Purpose
This study investigated weight status in survivors of childhood acute lymphocytic leukemia (ALL) and identified related factors.
Methods
A retrospective review of the electronic medical records of survivors of childhood ALL (n=230) was conducted. We analyzed the survivors' characteristics, including sex, age, weight status at diagnosis, central nervous system involvement, risk classification, length of treatment, radiation therapy, and hematopoietic stem cell transplantation. Analysis of variance and the chi-squared test were applied to investigate influencing factors.
Results
The weight status distribution was as follows: 23 individuals (10.0%) were classified as underweight, 151 individuals (65.7%) were healthy weight, and 56 individuals (24.3%) were overweight/obese. Age at diagnosis (F=10.03, p<.001), weight status at diagnosis (x2=43.41, p<.001), and risk classification (F=10.98, p=0.027) showed significant differences among the weight status groups. Survivors who were older at diagnosis and those in the very high-risk category had a higher likelihood of experiencing underweight status during their survivorship, while survivors who were overweight/obese at diagnosis were more likely to remain overweight/obese at the time of survival.
Conclusion
Considering the potential health implications related to an unhealthy weight status in survivors of ALL, it is imperative to undertake early identification and implement interventions for at-risk individuals.

Purpose
This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS).
Methods
Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software.
Results
Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, p=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, p=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, p=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; p=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, p=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, p=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance.
Conclusion
Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.

Citations

• Team Survivors: Preliminary Analysis of an Innovative Intervention to Promote Physical Activity in Survivors of Childhood Cancer and Hematopoietic Stem Cell Transplant
  Meghan K. Flannery, Jocelyn Morin, Katrina O’Malley, Debra Schmidt, Jennifer A. Hoag
  Children.2025; 12(4): 399.     CrossRef
• Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial
  Kyung-ah Kang, Han-ho Kim, Shin-jeong Kim, In-hye Song, Min-jin Lee, Su-yong Lee, Sae-rom Han, Ki-hyuk Lee, So-won Kim, Hye-rin Nam, Mi-na Park, Hye-min Lee, Hee-jin Yoon
  Journal of Pediatric Nursing.2024; 77: 35.     CrossRef
• Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review
  Ismay A. E. de Beijer, Eline Bouwman, Renée L. Mulder, Philippa Steensma, Morven C. Brown, Vera Araújo‐Soares, Magdalena Balcerek, Edit Bardi, Jeanette Falck Winther, Line Elmerdahl Frederiksen, Marloes van Gorp, Sara Oberti, Rebecca J. van Kalsbeek, Toma
  Cancer Medicine.2024;[Epub]     CrossRef

Purpose
This study investigated childhood cancer survivors' behavior related to a healthy lifestyle during their survival period by comparing reports between childhood cancer survivors and their parents.
Methods
In this comparative descriptive study, a survey was conducted with a 33-item questionnaire and one open-ended question about areas for improvement. The participants comprised 69 childhood cancer survivors and 69 of their parents, for a total of 138.
Results
The total mean healthy lifestyle score, on a 4-point Likert scale, reported by childhood cancer survivors was 2.97, while that reported by their parents was 3.03. No significant differences in children's healthy lifestyles were found between childhood cancer survivors' and their parents' reports (t=0.86, p=.390). For the open-ended question, the main keywords based on the results of degree and eigenvector centrality were "exercise", "unbalanced diet", and "food". These keywords were present in both the children's and parents' responses.
Conclusion
Obtaining information on childhood cancer survivors' healthy lifestyles based on reports from themselves and their parents provides meaningful insights into the improvement of health care management. The results of this study may be used to develop and plan healthy lifestyle standards to meet childhood cancer survivors' needs.

