Traditional Education versus Online Based Education Intervention: Effect on Family Care Givers of Children Suffering from Acute Lymphoblast Leukemia

Main Article Content

Samah Alwy Salah
Wafaa El-Sayed Ouda
Randa Mohamed Adly
Lobna Mohamed Shalaby


Acute Lymphatic leukemia, Pediatric, Nursing, Family Care Givers, Knowledge, Practice, Online Traditional Education


Background: The most prevalent childhood cancer is acute lymphoblastic leukemia (ALL). Due of ignorance of the disease's implications and how to appropriately care for a child, ALL causes the care provider enormous worry, dread, and guilt. To assess the effect of traditional education versus online based education intervention on family care givers of children suffering from acute lymphoblast leukemia. A quasi-experimental design was used. The study was conducted at the In-Patient Pediatric Hematology departments affiliated to Children's Cancer Hospital (57357) Egypt. A purposive sample of two hundred family care givers classified randomly into two equal groups traditional education group and online based education group with exclusion of family care givers of terminally ill children. Data collections were an assessment sheet and observational checklists for the family care givers to assess their knowledge and actual practices reporting.
Results: There was statistically significant difference between family care givers total level of knowledge regarding their children with ALL in traditional education versus online based education. There was a high statistically significant difference of the studied family care givers according to their total level of actual practices in traditional education versus online based education regarding care of their children with ALL.
Conclusion: Traditional education intervention was more effective than online based education intervention on knowledge and actual practices of family care givers having children suffering from acute lymphoblastic leukemia.
Recommendation: Designing and carrying out traditional educational programs for family care givers to promote the care of their children with ALL.

