Sleep, Symptoms, and Quality of Life in Adolescents during Chemotherapy

描述（由申请人提供）：具体目的：本研究的长期目标是通过关注症状管理，支持接受化疗的青少年癌症患者的持续发展并改善其生活质量。本研究的目的是描述接受癌症门诊化疗的青少年的睡眠-觉醒活动，并探讨睡眠、治疗相关症状和生活质量之间的关系。本研究的主要目的是描述接受化疗的青少年癌症患者的睡眠-觉醒活动，使用多种数据来源，包括活动记录仪，简短的“生病前”睡眠问卷，日记，青少年睡眠-觉醒量表（ASWS），青少年睡眠卫生量表（ASHS）和访谈数据。还将根据人口统计学和临床特征（例如，年龄、性别、癌症类型、治疗阶段）。次要目标的目的是探索睡眠变量，症状和生活质量之间的关系，并为未来的研究产生效应量估计。该项目与国家康复研究所“了解和缓解急性和慢性疾病的症状”的使命有关。此外，该项目的重点是青少年，这是一个研究不足的人群，其癌症发病率和死亡率高于年轻人。样品：将从位于俄勒冈州波特兰的两个区域儿童癌症中心Legacy Emanuel儿童医院（LECH）和Doernbecher儿童医院（DCH）招募10-19岁的青少年，无论癌症类型或治疗阶段如何。预计样本量为50人，将在8个月内招募。设计和方法：这是一项前瞻性、横断面、探索性研究。将在两个时间点从同意/同意的青少年中收集数据，并将连续佩戴活动记录仪7天。第一个数据收集点将涉及与研究者会面，填写几个心理测量工具和人口统计信息。第二个数据收集点将主要包括访谈。与公共卫生的相关性：患有癌症的青少年除了疼痛、疲劳和恶心等其他症状外，还经常有睡眠障碍。治疗可以持续2-3年。因此，我们必须了解如何更好地管理青少年的症状，以提高他们的生活质量，促进青少年健康发展。

DESCRIPTION (provided by applicant): Specific Aims: The long-term goal of this research is to support the continuing development and improve the quality of life of adolescents with cancer receiving chemotherapy by focusing on symptom management. The purpose of this study is to describe the sleep-wake activity of adolescents undergoing outpatient chemotherapy treatment for cancer, and to explore relationships among sleep, treatment-related symptoms, and quality of life. The primary aim of this study is to describe the sleep-wake activity of adolescents with cancer receiving chemotherapy using multiple sources of data, including actigraphy, a brief "before you were sick" sleep questionnaire, diaries, the Adolescent Sleep-Wake Scale (ASWS), the Adolescent Sleep Hygiene Scale (ASHS), and interview data. Relationships will also be explored based on demographic and clinical characteristics (e.g., age, gender, cancer type, treatment phase). The purpose of the secondary aims is to explore relationships between sleep variables, symptoms, and quality of life, and to generate effect size estimates for future research. This project is relevant to NINR's mission to "understand and ease the symptoms of acute and chronic disease". Additionally, this project focuses on adolescents, an under-researched population, with greater cancer morbidity and mortality than their younger counterparts. Sample: Adolescents, 10-19 years, irrespective of type of cancer or phase of treatment, will be recruited from Legacy Emanuel Children's Hospital (LECH) and Doernbecher Children's Hospital (DCH), the two regional children's cancer centers located in Portland, OR. The anticipated sample size is 50, to be recruited over 8 months. Design and Methods: This is a prospective, cross-sectional, exploratory study. Data will be collected from assenting/consenting adolescents at two points, and the actigraph will be worn continuously for seven days. The first data collection point will involve meeting with the investigator, filling out several psychometric instruments and demographic information. The second data collection point will consist primarily of an interview. Relevance to public health: Adolescents with cancer often have trouble sleeping, in addition to other symptoms such as pain, fatigue, and nausea. Treatment can last for 2-3 years. Therefore, we must understand how to better manage adolescents' symptoms to increase their quality of life and promote healthy adolescent development.