Abstract
Background Recent research shows that parents of children suffer from
fear of progression (FoP), the fear of further disease progression. It is most
possible that children also develop FoP, which could impair treatment and
psychological health. The aim of this study is to adapt the adult’s
version of the Fear of Progression Questionnaire – Short Form (FoP-Q-SF)
for children and to examine the psychometric properties in pediatric cancer
patients.
Patients 32 pediatric cancer patients between 10 and 18 years with
different diagnoses and in different treatment states participated in this
study.
Method In the cross-sectional study participants completed the adapted
Fear of Progression Questionnaire – Short Form for Children
(FoP-Q-SF/C) and self-report measures assessing quality of life,
depression, fear and coping satisfaction.
Results The questionnaire (FoP-Q-SF/C) showed adequate
psychometric properties (Cronbachs α=0.86) and good results for
construct validity. Significant medium to large correlations of
children’s FoP was observed with quality of life
(r=− 0.37), depression (r=0.52), fear
(r=0.33 – 0.76), and satisfaction with coping
(r=− 0.44). One-fifth of the sample was classified as
having high FoP with values over 37.
Conclusions The FoP-Q-SF/C is a short, economic questionnaire
that is applicable in children with cancer. Clinicians can use the questionnaire
to explore specific fear and the need for psychosocial support. Further research
for specific treatment approaches for FoP in pediatric cancer patients are
warranted.