Abstract
Background
Pediatric cancer impacts children's physical, cognitive, and psychological well-being. Evidence-based interventions are needed to improve quality of life (QOL) and address social isolation. Virtual art programs may address these needs by enhancing accessibility.
Method
This study analyzed secondary data from the virtual Pablove Shutterbugs Photography Program (vPSPP), a 6-week virtual photography course for pediatric cancer patients. QOL was measured at baseline, midprogram, and postprogram using the PedsQL 4.0 SF15 scale (n = 201). Multilevel modeling was employed to assess change in QOL, accounting for individual variation. Semistructured interviews (n = 15 participants and parents) explored perceived program benefits.
Results
Multilevel modeling showed significant increases in QOL over time for both children and teens. The effect size was medium (d = 0.67). Participants with lower baseline QOL experienced the greatest gains, and random slope variance highlighted individual differences in program response. Qualitative themes included (a) reduced isolation and stronger social connections, (b) identity development, (c) increased confidence and personal agency, and (d) improved motivation and distraction from pain.
Discussion
Findings suggest that participation in the vPSPP may have contributed to improvements in QOL among pediatric cancer patients, highlighting the potential value of virtual art programs in supporting emotional expression, social connection, and self-esteem. Future research should investigate long-term outcomes, scalability, and strategies to address access barriers to expand the reach of art-based interventions in pediatric oncology care.
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