Determining transition readiness in Swiss childhood cancer survivors – a feasibility study

Abstract Background The successful transition of childhood cancer survivors (CCSs) from pediatric to adult long-term follow-up care is a critical phase, and determining the right time point can be challenging. We assessed the feasibility of the use of existing transition readiness tools in the conte...

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Main Authors: Maria Otth, Patrick Wechsler, Sibylle Denzler, Henrik Koehler, Katrin Scheinemann
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-021-07787-8
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author Maria Otth
Patrick Wechsler
Sibylle Denzler
Henrik Koehler
Katrin Scheinemann
author_facet Maria Otth
Patrick Wechsler
Sibylle Denzler
Henrik Koehler
Katrin Scheinemann
author_sort Maria Otth
collection DOAJ
description Abstract Background The successful transition of childhood cancer survivors (CCSs) from pediatric to adult long-term follow-up care is a critical phase, and determining the right time point can be challenging. We assessed the feasibility of the use of existing transition readiness tools in the context of the Swiss health care system, assessed partly transition readiness in Swiss CCSs, and compared our findings with Canadian CCSs for which these tools were originally developed. Methods We officially translated the Cancer Worry Scale (CWS) and Self-Management Skill Scale (SMSS) into German and integrated them into this cross-sectional study. We included CCSs attending the long-term follow-up (LTFU) clinic in the Division of Oncology-Hematology, Department of Pediatrics, Kantonsspital Aarau. We used descriptive statistics to describe transition readiness. Results We randomly recruited 50 CCSs aged ≥18 years at participation. The CCSs had a median CWS score of 62 (interquartile range 55–71), indicating a moderate level of cancer-related worry. Despite high self-management skills, some answers showed a dependency of CCSs on their parents. Our experience shows that the CWS and SMSS are easy for Swiss CCSs to use, understand, and complete. The interpretation of the results must take differences in health care systems between countries into account. Conclusions The translated CWS and SMSS are appropriate additional measures to assess transition readiness in CCSs. These scales can be used longitudinally to find the individual time point for transition and the completion by CCSs enables the health care team to individualize the transition process and to support the CCSs according to their individual needs.
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spelling doaj.art-705b866274ac4b0c9e0d80f3df6e4e662022-12-21T17:21:42ZengBMCBMC Cancer1471-24072021-01-012111710.1186/s12885-021-07787-8Determining transition readiness in Swiss childhood cancer survivors – a feasibility studyMaria Otth0Patrick Wechsler1Sibylle Denzler2Henrik Koehler3Katrin Scheinemann4Division of Oncology-Hematology, Department of Pediatrics, Kantonsspital AarauUniversity of BaselDivision of Oncology-Hematology, Department of Pediatrics, Kantonsspital AarauDepartment of Pediatrics, Kantonsspital AarauDivision of Oncology-Hematology, Department of Pediatrics, Kantonsspital AarauAbstract Background The successful transition of childhood cancer survivors (CCSs) from pediatric to adult long-term follow-up care is a critical phase, and determining the right time point can be challenging. We assessed the feasibility of the use of existing transition readiness tools in the context of the Swiss health care system, assessed partly transition readiness in Swiss CCSs, and compared our findings with Canadian CCSs for which these tools were originally developed. Methods We officially translated the Cancer Worry Scale (CWS) and Self-Management Skill Scale (SMSS) into German and integrated them into this cross-sectional study. We included CCSs attending the long-term follow-up (LTFU) clinic in the Division of Oncology-Hematology, Department of Pediatrics, Kantonsspital Aarau. We used descriptive statistics to describe transition readiness. Results We randomly recruited 50 CCSs aged ≥18 years at participation. The CCSs had a median CWS score of 62 (interquartile range 55–71), indicating a moderate level of cancer-related worry. Despite high self-management skills, some answers showed a dependency of CCSs on their parents. Our experience shows that the CWS and SMSS are easy for Swiss CCSs to use, understand, and complete. The interpretation of the results must take differences in health care systems between countries into account. Conclusions The translated CWS and SMSS are appropriate additional measures to assess transition readiness in CCSs. These scales can be used longitudinally to find the individual time point for transition and the completion by CCSs enables the health care team to individualize the transition process and to support the CCSs according to their individual needs.https://doi.org/10.1186/s12885-021-07787-8TransitionChildhood cancer survivorsReadinessScales
spellingShingle Maria Otth
Patrick Wechsler
Sibylle Denzler
Henrik Koehler
Katrin Scheinemann
Determining transition readiness in Swiss childhood cancer survivors – a feasibility study
BMC Cancer
Transition
Childhood cancer survivors
Readiness
Scales
title Determining transition readiness in Swiss childhood cancer survivors – a feasibility study
title_full Determining transition readiness in Swiss childhood cancer survivors – a feasibility study
title_fullStr Determining transition readiness in Swiss childhood cancer survivors – a feasibility study
title_full_unstemmed Determining transition readiness in Swiss childhood cancer survivors – a feasibility study
title_short Determining transition readiness in Swiss childhood cancer survivors – a feasibility study
title_sort determining transition readiness in swiss childhood cancer survivors a feasibility study
topic Transition
Childhood cancer survivors
Readiness
Scales
url https://doi.org/10.1186/s12885-021-07787-8
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