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  • 1
    Online Resource
    Online Resource
    Frontiers Media SA ; 2022
    In:  Frontiers in Psychology Vol. 13 ( 2022-3-9)
    In: Frontiers in Psychology, Frontiers Media SA, Vol. 13 ( 2022-3-9)
    Abstract: Research on the impact of cancer on close relationships brings up conflicting results. This systematic review collects empirical evidence on the research questions whether a cancer diagnosis in general or the type of cancer affects the divorce rate. Materials and Methods This systematic review was conducted according to the guidelines of the Cochrane Collaboration and the PRISMA statement. The following electronic databases were searched: Web of Science, Ovid SP MEDLINE, PsycINFO, PsyINDEX, CINAHL, ERIC. Risk of bias assessment was performed with the preliminary risk of bias for exposures tool template (ROBINS-E tool). The grading of methodological quality was assessed with the Newcastle-Ottawa Scale. Results Of 13,929 identified records, 15 were included in the qualitative synthesis. In 263,616 cancer patients and 3.4 million healthy individuals, we found that cancer is associated with a slightly decreased divorce rate, except for cervical cancer, which seems to be associated with an increased divorce rate. Discussion According to this systematic review, cancer is associated with a tendency to a slightly decreased divorce rate. However, most of the included studies have methodologic weaknesses and an increased risk of bias. Further studies are needed.
    Type of Medium: Online Resource
    ISSN: 1664-1078
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2563826-9
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  • 2
    In: Trials, Springer Science and Business Media LLC, Vol. 22, No. 1 ( 2021-12)
    Abstract: Families with minor children affected by parental cancer are at risk of considerable emotional and organizational stress that can severely burden all family members. So far, there has been a lack of comprehensive support services for affected families. The aim of this project is to implement and evaluate a complex psychosocial intervention for these families by providing advice, information, and care on an emotional, psycho-social, and communicative level during and after the cancer experience and across healthcare sectors. Methods Family-SCOUT is a project supported by the German Innovation Fund ( https://innovationsfonds.g-ba.de/ ). The evaluation is based on a mixed-methods quasi-experimental design with the intervention and control groups. A standardized postal survey at three measurement points (T0: study enrollment; T1: 3 months of follow-up; T2: 9 months of follow-up), secondary data from the participating health insurance funds, and semi-structured qualitative interviews are used for summative and formative evaluation. The study aim is to include n =560 families. Data will be analyzed according to the intention-to-treat principle. The primary analysis is the comparison of the Hospital Anxiety and Depression Scale (HADS) response rates (minimal important difference (MID) ≥ 1.6 in at least one of the two parents) at T2 between the intervention and control group using Fisher’s exact test. The conduct of the study as well as the development and implementation of the intervention will be accompanied by comprehensive study monitoring following the principles of an effectiveness-implementation hybrid study. Discussion The results will allow to test the effectiveness and efficiency of the intervention for the target group. The first experience with the implementation of the intervention in model regions will be available. The evaluation results will serve as the basis to assess the need of including the intervention in the catalog of services of the statutory health insurance funds in Germany. Trial registration ClinicalTrials.gov , NCT04186923. Retrospectively registered on 4 December 2019.
    Type of Medium: Online Resource
    ISSN: 1745-6215
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2040523-6
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  • 3
    In: Die Onkologie, Springer Science and Business Media LLC, Vol. 28, No. 11 ( 2022-11), p. 997-1004
    Abstract: Every year 37,000 parents with minor children receive a diagnosis of cancer. This leads to considerable distress and increased rates of psychological complications in all family members. Affected families are not adequately recognized, existing support structures do not adequately meet their specific needs, and are rarely used. Objectives What are specific stressors and protective factors for families suffering from parental cancer? What care structures currently exist and what are the criteria for needs-based interventions for the family that can be implemented in standard care? Method We provide a summary of the current state of knowledge (selective literature search), development of the new intervention “Family-SCOUT”, experiences, and first results of the effectiveness study. Results Interventions need to address the complexity of the disease-related situation and the individual needs of all family members. In addition, they need to be conducted through active consultation and they should be family-centered, multisectoral, and comprehensive through all disease phases. Areas such as organizing everyday life, promoting open disease-related communication, and supporting emotional coping with the disease must be addressed. The successful implementation of such an intervention has been proven. The basis for inclusion in standard care is contractual regulations with health insurance companies. Conclusions The prevention of health impairments in parents of underage children with cancer also includes support for all family members to cope with the disease. Oncologists and other physicians working with cancer patients should identify the affected parents, encourage transparent communication, and refer them to appropriate regional care services. These should become part of standard care.
    Type of Medium: Online Resource
    ISSN: 2731-7226 , 2731-7234
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 3120761-3
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