Citations

• Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial
  Kyung-ah Kang, Han-ho Kim, Shin-jeong Kim, In-hye Song, Min-jin Lee, Su-yong Lee, Sae-rom Han, Ki-hyuk Lee, So-won Kim, Hye-rin Nam, Mi-na Park, Hye-min Lee, Hee-jin Yoon
  Journal of Pediatric Nursing.2024; 77: 35.     CrossRef

Purpose
This study analyzed research trends related to childhood and adolescent cancer survivors (CACS) using word co-occurrence network analysis on studies registered in the Korean Citation Index (KCI).
Methods
This word co-occurrence network analysis study explored major research trends by constructing a network based on relationships between keywords (semantic morphemes) in the abstracts of published articles. Research articles published in the KCI over the past 10 years were collected using the Biblio Data Collector tool included in the NetMiner Program (version 4), using "cancer survivors", "adolescent", and "child" as the main search terms. After pre-processing, analyses were conducted on centrality (degree and eigenvector), cohesion (community), and topic modeling.
Results
For centrality, the top 10 keywords included "treatment", "factor", "intervention", "group", "radiotherapy", "health", "risk", "measurement", "outcome", and "quality of life". In terms of cohesion and topic analysis, three categories were identified as the major research trends: "treatment and complications", "adaptation and support needs", and "management and quality of life".
Conclusion
The keywords from the three main categories reflected interdisciplinary identification. Many studies on adaptation and support needs were identified in our analysis of nursing literature. Further research on managing and evaluating the quality of life among CACS must also be conducted.

Citations

• Artificial intelligence in healthcare administration: Topic modeling with InfraNodus
  Joko Gunawan
  Journal of Healthcare Administration.2024; 3(1): 1.     CrossRef
• Value co-creation in shared mobility: The case of carpooling in China
  Chao Tian, Kai Tu, Haiqing Sui, Qi Sun
  Technological Forecasting and Social Change.2024; 205: 123481.     CrossRef
• ChatGPT integration within nursing education and its implications for nursing students: A systematic review and text network analysis
  Joko Gunawan, Yupin Aungsuroch, Jed Montayre
  Nurse Education Today.2024; 141: 106323.     CrossRef
• Climate-Smart Agriculture: A Path to Sustainable Food Production
  Nuzhat Khan, Mohamad Anuar Kamaruddin, Usman Ullah Sheikh, Muhammad Paend Bakht, Mohd Norzali Haji Mohd
  Journal of Natural Science Review .2024; 2(Special.Is): 130.     CrossRef
• Exploring Korean adolescent stress on social media: a semantic network analysis
  JongHwi Song, JunRyul Yang, SooYeun Yoo, KyungIn Cheon, SangKyun Yun, YunHee Shin
  PeerJ.2023; 11: e15076.     CrossRef
• Research trends over 10 years (2010-2021) in infant and toddler rearing behavior by family caregivers in South Korea: text network and topic modeling
  In-Hye Song, Kyung-Ah Kang
  Child Health Nursing Research.2023; 29(3): 182.     CrossRef
• Perspectives of Frontline Nurses Working in South Korea during the COVID-19 Pandemic: A Combined Method of Text Network Analysis and Summative Content Analysis
  SangA Lee, Tae Wha Lee, Seung Eun Lee
  Journal of Korean Academy of Nursing.2023; 53(6): 584.     CrossRef
• An Overview of Cognitive Reserve in Aging Based on Keyword Network Analysis
  Jihyun Kim, Mi So Kim
  INQUIRY: The Journal of Health Care Organization, .2022;[Epub]     CrossRef

Purpose
This study aimed to identify the attributes of social adjustment among adolescent cancer survivors using concept analysis and to propose a definition of the concept.
Methods
In accordance with the hybrid model of concept analysis, this study employed a three-phase circular process comprising theoretical, fieldwork, and final analysis phases. A thorough literature review was conducted using MEDLINE, Embase, and Korean databases, followed by qualitative fieldwork with seven participants. The results derived from the theoretical and fieldwork phases were integrated into the final analysis phase.
Results
Four attributes of social adjustment were found in adolescent cancer survivors: having harmonious relationships with friends, having harmonious relationships with boy/girlfriends, fulfilling their present roles, and planning for and expecting future roles. The following definition of social adjustment of adolescent cancer survivors is proposed: “the conquering of difficulties arising from the continuum of childhood cancer and the achievement of the developmental tasks of typical adolescents.”
Conclusion
Social adjustment of childhood cancer survivors is crucial for integrating them into society. The findings of this study provide a basis for developing an instrument to measure the social adjustment of adolescent cancer survivors and for developing of interventions that target this group.

