Presented in International Conference on “Social Work – Social Development and Sustainable Development Goals” on 2017 at Kandy

1. 
AN INTERVENTION STUDY AMONG CHILDREN
WITH CANCER TO REDUCE STRESS: A SOCIAL
WORK PERSPECTIVE.
Co authors
## Ms.Yogarajan Susila, M.Phil -PSW.
Women Development Officer, Ministry of Women
and Child Affairs. Sethsiripaya, Battharamulla.
Dharsiny2005@gmail.com.
### Mrs. T. Priyadharsiny, Ph.D,
Associate Professor, Department of Social Work,
Bishop Appasamy College of Arts and Science,
Coimbatore-18.India.
ICSD –No: 1
Author
#. Mrs. Thahir Noorul Isra
(B.A, M.S.W –Medical & Psychicatry M.Phil PSW ,
Dip: Coun & HR)
Rehabilitation Counselor in REPPIA.
Psychiatric Social Worker, VisitingLecture in
C.CAS & NISD, Master Trainer in Palliative Care
& PalliativeCare Activist.

2. International Conference on “Social Work – Social
Development and Sustainable
Development Goals”
UNIVERSITY OF PERADENIYA
PERADENIYA - SRI LANKA
ICSD

3. 
ICSD –No: 2
Abstract
A diagnosis of cancer represents a significant crisis for the child and their
family. As the treatment for childhood cancer has improved dramatically
over the past three decades, most children diagnosed with cancer today
survive this illness. However, it is still an illness which severely disrupts the
lifestyle and typical functioning of the family unit. Most treatments for cancer
involve lengthy hospital stays, the endurance of painful procedures and
harsh side affects. Many cancer patients experience a similar perfect storm of
physical and emotional stress during treatment. This anxiety and worry can
cause cracks in patients’ psychological and emotional foundation, leaving
them even more vulnerable. To reduce Stress among children with cancer
researcher conducted Art therapy sessions.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

4. 
 Cancer:
A term for diseases in which abnormal cells divide without control and can
invade nearby tissues.
 Stress
Stress is the body‘s reaction to a physical or emotional situation
that causes imbalance in a person‘s life. (Mr. Madeleine J. 2011)
 Art therapy
Art therapy is a creative process of art making to improve and
enhance the physical, mental and emotional well- being
of individuals of all ages.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.
Key Terms
ICSD –No: 3

5. 
ICSD –No: 4
Tracy council., (1992) “Art therapy with pediatric cancer patient helping normal
children cope with abnormal circumstance of art therapy”
The research reveal that, art therapy with pediatric cancer patients addresses
emotional and developmental needs of normal population under extreme stress.
Reviews literature on the problems likely to be encountered by pediatric cancer
patient and presents case examples to illustrate the emergence of these issues and
their management in art therapy.
Review of literature
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

6. 
ICSD –No: 5
Statement of Problem
At least 10-12 children per 10,000 populations will develop cancer in India annually.
1.6 to 4.8% of all cancer in India is seen in children below 15 years of age and the
overall incidence of 38 to 124 per million children, per year. Childhood cancer
contributes to less than 5% of the total cancer burden in India, with approximately
45,000 children diagnosed with cancer every year. Childhood cancers cause of more
than 10% of all deaths in children below 15 years of age in developed countries.
Many studies in this area vibrantly tells that, children with cancer develop many
psychological and factors such as anxiety, depression, and stress so hence it should
properly deal with effective intervention so that children with cancer can have
coping mechanism.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

7. 
ICSD –No: 6
Aim of the study
The overall aims of this study were to evaluate the level
of stress among children with cancer, and also the
attempt to find out the importance of Art Therapy.
Objectives of the study
 To study Stress among children with cancer
 To conduct an intervention to reduce stress among
children with cancer with help of Art Therapy”
 To analysis the impact of interventions with a case
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

8. 
ICSD –No: 7
Study area and sampling procedure
Research design
This study utilized experimental research design consisting of
semi structured interviews with qualitative and quantitative
techniques . For intervention purposes case study method was
obtain.
This study was conducted at Coimbatore District Medical
College Hospital (CMC) Tamil Nadu. India. Only a case
selected for presentation. Researcher adopted purposive
sampling for collect data and implements the intervention.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

9. 
ICSD –No: 8
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.
UNIVERSE : There are 125 children registered case since 2013 January to
2014 December under the CMC oncology unit.
SAMPLE PROCEDURE: According to the inclusive criteria the residuals
need children only who are in the age group of 10-18 years
and children who are above and below the mention age
group were excluded. It was possible to collect all 35
children who are in expected age group hence census
method used . Respondents (4)were selected for
intervention in the base of availability in the research
area.

