强社会联系,(b)身份发展,(c)增强信心和个人能动性,以及(d)改善动机和分散对痛苦的注意力。讨论结果表明,参与vPSPP可能有助于改善儿科癌症患者的生活质量,突出了虚拟艺术项目在支持情感表达、社会联系和自尊方面的潜在价值。未来的研究应调查长期结果、可扩展性和解决准入障碍的策略,以扩大儿童肿瘤护理中基于艺术的干预措施的范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of a Virtual Art Program on Quality of Life for Children, Adolescents, and Young Adults With Cancer.

BackgroundPediatric cancer impacts children's physical, cognitive, and psychological well-being. Evidence-based interventions are needed to improve quality of life (QOL) and address social isolation. Virtual art programs may address these needs by enhancing accessibility.MethodThis study analyzed secondary data from the virtual Pablove Shutterbugs Photography Program (vPSPP), a 6-week virtual photography course for pediatric cancer patients. QOL was measured at baseline, midprogram, and postprogram using the PedsQL 4.0 SF15 scale (n = 201). Multilevel modeling was employed to assess change in QOL, accounting for individual variation. Semistructured interviews (n = 15 participants and parents) explored perceived program benefits.ResultsMultilevel modeling showed significant increases in QOL over time for both children and teens. The effect size was medium (d = 0.67). Participants with lower baseline QOL experienced the greatest gains, and random slope variance highlighted individual differences in program response. Qualitative themes included (a) reduced isolation and stronger social connections, (b) identity development, (c) increased confidence and personal agency, and (d) improved motivation and distraction from pain.DiscussionFindings suggest that participation in the vPSPP may have contributed to improvements in QOL among pediatric cancer patients, highlighting the potential value of virtual art programs in supporting emotional expression, social connection, and self-esteem. Future research should investigate long-term outcomes, scalability, and strategies to address access barriers to expand the reach of art-based interventions in pediatric oncology care.

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CiteScore
3.30
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