Citations

• Mediators of Social Acceptance Among Emerging Adult Survivors of Childhood Cancer
  Sylvia L. Crowder, Rebecca H. Foster, Acadia W. Buro, Robyn Dillon, Kamar Godder, Marilyn Stern
  Journal of Adolescent and Young Adult Oncology.2023; 12(5): 644.     CrossRef
• Development and psychometric properties of the social adjustment scale for youth cancer survivors in South Korea
  Sumi Oh, Hyejung Lee, Sue Kim, Sanghee Kim, Chuhl Joo Lyu, Chang Gi Park, Hyoung Jin Kang
  Asia-Pacific Journal of Oncology Nursing.2023; 10(7): 100241.     CrossRef
• Development and Validation of the Social Adjustment Scale for Adolescent Cancer Survivors
  Sumi Oh, hyejung Lee, Sue Kim, Sanghee Kim, Chuhl Joo Lyu, Chang-gi Park, Hyoung Jin Kang
  SSRN Electronic Journal .2022;[Epub]     CrossRef
• Research trends related to childhood and adolescent cancer survivors in South Korea using word co-occurrence network analysis
  Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim
  Child Health Nursing Research.2021; 27(3): 201.     CrossRef

Purpose
The purpose of this study was to evaluate measurement properties of self-report questionnaires measuring the social adjustment for youth after treatment of childhood cancer.
Methods
Social adjustment measurement tools were identified through a two-stage systematic review. First, we searched for articles using self-report questionnaires to measure the social adjustment of youth after the treatment of childhood cancer. The appropriate tools were listed and categorized. Second, using methodological filters, we searched 5 electronic databases for articles examining the measurement properties of the tools when used with youth after the treatment of childhood cancer. The quality of these papers was then evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.
Results
Eight tools were frequently used to measure social adjustment. Eight studies investigated the measurement properties of 4 of these tools. The PedsQL 4.0 and MMQL-AF had moderate to strong evidence in some domains, but the rest of the domains had a lack of evidence. The SF-36 and KIDSCREEN-27 were validated for only a few areas.
Conclusion
We found a lack of evidence regarding the measurement properties of these tools. More research is required on the measurement properties of tools for use in this population.

Citations

• Current status of systematic review studies on patient-reported outcome measures published in Korean journals
  Duck-Hee Chae, Jiyeon Lee, Eun-Hyun Lee
  Research in Community and Public Health Nursing.2025; 36: 1.     CrossRef
• Self-esteem of acute leukemic children undergoing chemotherapy
  Fatma M.Z. Behiry, Mirret M. Darwish, Eman A.-F. Hassan, Mahmoud H. Mahmoud
  Egyptian Nursing Journal.2023; 20(1): 68.     CrossRef
• A Systematic Review of Measurement Properties of Spirituality related Assessment Tools Published in Korean Journals
  Il-Sun Ko, Jin Sook Kim, Soyoung Choi
  Journal of Korean Academy of Fundamentals of Nursi.2021; 28(1): 133.     CrossRef
• Research trends related to childhood and adolescent cancer survivors in South Korea using word co-occurrence network analysis
  Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim
  Child Health Nursing Research.2021; 27(3): 201.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef

Purpose
This study was done to describe psychosocial adjustment of adolescents who have survived childhood acute lymphocytic leukemia (ALL). Method: Out of a total of 16 adolescents (11~20 years old) registered at the Pediatric Oncology Clinic at one university affiliated hospital, 13 adolescents agreed to participate in this study. The data were collected through in-depth interviews using a semi-structured questionnaire. The contents of the interviews were analyzed using the inductive content analysis method. Result: Three main categories were identified 'personal characteristics', 'coping patterns', and 'interpersonal relationship'. Personal characteristics included self-praise, self-confidence, altruism, being worrisome, and being difficult. Coping patterns included positive thinking, activeness, and avoidance. Interpersonal relationship included appreciation, intimacy, burdened by over protectiveness, and feelings of regret and equality as peers. Conclusion: The results indicate that adolescents who have survived childhood cancer have both positive and negative experiences. It is suggested that care providers identify and support the strengths of the adolescents in order to help them to adjust more positively after the experience of childhood cancer.