Chinese parents' caregiving ability for children with haematological malignancies: A latent class analysis

Supportive care needs of parents caring for children with leukemia: a latent profile analysis

BACKGROUND

Parents' supportive care needs directly affect their quality of life and the quality of care for their children diagnosed with leukemia.

OBJECTIVES

To identify supportive care needs of Chinese parents in the unobserved subgroups who care for children with leukemia and to examine the associations of the latent class membership with individual characteristics.

METHODS

A multicenter cross-sectional survey study was conducted. A total of 221 parents who had children with leukemia were surveyed in China with the Chinese version of the Supportive Care Needs Survey for Caregivers of Children with Pediatric Cancer (SCNS-C-Ped-C). Latent profile analysis (LPA) was applied to identify latent classes of parents according to supportive care needs. Binary logistic regression model was used to identify the association between individual characteristics and the latent class membership.

RESULTS

LPA results suggested a 2-class solution: class 1-"high supportive care needs" class (n = 126, 57.0%) and class 2-"low supportive care needs" class (n = 95, 43.0%). The class membership was significantly associated with children's treatment duration, family income, distance to the hospital, parents' caregiving ability, and coping strategy.

CONCLUSION

There existed two distinct classes of parents caring for children with leukemia on the basis of supportive care needs. Children's treatment duration, parents' socio-demographic characteristics, caregiving ability, and coping strategy significantly influenced class membership.

IMPLICATIONS FOR PRACTICE

This study highlights the need for tailored interventions to address the specific needs of parents, especially those in the "high supportive care needs" class. Healthcare providers should consider factors related to the class membership when developing the supportive care interventions. Addressing these supportive care needs could improve both parental well-being and the quality of care provided to their children.

Identifying Typologies of Symptoms and Functional Impairments in Chinese Children With Leukemia and Their Population Characteristics: A Latent Profile Analysis

BACKGROUND

Symptom distress and functional impairments in children with leukemia directly affect their quality of life.

OBJECTIVES

To identify subgroups of symptom distress and functional impairments in Chinese children with leukemia and to examine the associations of the latent classes with individual characteristics.

METHODS

This multicenter cross-sectional survey study recruited children with leukemia who received chemotherapy in 4 hospitals in Shanghai, Jiangsu, Zhejiang, and Guangdong Province. The participants were surveyed via PROMIS-25 (Patient-Reported Outcomes Measurement Information System Pediatric-25 Profile). Latent profile analysis and multinomial logistic regression model were performed to identify subgroups of symptom distress and function impairments among children with leukemia.

RESULTS

Latent profile analysis results suggested the classification of 3 subgroups: profile 1: "moderate symptom distress, moderate mobility impairment with fair peer relationship function" group (69, 28.3%), profile 2: "mild symptom distress, no mobility impairment with good peer relationship function" group (97, 39.8%), and profile 3: "no symptom distress, no mobility impairment with good peer relationship function" group (78, 32.0%). Sociodemographic characteristics, including gender of the children, gender and marital status of the parents, average monthly income of the family, and reimbursement ratio of treatment expenses, had significant associations with the latent profile membership ( P < .05).

CONCLUSION

This study identified 3 distinct profiles of symptom distress and functional impairments in children with leukemia and found significant associations between these profiles and sociodemographic characteristics.

IMPLICATIONS FOR PRACTICE

The classification of the 3 latent profiles in children with leukemia helps to provide targeted supportive intervention to those children and their families.

Latent classes of health-promoting lifestyle in breast cancer patients undergoing chemotherapy in China: A cross-sectional survey

AIM

To identify the latent classes of a health-promoting lifestyle and examine the associations of latent class profile with individual characteristics of breast cancer undergoing chemotherapy in China in order to provide some insights and recommendations for targeted and individualized health education of health-promoting lifestyle.

DESIGN

A descriptive cross-sectional survey design was used for this work.

METHODS

A total of 197 patients with breast cancer undergoing chemotherapy recruited from the Breast Cancer Outpatient Chemotherapy Clinic of a Grade 3A hospital were surveyed. Health-promoting lifestyle was measured using the Health Promotion Lifestyle Profile-II: Chinese Version Short (HPLP-IICR). Latent class analysis was used to examine respondents' health-promoting lifestyle patterns. Associations between the latent class membership and individual characteristics were examined using multinomial logistic regression.

RESULTS

Four latent classes were identified: Class 1-Good Nutrition and Poor Physical Activity, Class 2-Poor Health Responsibility and Nutrition, Class 3-Active Health-Promoting Lifestyle, and Class 4-Medium Spiritual Growth and Poor Other Dimensions. Younger respondents and respondents with a higher score in anxiety and depression were more likely to be classified in Class 4 rather than Class 1 or 3. Respondents with low exercise self-efficacy were more likely to be classified in Class 4 than the others. Respondents in Class 4 had more chemotherapy symptom severity and interference, and cases of menopause were fewer in Class 4 rather than Class 3. Those in Class 4 were more likely to have been diagnosed with cancer within 3 months than those in Class 1.