This qualitative study was undertaken to establish a conceptual framework f
or the adaptation process of Taiwanese children with cancel: It was guided
by Roy's adaptation model. Thirty-four pediatric cancer patients (23 boys a
nd II girls) with different illness trajectories (from newly diagnosed to t
erminal stage) participated. Data were collected through individual in-dept
h interviews with patients and primary caregivers, observations, medical ch
art review and researchers' reflective journals. The following five aspects
of adaptation that emerged from the study were categorized according to di
fferent age groups: physiological and psychological, cognitive (self-concep
t), interdependence, and future orientation (self-concept and role). Compar
ison with Roy's adaptation theory is discussed.