Author
Bianca Marie E. Cabugason,
Chelsea S. Calano,
Emmylou A. Sangalang
Related Institution
Publication Information
Publication Type
Thesis/Dissertations
Specialization
Occupational Therapy
Publication Date
March 2016
Abstract
This study aimed to analyze the relationship between play participation and the quality of life among pediatric patients with cancer in Cebu Cancer Institute and develop an occupational therapy program based on the results.
The study utilized thirty (30) pediatric patients ages five (5) to twelve (12) years old. A mixed methods research design specifically explanatory sequential design was used. The Pediatric Interest Profile (PIP) and the Pediatric Quality of Life (PedsQL) Generic Core Scale version 4.0 were used to measure the play participation and quality of life. Informal interviews were also done with the parents to support the quantitative data. The results showed that the majority of the respondents (50%) had moderate levels of quality of life. Forty percent (40%) showed high levels of quality of life and ten percent (10%) showed low levels of quality of life. With regards to computing the mean, the overall mean of quality of life was 73.09. Social functioning had the highest mean score of 79.17 while emotional functioning had the lowest mean score of 63.8. Regarding their play participation, majority of the children preferred to participate in indoor activities (56%). Indoor activities also scored highest in terms of play preference with a score of (1.5). The respondents also preferred to participate in indoor activities by themselves (74%). There were significant relations between: overall quality of life and summer activities (r=.401); physical functioning and summer activities, creative activities, lessons/classes, and socializing activities (r=.443, r=.415, r=.366, r=.383); and emotional functioning and outside activities (r=.384). An occupational therapy play participation program for pediatric patients with cancer at Cebu Cancer Institute was developed through this study.
Based on the results of the study, for the pediatric cancer patients, they are encouraged to participate in meaningful play activities to increase quality of life. For the parents, they are encouraged to guide and support their child in their participation in play activities. For the child life specialists, nurses, clinical specialists and educators, they are encouraged to work with occupational therapists during the treatment sessions. For the hospital administrators of Cebu Cancer Institute, they are recommended to consider the occupational therapy program developed through this study. For the occupational therapists, they are recommended to implement an occupational therapy program for pediatric patients with cancer. For future studies, it is recommended to include more respondents from different institutions to increase generalizability, to conduct a focused-group discussion that will help in having an in-depth qualitative analysis, to compare the levels of quality of life between healthy control group and to use longitudinal study while considering the phases of cancer treatment to observe the changes in quality of life and play participation over a period of time.
References
1. Adamoli, L. , Deasy-Spinetta, P. , Corbetta, A. , Jankovic, M. , Lia, R. , Locati, A. , Spinetta, J. J. . "School functioning for the child with leukemia in continuous first remission: Screening high-risk children"
Pediatric Hematology and Oncology 14(2): 121-131, 1997. Retrieved from:
http://https://www.researchgate.net/ publication/14126062_School_Functioning_for_the_Child_with_Leu kemia_in_Continuous_First_Remission_Screening_HighRisk_Child ren.
3. American Occupational Therapy Association"Occupational therapy practice domain & process (3rd ed.)"
The American Journal of Occupational Therapy 68(1): SI-S48, 2014. Retrieved from:
http://dx.doi.org/10.5014/ajot.2014.682006.
6. Berg, C. , Neufeld, P. , Harvey, J. , Downes, A. , Hayashi, R. J. . "Late effects of childhood cancer, participation, and quality of life of adolescents"
OTJR: Occupation, Participation, Health 29(3): 116-124, 2009. Retrieved from:
http://otj.sagepub.com /content/29/3/116.abstract
7. Buizer, A. I. , Sonneville, L. M. , Heuvel-Eibrink, M. M. , Veerman, A. J. . "Behavioral and educational limitations after chemotherapy for childhood acute lymphoblastic leukemia or Wilms tumor"
American Cancer Society 106(9): 2067-2075, 2006. Retrieved from:
http://onlinelibrary.wiley.com/doi/10.1002/cncr.21820/pdf
10. Crepeau, E. B. , Cohn, E. S. , Schell, B. A. . Willard and Spackman Philadelphia: Lippincott Williams & Wilkins, 2009.
11. Duchoslav, R. L. . The effects of pediatric acute lymphoblastic leukemia on social functioning: An investigation into the first year of treatment. Utah State University. 2012. . Retrieved from:
http://digitalcommons.usu.edu/etd/1256
13. Eilertsen, M. , Jozefiak, T. , Rannestad, T. , Indredavik, M. , Vik, T. . "Quality of life in children and adolescents surviving cancer"
European Journal of Oncology Nursing 16(2): 185-193, 2011. Retrieved from:
http://https://www.researchgate.net/publication/51672278_Quality_of_life_in_children_and_adolescents_surviving_cancer
14. Else, P. . Making sense of play: Supporting children in their play Berkshire, England: McGraw Hill, 2014.
15. Erickson, J. M , Beck, S. L. , Christian, B. R. , Dudley, W. , Hollen, P. J. , Albritton, K. A. , Godder, K. . "Fatigue, sleep-wake disturbances, and quality of life in adolescents receiving chemotherapy"
Journal of Pediatric Hematology/Oncology 33(1): 17-25, 2011. Retrieved from:
http://libres.uncg.edu/ ir/uncg/f/w_dudley_fatiguesleep_2011.pdf
19. Hackett, J. . "Perceptions of play and leisure in junior school aged children with juvenile idiopathic arthritis: What are the implications for occupational therapy?"
