- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01170000
Timely End-of-Life Communication to Parents of Children With Brain Tumors
Study Overview
Status
Conditions
Detailed Description
Physicians and nurses (MDs/ RNs) struggle to communicate effectively about palliative and end-of-life (PC/EOL) care with parents when their child's prognosis is poor, and rarely collaborate as a team in this difficult process. The aim of this study was to develop and evaluate training strategies for MD/RN dyads to collaboratively deliver a PC/EOL communication intervention called, Communication Plan: Early through End of Life (COMPLETE), to 24 parents of children with brain tumors. During Phase I, training strategies were based on principles from a Relationship Centered Care perspective. The training was delivered to 3 pediatric neuro-oncologists and 5 oncology nurses by a team of parent advisors and a team of expert consultants (i.e., medical ethics, communication, and PC/EOL). Our 2-day training included 4 modules: family assessment, goal directed treatment planning, anticipatory guidance, and staff communication and follow-up. Each module included: didactic content, small group reflective sessions, and communication skills practice with bereaved parent. Evaluations included dichotomous (agree/disagree) ratings and qualitative comments on didactic content, small group reflection, and skills practice for each module. Helpful aspects of our training strategies included: parent advisers' insights, emotional presence, emphasis on hope and non-abandonment messages, written materials to facilitate PC/EOL communication, and a team approach. For this presentation we will discuss insights gained regarding use of a parent advisory panel, strategies to help the MD/RN dyads feel comfortable working as a team to communicate with parents, and ways to improve training procedures and our intervention.
Pediatric oncology physicians and nurses found PC/EOL care communication training strategies and content as helpful and useful. During Phase II of our study, our PC/EOL care communication intervention is planned to be implemented and evaluated with 24 enrolled parents. If effective, this intervention will facilitate integration of quality PC care practices into the care of children with brain tumors.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Verna Ferguson, PhD
- Phone Number: 314-454-8944
- Email: vferguson@bjc.org
Study Locations
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Indiana
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Indianapolis, Indiana, United States, 46202
- Recruiting
- Riley Children's Hospital
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Contact:
- Joan Haase, PhD
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Principal Investigator:
- Joan Haase, PhD
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Indianapolis, Indiana, United States, 46212
- Recruiting
- Indiana University School of Nursing
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Principal Investigator:
- Joan Haase, PhD
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Contact:
- Joan Haase, PhD
- Phone Number: 314-274-2982
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Missouri
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St. Louis, Missouri, United States, 63104
- Recruiting
- SSM Cardinal Glennon Children's Hospital
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Contact:
- Karen Gauvain, MD
- Phone Number: 314-577-5638
- Email: kgauvain@slu.edu
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Principal Investigator:
- Karen Gauvain, MD
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St. Louis, Missouri, United States, 63110
- Recruiting
- Barnes-Jewish Hospital
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Contact:
- Verna Ferguson, PhD
- Phone Number: 314-454-8944
- Email: vferguson@bjc.org
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Principal Investigator:
- Verna Ferguson, PhD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Eligibility criteria include parents who are:
- 18 years of age or older;
- the primary decision makers (i.e., single parent or couple-dyad) for their child (birth to 18 years of age);
- the biological parents, step-parents, or legal guardians (e.g., adoptive parent);
- single or married;
- informed that their child is diagnosed with a brain tumor with a poor prognosis as determined by the primary neuro-oncologist (e.g., glioblastoma multiforme, PNET, WHO grade 3/4 brain tumor, or metastatic medulloblastoma); [3, 33, 38, 41, 42, 175]
- able to read, speak, and understand English.
- Our rationale for these criteria is to include: (a) parents of children who are at high risk of not receiving timely PC/EOL and b) parents who are likely to be mature enough to make difficult decisions on their own. In addition, we recognize the importance of providing sensitive PC/EOL communication to all parents; however, it is beyond the scope of the R21 mechanism to develop scripts in other languages.
Exclusion Criteria:
- Parents will be excluded from the study if:
- the child's brain tumor has a good prognosis (e.g., a non-metastatic medulloblastoma);
- the child has been treated previously for another type of cancer;
- the parents have neurological and/or cognitive impairments, as reported by the site MD/RN team, preventing them from understanding the treatment options and completing the questionnaires;
- either parent in a decision-making couple (i.e., dyad) declines consent.
Study Plan
How is the study designed?
Design Details
- Observational Models: Family-Based
- Time Perspectives: Prospective
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Verna Ferguson, PhD, Barnes-Jewish Hospital
- Principal Investigator: Joan Haase, PhD, Indiana University
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 09-0763 BJH
- R21NR011071 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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