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The BOOST paediatric advance care planning intervention for adolescents with cancer and their parents : development, acceptability and feasibility

(2022) BMC PEDIATRICS. 22(1).
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Abstract
Background Although advance care planning (ACP) has been widely recommended to support patient and family engagement in understanding the patient's values, preferences and goals of care, there are only a few models in paediatric oncology that capture ACP as a process of behaviour change. We aimed to develop and test the acceptability and feasibility of BOOST pACP (Benefits of Obtaining Ownership Systematically Together in paediatric Advance Care Planning) - an intervention to improve ACP in adolescents with cancer, their parents and paediatric oncologists. Methods Several methods informed the intervention development process: 1) Problem identification: interviews with 11 healthcare professionals working in paediatric oncology; 2) Identification of evidence: literature review of existing pACP tools and barriers and facilitators in performing pACP; 3) Logic model and 4) Intervention design: collaborative expert meetings with researchers and professionals in pACP; 5a) Acceptability test of the materials: interviews with nine healthcare professionals, four adolescents and young adults with cancer and six parents; 5b) Feasibility test of core intervention components with three families, including interviews about their experiences. Results The BOOST pACP intervention was iteratively developed and adapted, based on feedback from families, healthcare professionals, and pACP experts (e.g., components were changed, deleted, and added; formulation of themes and associated questions were amended to enhance acceptability). The core components of the BOOST pACP intervention include: four ACP conversation sessions with the adolescent and/or parent(s) provided by a trained facilitator, structured by interactive conversation cards covering different ACP themes, followed by a transfer of information from the intervention facilitator to the paediatric oncologist. Core intervention components were deemed feasible by all participating families. Conclusion The BOOST pACP intervention was developed by close involvement of both adolescent patients and their parents, healthcare professionals and pACP experts. The final intervention and supporting materials are considered appropriate and feasible. Its effectiveness in improving parent-adolescent communication on ACP themes is currently being tested in a multi-centre randomised controlled trial. Researchers aiming to develop a complex psychosocial intervention for a vulnerable target group could use the step-by-step approach described in this paper.
Keywords
YOUNG-ADULTS, COMPLEX INTERVENTIONS, DECISION-MAKING, PALLIATIVE CARE, CLINICAL-TRIAL, CHILDREN, BEHAVIOR, END, COMMUNICATION, DISCUSSIONS, Advance care planning, Paediatric palliative care, Paediatric oncology, Intervention development, Communication, Adolescent, Parent-adolescent, communication

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MLA
van Driessche, Anne, et al. “The BOOST Paediatric Advance Care Planning Intervention for Adolescents with Cancer and Their Parents : Development, Acceptability and Feasibility.” BMC PEDIATRICS, vol. 22, no. 1, 2022, doi:10.1186/s12887-022-03247-9.
APA
van Driessche, A., Gilissen, J., De Vleminck, A., Kars, M., Fahner, J., ten Bosch, J. van der W., … Beernaert, K. (2022). The BOOST paediatric advance care planning intervention for adolescents with cancer and their parents : development, acceptability and feasibility. BMC PEDIATRICS, 22(1). https://doi.org/10.1186/s12887-022-03247-9
Chicago author-date
Driessche, Anne van, Joni Gilissen, Aline De Vleminck, Marijke Kars, Jurrianne Fahner, Jutte van der Werff ten Bosch, Luc Deliens, Joachim Cohen, and Kim Beernaert. 2022. “The BOOST Paediatric Advance Care Planning Intervention for Adolescents with Cancer and Their Parents : Development, Acceptability and Feasibility.” BMC PEDIATRICS 22 (1). https://doi.org/10.1186/s12887-022-03247-9.
Chicago author-date (all authors)
van Driessche, Anne, Joni Gilissen, Aline De Vleminck, Marijke Kars, Jurrianne Fahner, Jutte van der Werff ten Bosch, Luc Deliens, Joachim Cohen, and Kim Beernaert. 2022. “The BOOST Paediatric Advance Care Planning Intervention for Adolescents with Cancer and Their Parents : Development, Acceptability and Feasibility.” BMC PEDIATRICS 22 (1). doi:10.1186/s12887-022-03247-9.
Vancouver
1.
van Driessche A, Gilissen J, De Vleminck A, Kars M, Fahner J, ten Bosch J van der W, et al. The BOOST paediatric advance care planning intervention for adolescents with cancer and their parents : development, acceptability and feasibility. BMC PEDIATRICS. 2022;22(1).
IEEE
[1]
A. van Driessche et al., “The BOOST paediatric advance care planning intervention for adolescents with cancer and their parents : development, acceptability and feasibility,” BMC PEDIATRICS, vol. 22, no. 1, 2022.
@article{8752172,
  abstract     = {{Background Although advance care planning (ACP) has been widely recommended to support patient and family engagement in understanding the patient's values, preferences and goals of care, there are only a few models in paediatric oncology that capture ACP as a process of behaviour change. We aimed to develop and test the acceptability and feasibility of BOOST pACP (Benefits of Obtaining Ownership Systematically Together in paediatric Advance Care Planning) - an intervention to improve ACP in adolescents with cancer, their parents and paediatric oncologists. Methods Several methods informed the intervention development process: 1) Problem identification: interviews with 11 healthcare professionals working in paediatric oncology; 2) Identification of evidence: literature review of existing pACP tools and barriers and facilitators in performing pACP; 3) Logic model and 4) Intervention design: collaborative expert meetings with researchers and professionals in pACP; 5a) Acceptability test of the materials: interviews with nine healthcare professionals, four adolescents and young adults with cancer and six parents; 5b) Feasibility test of core intervention components with three families, including interviews about their experiences. Results The BOOST pACP intervention was iteratively developed and adapted, based on feedback from families, healthcare professionals, and pACP experts (e.g., components were changed, deleted, and added; formulation of themes and associated questions were amended to enhance acceptability). The core components of the BOOST pACP intervention include: four ACP conversation sessions with the adolescent and/or parent(s) provided by a trained facilitator, structured by interactive conversation cards covering different ACP themes, followed by a transfer of information from the intervention facilitator to the paediatric oncologist. Core intervention components were deemed feasible by all participating families. Conclusion The BOOST pACP intervention was developed by close involvement of both adolescent patients and their parents, healthcare professionals and pACP experts. The final intervention and supporting materials are considered appropriate and feasible. Its effectiveness in improving parent-adolescent communication on ACP themes is currently being tested in a multi-centre randomised controlled trial. Researchers aiming to develop a complex psychosocial intervention for a vulnerable target group could use the step-by-step approach described in this paper.}},
  articleno    = {{210}},
  author       = {{van Driessche, Anne and Gilissen, Joni and De Vleminck, Aline and Kars, Marijke and Fahner, Jurrianne and ten Bosch, Jutte van der Werff and Deliens, Luc and Cohen, Joachim and Beernaert, Kim}},
  issn         = {{1471-2431}},
  journal      = {{BMC PEDIATRICS}},
  keywords     = {{YOUNG-ADULTS,COMPLEX INTERVENTIONS,DECISION-MAKING,PALLIATIVE CARE,CLINICAL-TRIAL,CHILDREN,BEHAVIOR,END,COMMUNICATION,DISCUSSIONS,Advance care planning,Paediatric palliative care,Paediatric oncology,Intervention development,Communication,Adolescent,Parent-adolescent,communication}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{17}},
  title        = {{The BOOST paediatric advance care planning intervention for adolescents with cancer and their parents : development, acceptability and feasibility}},
  url          = {{http://doi.org/10.1186/s12887-022-03247-9}},
  volume       = {{22}},
  year         = {{2022}},
}

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