Parents' Experiences of Childhood Cancer during the COVID-19 Pandemic: An Australian Perspective

Introduction: COVID-19 has had far-reaching impacts including changes in work, travel, social structures, education, and healthcare. Objective: This study aimed to explore the experiences of parents of children receiving treatment for cancer during the COVID-19 pandemic. Methods: Parents whose children were currently in treatment for childhood cancer or had completed treatment in the previous 12 months, participated in semi-structured interviews, face-to-face or via teleconferencing. Thematic analysis was used to analyze the data. Results: The sample consisted of 34 participants (17 fathers and 17 mothers) from all states across Australia. Median age 37.5 years (range 29-51, years, SD = 6.3). Five main themes were identified: "Welcome to the Club"; "Remote Work and Study"; "Silver Linings"; "The Loneliest Experience"with three sub-themes "Immediate Family"; "Friends"; and "Overseas Family"and "Lack of Support"with two sub-themes: "Community Support"and "Organized Support."Conclusion: These findings revealed contrasting experiences of the impact of the COVID-19 pandemic. For parents whose children were neutropenic, the pandemic provided benefits in increased community understanding of infection control. Parents also reflected that the movement to remote work made it easier to earn an income. In contrast, some parents observed that restrictions on visitors and family intensified feelings of isolation. Parents also described how the COVID-19 reduced access to support services. These findings contribute to an understanding of the multifaceted impacts of the COVID-19 pandemic on families of children with cancer.