- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02559557
Culturally Adapted Parenting Intervention for Spanish-Speaking Parents in Improving Outcomes of Younger Acute Lymphoblastic Leukemia or Acute Myeloid Leukemia Survivors at Risk for Late Neurocognitive Effects
Adaptation and Pilot-Testing a Parenting Intervention for Spanish-Speaking Parents of Children at Risk for Neurocognitive Late Effects
Study Overview
Status
Conditions
Detailed Description
PRIMARY OBJECTIVES:
I. To culturally modify and adapt an existing educational and skills-training intervention for use with Spanish-speaking parents of children with acute lymphoblastic leukemia (ALL) or with acute myeloid leukemia (AML).
II. To pilot the culturally-modified, parenting intervention with eligible families of children treated for ALL or AML in the Pediatrics department at City of Hope.
OUTLINE:
PHASE I (FOCUS GROUPS): Parents undergo a semi-structured interview with bilingual research assistants over 120 minutes. The content and purpose of the intervention is explained, and the focus group discussions elicit feedback on the intervention components and content of the sessions, and whether the material is culturally and linguistically appropriate. Following the focus group discussion, parents receive a copy of the educational handouts that they may choose to use with their child if they like.
PHASE II (PILOT TESTING): Parents of children age 5 to 17 years, 11 months old undergo adapted skills training in Spanish over 60 minutes (8 training sessions total) or 80 minutes (6 training sessions total). The adapted skills training sessions focus on parenting strategies and learning techniques. Sessions include homework assignments and techniques for parents to apply with their child for at least 30 minutes, 3 times a week at home.
After completion of study, parents are followed up every 2 weeks for 3 months and at 6 and 12 months.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Duarte, California, United States, 91010
- City of Hope Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- ADULT
- OLDER_ADULT
- CHILD
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
INCLUSION CRITERIA FOR FOCUS GROUPS (PHASE I)
- Parents or adult primary caregiver (e.g., grandmother) of children ages 5 to 17 in treatment remission and has completed intensive therapy for ALL or AML
- Parents of childhood cancer survivors who are now 18 years or older and who were previously treated for ALL or AML (do not need to live with the child)
- One or both of the parents will self-identify as Hispanic/Latino, the primary participating parent will be either Spanish speaking, bilingual, or is bilingual but identifies their primary language as English and will live with the child
INCLUSION CRITERIA FOR PILOT-TESTING (PHASE II)
- Parent/Caregiver: parents or adult primary caregiver (e.g., grandmother) of children treated for ALL or AML
- Parent/Caregiver: one or both of the parents will self-identify as Hispanic/Latino, the primary participating parent will be either Spanish speaking, bilingual, or is bilingual but identifies their primary language as English and will live with the child
- Child: child is in treatment remission and has completed intensive therapy
- Child: child is age 5 to 17 years, 11 months
- Child: child understands English
Exclusion Criteria:
EXCLUSION CRITERIA FOR FOCUS GROUPS (PHASE I)
- Parents of ALL or AML survivors with a history of a major psychiatric condition that precludes participation (e.g., psychosis, severe depression, active substance abuse)
- Existing history of severe cognitive impairment in the child as reported by the parents or documented in the child's City of Hope medical records
EXCLUSION CRITERIA FOR PILOT TESTING (PHASE II)
- Parent/Caregiver: parents with a history of a major psychiatric condition that precludes participation (e.g., psychosis, severe depression, active substance abuse)
- Child: survivors with a history of a major psychiatric condition that precludes participation (e.g., psychosis, severe depression, active substance abuse)
- Child: existing history of severe cognitive impairment (intelligence quotient [IQ] =< 70) as reported by the parents or the child's City of Hope medical records, or by the child's performance score on the Wechsler Intelligence Scale for Children (WISC) Working Memory and Processing Speed index measures administered in this study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Supportive care (Spanish-adapted skills training)
PHASE I (FOCUS GROUPS): Parents undergo a semi-structured interview with bilingual research assistants over 120 minutes. The content and purpose of the intervention is explained, and the focus group discussions elicit feedback on the intervention components and content of the sessions, and whether the material is culturally and linguistically appropriate. Following the focus group discussion, parents receive a copy of the educational handouts that they may choose to use with their child if they like. PHASE II (PILOT TESTING): Parents of children age 5 to 17 years, 11 months old undergo adapted skills training in Spanish over 60 minutes (8 training sessions total) or 80 minutes (6 training sessions total). The adapted skills training sessions focus on parenting strategies and learning techniques. Sessions include homework assignments and techniques for parents to apply with their child for at least 30 minutes, 3 times a week at home. |
Participate in focus groups
Other Names:
Undergo Spanish-adapted skills training and homework assignments
Other Names:
Answer questionnaires
Other Names:
Answer questionnaires
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility, measured by the percentage of parents who complete the entire adapted skills-training parenting intervention
Time Frame: After 6 sessions (up to 12 months)
|
Feasibility will be operationally defined as > 75% of parents completing the intervention.
|
After 6 sessions (up to 12 months)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in child's school-related health-related quality of life (HRQOL) score as assessed by the Pediatric Quality of Life scale
Time Frame: Baseline to up to 12 months
|
Explored for pre- and post-intervention changes using descriptive analyses.
|
Baseline to up to 12 months
|
Change in learning strategies as measured by the School Motivation and Learning Strategies Inventory
Time Frame: Baseline to up to 12 months
|
Explored for pre- and post-intervention changes using descriptive analyses.
|
Baseline to up to 12 months
|
Change in parent knowledge and efficacy, as measured by the Parent Knowledge, Beliefs, and Behaviors Questionnaire (PBQ)
Time Frame: Baseline to up to 12 months
|
Explored for pre- and post-intervention changes using descriptive analyses.
|
Baseline to up to 12 months
|
Parent satisfaction with the intervention as measured by the perceived benefits scale
Time Frame: Up to 12 months
|
Satisfaction with intervention is defined as group mean rating of > 3/5 on the perceived benefit scale.
Perceived benefit will be examined using group means obtained from parents' ratings on satisfaction and barriers questionnaires.
|
Up to 12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15297 (OTHER: City of Hope Medical Center)
- NCI-2015-01567 (REGISTRY: CTRP (Clinical Trial Reporting Program))
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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