Development and evaluation of an information booklet for adult survivors of cancer in childhood
a Department of Oncology, Birmingham
Children's Hospital, b Department of
Psychology, University of Exeter, Exeter, Devon EX4 4GQ
Correspondence to: Dr Eiser.
Accepted 20 October 1997
AIMS
To determine the need for information among
survivors of childhood cancer, to assess the acceptability of an
information booklet, and to investigate the effectiveness of the
booklet in increasing knowledge and influencing health related behaviours.
SUBJECTS
Fifty survivors of childhood cancer (age
range 14-32 years) who were consecutive attendees at a long term
follow up clinic.
METHODS
The booklet was developed for young
people aged 14 years and above by the United Kingdom Children's Cancer
Study Group Late Effects Group. Included is information about treatment
of cancer, general advice about a healthy lifestyle, the rationale for
long term follow up, and information about employment and life
insurance problems.
Survivors were interviewed at the follow up clinic, offered
the booklet, and contacted approximately one week later for a telephone
interview. The clinic interview assessed survivors' understanding of
their illness and treatment and its impact on their lives, and their
preferences for further information. The telephone interview determined
survivors' general reaction to the booklet, whether it increased
knowledge and influenced health related behaviours.
RESULTS
All those interviewed accepted the
written information and agreed to a follow up interview. Survivors were
enthusiastic about being given more information. Over three quarters
learned new information from the booklet. There were no indications
that the information was associated with anxiety for any demographic or clinical subgroups. After reading the booklet there was an increased awareness of the risk from sunbathing (p < 0.05), and greater appreciation of the importance of follow up (p < 0.05).
CONCLUSIONS
These results suggest that written
information is likely to be an acceptable and effective supplement to
discussions with medical professionals and may readily be incorporated
into long term follow up clinics.
© 1998 by Archives of Disease in Childhood
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