Abstract 190 | pdf Downloads 91


1. Abd Elhamed, T. (2020): Discharge plan for mothers of children suffering from leukemia, Egyptian Journal of Health Care, EJHC, ISSN 1687-9546.
2. Ahmed, H. I., El-Sayed, L. A., & El-Nagger, N. S. (2018). Effect of an Intervention Program for Caregivers of Children Suffering from Acute Lymphocytic Leukemia on their Coping Patterns.
3. Akbari, M., Alavi, M., Irajpour, A., & Maghsoudi, J. (2018). Challenges of family caregivers of patients with mental disorders in Iran: A narrative review. Iranian Journal of Nursing and Midwifery Research, 23(5), 329
4. Ali, S. A., Mahgoub, N. A., & Aboabdou, S. E. (2015). Impact of educational health program on quality of life for family caregivers of cancer children receiving chemotherapy. Suez Canal University Medical Journal, 18(1), 47-58.
5. Allen, J. & Treon, M. (2020): Textbook of oral mucositis, Oncology Nursing, 5th ed., St. Louis, MI: Mobsy Elsevier. Pp. 505-523.
6. Baraff, L. J., Asarnow, J. R., Berk, M., Grob, C. S., Devich-Navarro, M., Suddath, R., & Tang, L. (2018). An emergency department intervention for linking pediatric suicidal patients to follow-up mental health treatment. Psychiatric Services, 62(11), 1303-1309.
7. Barello, S., Morelli, N., Mayan, M., & Graffigna, G. (2019). Supporting family caregiver engagement in the care of old persons living in hard to reach communities: A scoping review. Health & Social Care in the Community, 27(6), 1363-1374.
8. Shaban, M., Habib, N., Helmy, I., Mohammed, H.H., 2022. Dehydration risk factors and outcomes in older people in rural areas. Front. Nurs. 9, 395–403.
9. Blom, M. M., Zarit, S. H., Groot Zwaaftink, R. B., Cuijpers, P., & Pot, A. M. (2019). Effectiveness of an internet intervention for family caregivers of people with dementia: results of a randomized controlled trial. PloS one, 10(2), e0116622.
10. Bloom, C., Herzig, G., Peterson, B. and Wolff, S. (2017). Long-term survival of children with Acute Myeloid Leukemia, Cancer; 80 (21): 86-90.
11. Children's Cancer Hospital in Egypt 57357 (2020): Annual statistics for newly diagnosed children with NHL from 2017 to 2020, Statistical Unit, un published paper.
12. Cook, D. A., & Steinert, Y. (2020). Managing the tension: From innovation to application in health professions education. Medical Teacher, 42(3), 333-339.
13. Craven, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., & de Vet, H. C. (2017). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34-42.
14. Edmonds, J. A., Fawcett, A. A., Iyer, G. C., Clarke, L. E., Hultman, N. E., McJeon, H. C., & Shi, W. (2015). Can Paris pledges avert severe climate change? Science, 350(6265), 1168-1169.
15. Elliott, V., Harris, P. A., Taylor, R., Minor, B. L., Fernandez, M., O'Neal, L., & REDCap Consortium. (2019). The RED Cap consortium: building an international community of software platform partners. Journal of Biomedical Informatics, 95(2), 103-208
16. El-Rashedy, F. H., El-Hawy, M. A., El Hefnawy, S. M., & Mohammed, M. M. (2017). Assessment of obesity and hepatic late adverse effects in the Egyptian survivors of pediatric acute lymphoblastic leukemia: A single center study. Mediterranean Journal of Hematology and Infectious Diseases, 9(1), 100-120.
17. El-Sawy, M. M., ISMAIL, G. M., MAGDY, H., & El-Samman, G. A. (2013). Knowledge and home practices of caregivers having children with leukemia attending National Cancer Institute Cairo University. Med J Cairo Univ, 81(1), 601-608.
18. Gaylene, M., Richard, A., Don, C., Maurice, F., Stoffle, R., & Genevieve, D. H. (2019). Paa’oatsa Hunuvi (Water Bottle Canyon): American Indian Rapid Cultural Assessment of Archaeological Site 26NY10133, Nevada Test Site.
19. Gurney, J. G.& Bondy, M. L., (2012). Principles and practice of pediatric oncology. Edited by: Pizzo PAPoplack GD 70(8), 111-130.
20. Bakhsh, E., Shaban, M., Al Subaie, S., Al Moshary, M., AlSheef, M., 2023. Exploring the Clinical Efficacy of Venous Thromboembolism Management in Saudi Arabian Hospitals: An Insight into Patient Outcomes. J. Pers. Med. 13, 612.
21. Hassan Hammad, H. (2021). A comparison between the use of e-learning and traditional education in working with groups and developing the skills of master's students. Egyptian Journal of Social Work, 11(1), 189-206.
22. Huang, J., Chan, S. C., Ngai, C. H., Lok, V., Zhang, L., Lucero-Prisno III, D. E., & Wong, M. C. (2022). Disease burden, risk factors, and trends of leukaemia: A global analysis. Frontiers in Oncology, 12(12), 134-150.
23. Lippke, S., Gao, L., Keller, F. M., Becker, P., & Dahmen, A. (2021). Adherence with online therapy vs face-to-face therapy and with online therapy vs care asusual: Secondary analysis of two randomized controlled trials. Journal of Medical Internet Research, 23(11), ,312-374.
24. Lodder, W., & de Roda Husman, A. M. (2020). SARS-CoV-2 in wastewater: potential healthrisk, but also data source. The Lancet Gastroenterology & Hepatology, 5(6), 533-534.
25. Means, B., Toyama, Y., Murphy, R., Bakia, M., & Jones, K. (2019). Evaluation of evidence-based practices in online learning: A meta-analysis and review of online learning studies 5(7), 500-534.
26. Mohammed, A.E., Hassen, E.S., & Ali, E.A. (2022). Needs and problems of children undergoing chemotherapy and their caregivers: An assessment study Egyptian Journal of Health Care 5(9), 533-534..
27. Mohammed, J., & Al-Karaki, J. (2018). Integrating internet into traditional education: a practical study of university students' usage and attitudes. International Arab Journal of Information Technology (IAJIT), 5(3), 100-150.
28. National Institutes of Health. (2019). National institutes of health addresses the science of diversity. Proceedings of the National Academy of Sciences, 112(40), 12240-12242.
29. Olmstead, C. (2013). Using technology to increase parent involvement in schools. Tech Trends, 57(6), 28-37.
30. Parkin, D. M., Sitas, F., Chirenje, M., Stein, L., Abratt, R., & Wabinga, H. (2018). Part I: Cancer in indigenous Africans—burden, distribution, and trends. The lancet oncology, 9(7), 683-692.
31. Setzekorn, K., Burton, T., Farrelly, C. M., & Ferebee, S. S. (2020). Gender Gap: factors affecting female students' retention in an online undergraduate it program. in socioeconomics, diversity, and the politics of online Education (pp. 79-89). IGI Global.
32. Shieh, S. H., Sung, F. C., Su, C. H., Tsai, Y., & Hsieh, V. C. R. (2018). Increased low back pain risk in nurses with high workload for patient care: A questionnaire survey. Taiwanese Journal of Obstetrics and Gynecology, 55(4), 525-529.
33. Stanhope, J., Breed, M. F., & Weinstein, P. (2020). Exposure to greenspaces could reduce the high global burden of pain. Environmental Research, 187, 109641.
34. Wilson, A. G., Dann, C., & Nickisch, H. (2015). Thoughts on massively scalable Gaussian processes. arXiv preprint arXiv:1511.018.