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Journal of Pediatric Psychology Advance Access first published online on July 11, 2007
This version published online on August 31, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm031
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Evidence-Based Assessment, Intervention and Psychosocial Care in Pediatric Oncology: A Blueprint for Comprehensive Services Across Treatment

Anne E. Kazak, PhD1,2, Mary T. Rourke, PhD1, Melissa A. Alderfer, PhD1,2, Ahna Pai, PhD1, Anne F. Reilly, MD1,2 and Anna T. Meadows, MD1,2

1Children's Hospital of Philadelphia and 2University of Pennsylvania

All correspondence concerning this article should be addressed to Anne E. Kazak, PhD, ABPP, The Children's Hospital of Philadelphia, 34th St. and Civic Center Blvd., Room 1486 CHOP North, Philadelphia, PA. 19104-4399. kazak{at}email.chop.edu.


  Abstract

Objective This paper describes the translation of psychological research into clinical services in pediatric oncology, based on two decades of research and clinical services in the Division of Oncology at The Children's Hospital of Philadelphia (CHOP). Method Two models helpful in conceptualizing clinical care underlying intervention work at CHOP are summarized: The Pediatric Psychosocial Preventative Health Model (PPPHM; Kazak, 2006) and the Medical Traumatic Stress Model, specific to pediatric illness and injury (Kazak, Kassam-Adams et al., 2006). Results Integration of these two models offers a "blueprint" for development and evaluation of services to children with cancer and their families relevant for all families across the complete spectrum of disease and treatment. Conclusion The dissemination of evidence-based psychosocial practice in pediatric oncology remains a large and challenging goal. The proposed blueprint may facilitate collaborative work to help assure that children with cancer and their families have access to evidence-based care.

Key words: assessment; childhood cancer; families; intervention; pediatric oncology; post-traumatic stress; psychological outcomes; psychosocial; survival..

Received November 17, 2006; revision received February 20, 2007; accepted March 29, 2007


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