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adolescence or early adulthood, this typically includes an annual clinic visit with the<br />

multidisciplinary team.<br />

LEAP long term follow-up care has been modelled on overseas programmes,<br />

incorporating evidence based guidelines and recommendations into the programme.<br />

While this is “Best Practice” and provides us with the advantage of learning from the<br />

experiences and knowledge of much larger institutions, when we look at the<br />

psychosocial and quality of life issues these are less well translated across to New<br />

Zealand. Within New Zealand society the effects of culture, community, education,<br />

healthcare practice protocols are very different from those of European and America<br />

cultures.<br />

For young people living in New Zealand who have survived a childhood cancer,<br />

our knowledge of the consequences of living with late effects as they try to deal with the<br />

normal tasks of adolescence and adulthood is limited. This limited knowledge is based<br />

on assumptions made from data drawn from other cultures. It is timely to gather our<br />

own information on the issues faced by young people who have survived cancer so we<br />

better understand them and develop supportive care interventions to improve outcomes.<br />

1.3 Youth2000 and Youth’07 – National Health and Wellbeing Surveys of<br />

New Zealand Secondary School Students.<br />

In 2001 the first national health and wellbeing survey of New Zealand youth was<br />

undertaken, this was a seminal study that provided the most comprehensive, accurate<br />

and up to date information on the health and wellbeing of young people growing up in<br />

New Zealand (Adolescent Health Research Group, 2003a). The aim of the Youth2000<br />

survey was to determine the prevalence of selected health behaviours and protective<br />

factors in a representative population of New Zealand youth comprising approximately<br />

10,000 secondary school students from 133 randomly selected colleges throughout New<br />

Zealand. The cross sectional self report survey incorporated 523 questions using an<br />

4

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