title: Development of a health-related website for parents of children receiving hematopoietic stem cell transplant: HSCT-CHESS.
abstract: BACKGROUND
  Parents of pediatric hematopoietic stem cell transplant (HSCT) play a pivotal role in the care of their child during and after transplant. In addition to the child's comforter, parents also serve as care coordinators and conduits of communication between various health care providers, family and community members. The stress on the parent and family is enormous during this process, which for many is compounded by geographic dislocation to accompany their child during the rigorous treatment and recovery process. For many parents, their own recovery spans months to years.
  
  
  METHODS
  Parental activation, a process of becoming informed to participate in decisions, collaborate with health care providers, and manage care provided the conceptual framework to develop an eHealth approach for this population. HSCT-CHESS was developed, based on previous success with an existing eHealth system of integrated services, the Comprehensive Health Enhancement Support System (CHESS). CHESS(TM) is designed to help individuals and families cope with a health crisis or medical concern. The iterative user-centered development process for HSCT-CHESS included parents of HSCT recipients, representatives from an HSCT Advocacy Group, and members of the clinical, research, development and design teams. This rigorous process, including online focus groups and surveys, utilization of a parental user group, and an editorial and development process are described.
  
  
  CONCLUSIONS
  As the population of cancer survivors and caregivers increase and as the oncology workforce becomes more stretched; developing eHealth applications may be an approach to address many of caregivers unmet needs. The purpose in describing this process is to help others when considering such an endeavor. HSCT-CHESS is now being tested in a randomized controlled trial versus standard care to evaluate its impact on the quality of life of both the parent and child HSCT recipient.
authors.affiliation: School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall #7460, Chapel Hill, NC, 27599-7460, USA. dmayer@unc.edu
authors.forename: Deborah K
authors.initials: DK
authors.lastname: Mayer
authors.forename: S
authors.initials: S
authors.lastname: Ratichek
authors.forename: H
authors.initials: H
authors.lastname: Berhe
authors.forename: S
authors.initials: S
authors.lastname: Stewart
authors.forename: F
authors.initials: F
authors.lastname: McTavish
authors.forename: D
authors.initials: D
authors.lastname: Gustafson
authors.forename: S K
authors.initials: SK
authors.lastname: Parsons
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D017028:Caregivers / Q000523:psychology*; D002648:Child; D019992:Databases as Topic / Q000706:statistics & numerical data*; D005260:Female; D019337:Hematologic Neoplasms / Q000628:therapy*; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D010290:Parents / Q000523:psychology*; D011379:Prognosis; D013315:Stress, Psychological; D015996:Survival Rate