10. 
ICSD –No: 9
Sources and tools of data collection
Researcher have collected both primary and secondary data from various
sources. Observation, discussion and Art Therapy were used for collecting
primary data. Questionnaire used for study the level of stress. Researcher
adopted Responses to Stress Questionnaire (RSQ), developed by the Connor-
Smith et al., (2000).
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

11. 
ICSD –No: 10
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.
INTERVENTION MODULE: (GHIMCC)
Model No 1 : Relaxation techniques applied for reduce stress (simple
& imagination)
Model No 2 : “My Life Tree” techniques applied for improve self -
esteem
Model No3 : Art therapy ( increase positive energy and reduce stress)

12. 
ICSD –No: 11
Intervention - (Reduce Stress with support of Art Therapy)
Case study: I-Mr.A
Brief Clinical History
Name: Master A
Age: 15 years
Ward: GH (Oncology Department -2013)
Complaints: 2 month history of cough and fever
Past medical history: undergone to TB treatment before admitted to Onco- Dip
for respiratory track infection.
Investigation test: BMT
Personal History:
Family Tree
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

13. 
ICSD –No: 12
Intervention Stage-1
As I request from you to draw a human being………………………. .
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

14. 
PRE TEST SCORE on LEVEL of STRESS
Name of the
respondents
Stress
Pre-test Post- test
Mr.A 94
Mr.T 91
Mr.AA 81
Ms.R 88

15. 
ICSD –No: 14
Intervention Stage-1
Introduction, Relaxation and ask from Master A to draw a Picture on 1st July 2014.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

16. 
ICSD –No: 15
Intervention Stage-2 - Theme Emotions on 7th July 2014
.
Multi-colour art puzzled
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

17. 
ICSD –No: 16
Outcome of the intervention
At the end of the Art therapy session it was consolidated that before the
intervention patient was in a heavy emotional trauma. It helped him to
know about his strength (Art skills).
The patient has a free mind of negative thoughts. He was able to share
his deepest secrets and felt light which also made him thank to the
researcher. This pictures clarity was accompanied by his verbal or
cognitive clarity. He felt happy and delighted in his feelings.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

18. 
POST TEST SCORE on LEVEL OF STRESS
Name of the
respondents
Stress
Pre-test Post- test
Mr.A 94 71
Mr.T 91 68
Mr.AA 81 53
Ms.R 88 51
After the intervention stress level has significant reduces

19. 
ICSD –No: 18
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

20. 
 Social work intervention
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.
This study successfully attempted to help children with
cancer in gaining better coping skills through the intervention
modules (Relaxation Therapy, My Life Tree and Art Therapy) by
applying two social work methods such as case work and research.
Social work has another method call group work can also be
effectively use with children with cancer. So that their positive
energy can be strengthen. Social work research should be
encouraged among children with cancer in order to frame new
intervention techniques to help the children and their family
members
ICSD –No: 19

21. 
ICSD –No: 20
Conclusion
There was an overall increase in coping resources among children with
cancer after taking part in the intervention. Significant differences were
seen between pretest score and post test score in stress. This study
shows that individual ―Art therapy provided by the researcher in a
clinical setting can give beneficial support to children with cancer
undergoing Chemo and radiotherapy, as it can improve their coping
resources.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

22. 
ICSD –No: 21
It’s Your time…………….I am
Waiting to answer your doubts….
Waiting to clarification…..
Waiting to listen your feed back…….
It’s my time to say thank to ICSD team and all delegates and Social
Workers and my Co- authors and guide. Finally it’s extend to you for
listen to me and given me an opportunity to present my paper. Thank
you.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.

23. 
ICSD –No: 22
Thank you.
AN INTERVENTION STUDY AMONG CHILDREN WITH CANCER TO REDUCE
STRESS: A SOCIAL WORK PERSPECTIVE.