British Journal of Occupational Therapy 66(7): 303-310, 2003. Retrieved from:
http://bjo.sagepub.com/content/66/7/303.short
20. Henry, A. . Assessment of play and leisure in children and adolescents. Play in Occupational Therapy for Children St. Louis: Mosby, 2008. 95.
21. Henry, A. . Pediatric Interest Profiles: Surveys of play for children and adolescents USA: Therapy Skill Builders, 2000.
22. Hewitt, M. , Weiner, S. L. , Simone, J. V. (Eds.) . Childhood cancer survivorship: Improving care and quality of life Washington, D.C.: National Academies Press, 2003.
23. Kielhofner, G. . Conceptual foundations of Occupational Therapy practice (4th ed.) Philadelphia: F.A. Davis Company, 2009.
27. Laudico, A.V. , Lumague, M. R. , Medina, V. , Mapua, C. A. , Redaniel, M. T. , Valenzuela, F. G. . 2010 Philippine Cancer Facts and Estimates Manila: Philippine Cancer Society, Inc., 2010.
31. Nedovic, G. , Marinkovic, D. , Rapaic, D. , Kozomara, R. , Berat, S. . "Health-related quality of life assessment in Serbian school children hospitalized for malignant disease"
Military Medical and Pharmaceutical Journal of Serbia 70(2): 195-199, 2013. Retrieved from:
http://www.doiserbia.nb.rs/img/doi/0042 8450/2013/0042-84501302195N.pdf
32. Noll, R. B. , Gartstein, M. A. , Vannatta , K. , Correll, J. , Bukowski, W. M. , Davies, W. H. . "Social, emotional, and behavioral functioning of children with cancer"
Pediatrics 103(1): 71-78, 1999. Retrieved from:
http://onlinelibrary.wiley.com/doi /10.1002/ajmg.a.31923/abstract?systemMessage=Subscribe+and+ renew+is+currently+unavailable+online.+Please+contact+customer+care+to+place+an+order%3A++http%3A%2F%2Folabout.wiley.com%2FWileyCDA%2FSection%2Fid397203.html++.
33. Olson, L. , O‟Herron, E.R. . Range of human activity: Leisure. The texture of life Bethseda, Maryland: AOTA Press, 2004. 335-336.
34. Paxton, R. , Jones,, L. , Rosoff, P. , Bonner, M. , Ater, J. , Demark Wahnefried, W. . "Associations between leisure-time physical activity and health-related quality of life among adolescent and adult survivors of childhood cancers" Psycho-Oncology 19(9): 997-1003, 2010
35. Paediatric Integrated Cancer Service(). Paediatric Integrated Cancer Service. . Retrieved from:
http://www.pics.org.au/
38. Potasz, C. , Varela, M. J. , Carvalho, L. C. , Prado, L. F. , Prado, G. F. . "Effect of play activities on hospitalized children"
Scandinavian Journal of Occupational Therapy 20(1): 71-79, 2012. Retrieved from:
http://www.pubfacts.com/detail/23078405/Effect-of-play-activitieson -hospitalized-childrens-stress:-a-randomized-clinical-trial.
40. Radomski, M. V. , Latham, C. A. (Eds.) . Occupational therapy for physical dysfunction (6th ed). Philadelphia: Lippincott Williams & Wilkins, 2008.
43. Sung, L. , Klaassen, R. J. , Dix, D. , Pritchard, S. , Yanofsky, R. , Dzolganovski, B. , Klassen, A. . "Identification of paediatric cancer patients with poor quality of life"
British Journal of Cancer 100(1): 82-88, 2008. Retrieved from:
http://https://www.researchgate.net/publication/23641973_Identification_of_paediatric_cancer_patients_with_poor_quality_of_life
45. Waters, E. B. , Wake, M. A. , Hesketh, K. D. , Ashley, D. M. , Smibert, E. . "Health-related quality of life of children with acute lymphoblastic leukaemia: Comparisons and correlations between parent and clinician reports"
International Journal of Cancer , 2002. Retrieved from:
http://onlinelibrary.wiley.com/doi/10.1002/ijc.10815/pdf
48. Weintraub, N. , Rot, I. , Shoshani, N. , Pe, J. , Weintraub, M. . "Participation in daily activities and quality of life in survivors of retinoblastoma"
Pediatric Blood Cancer 56(4): 590-594, 2011. Retrieved from:
http://https: //www.researchgate.net/publication/publication/49815000_Participation_in_Daily_Activities_and_Quality_of_Life_in_Survivors_of_Retinoblastoma