title: Assessment of family psychosocial functioning in survivors of pediatric cancer using the PAT2.0.
abstract: BACKGROUND
  This study aimed to examine clinical validity and utility of a screening measure for familial psychosocial risk, the Psychosocial Assessment Tool 2.0 (PAT2.0), among pediatric cancer survivors participating in long-term survivorship care.
  
  
  METHODS
  Caregivers (N=79) completed the PAT2.0 during their child's survivorship appointment. Caregivers also reported on family engagement in outpatient mental health treatment. Medical records were reviewed for treatment history and oncology provider initiated psychology consults.
  
  
  RESULTS
  The internal consistency of the PAT2.0 total score in this survivorship sample was strong. Psychology was consulted by the oncology provider to see 53% of participant families, and families seen by psychology had significantly higher PAT2.0 total scores than families without psychology consults. PAT2.0 total scores and corresponding subscales were higher for patients, parents, and siblings enrolled in outpatient mental health services since treatment completion. Results were consistent with psychosocial risk categories presented within the Pediatric Psychosocial Preventative Health Model. Fifty-one percent of families presenting for survivorship care scored in the "universal" category, 34% scored in the "targeted" category, and 15% scored in the "clinical" category.
  
  
  CONCLUSIONS
  Data indicate that the overall proportions of families experiencing "universal", "targeted", and "clinical" levels of familial distress may be constant from the time of diagnosis into survivorship care. Overall, the PAT2.0 demonstrated strong psychometric properties among survivors of pediatric cancer and shows promise as a psychosocial screening measure to facilitate more effective family support in survivorship care.
authors.affiliation: Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA, USA. jordan.gilleland@choa.org
authors.forename: Jordan
authors.initials: J
authors.lastname: Gilleland
authors.forename: Bonney
authors.initials: B
authors.lastname: Reed-Knight
authors.forename: Sarah
authors.initials: S
authors.lastname: Brand
authors.forename: Anya
authors.initials: A
authors.lastname: Griffin
authors.forename: Karen
authors.initials: K
authors.lastname: Wasilewski-Masker
authors.forename: Lillian
authors.initials: L
authors.lastname: Meacham
authors.forename: Ann
authors.initials: A
authors.lastname: Mertens
mesh_terms: D000293:Adolescent; D017028:Caregivers; D002648:Child; D002675:Child, Preschool; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D008495:Medical Oncology; D009369:Neoplasms / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D011584:Psychology; D011594:Psychometrics / Q000295:instrumentation; D012017:Referral and Consultation; D018570:Risk Assessment / Q000379:methods; D035781:Siblings / Q000523:psychology*; D012944:Social Support; D013315:Stress, Psychological / Q000175:diagnosis* / Q000523:psychology; D017741:Survivors; D055815:Young Adult
keywords: cancer; family functioning; oncology; pediatrics; psychology; survivorship