- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06468618
Developing Restful Environments and Management Strategies for Pediatric Stem Cell Transplant Patients (DREAMS)
Study Overview
Status
Intervention / Treatment
Detailed Description
In prior work, investigators conducted a study in which sound and light levels were recorded at one-minute intervals within an inpatient room on the SCT unit at Boston Children's Hospital using noise and light meters. Results showed that pediatric SCT recipients were consistently exposed to disruptive noise and light. Nighttime noise levels always exceeded World Health Organization recommendations for sleep, with recipients regularly exposed to multiple noise spikes associated with night wakings. While light levels were frequently dim enough to be conducive to sleep at night, participants were rarely exposed to light bright enough to preserve a healthy circadian rhythm during the day, which has the potential to dysregulate sleep at night. As a child's circadian rhythms may be affected by evening light to a greater extent than adults, such light spikes may be particularly disruptive to circadian rhythms in pediatric participants. The relatively low and afternoon-skewed daytime light, combined with the brighter than recommended light during the evening and early night, has been associated with longer hospitalizations and higher morbidity among adults.
This is a single-arm pilot study to evaluate the acceptability and feasibility of the DREAMS intervention program in stem cell transplant pediatric participants to help support families during this critical phase in a participant's SCT recovery. The data collected from this study will help understand the practicality of delivering the program to a greater number of participants and conducting clinical research about the program in the setting in which it will be implemented.
The research study procedures include screening for eligibility and surveys.
Participation in this research study is expected to last for about 2 weeks.
It is expected that about 10 children will take part in this research study.
The American Cancer Society is supporting this research study with grant funding.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Lucille Lokko, BA
- Phone Number: 617-632-6221
- Email: lucille_lokko@dfci.harvard.edu
Study Contact Backup
- Name: Eric Zhou, PhD
- Phone Number: 617-632-6162
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02215
- Dana-Farber Cancer Institute
-
Principal Investigator:
- Eric Zhou, PhD
-
Contact:
- Lucille Lokko
- Phone Number: 617-632-6221
- Email: lucille_lokko@dfci.harvard.edu
-
Boston, Massachusetts, United States, 02215
- Boston Children's Hospital
-
Contact:
- Lucille Lokko, BA
- Phone Number: 617-632-6221
- Email: lucille_lokko@dfci.harvard.edu
-
Contact:
- Eric Zhou, PhD
- Phone Number: 617-632-6162
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient aged 9-17 years.
- Patient scheduled to receive a stem cell transplant at Boston Children's Hospital.
- English speaking child and primary caregiver (parent/guardian).
Exclusion Criteria:
-Primary team declines permission to approach.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: DREAMS Program
Enrolled participants and parent(s) will complete:
|
A pediatric, circadian health program comprised of an introductory video to sleep experiences for stem cell transplant recipients, strategies to improve sleep, and a Sleep and Circadian Care Kit which includes ear plugs, a white noise machine, an eye mask, a lightbox, and kit instructions.
Actigraph, Fitbit, and tablet will be provided to participant and family.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Enrollment Rate
Time Frame: Screening (Day -30 to -1)
|
Defined as the proportion of eligible participants approached by research staff and consent to participate in the study with the cutoff set at ≥30% of eligible participants that are approached and agree to participate.
|
Screening (Day -30 to -1)
|
Acceptability of Intervention Measure Scale Score
Time Frame: At Follow-up Assessment Visit (Day 21, up to Day 28)
|
Participants reporting an average score of ≥4 ("Agree") on the Acceptability of Intervention Measure scale, a four-item questionnaire assessing the acceptability of an intervention, on a 5-point scale with options ranging from Completely Agree to Completely Disagree.
|
At Follow-up Assessment Visit (Day 21, up to Day 28)
|
DREAMS Care Kit Usage Rate
Time Frame: At Follow-up Assessment Visit (Day 21, up to Day 28)
|
Feasibility of the DREAMS Program intervention is defined as ≥50% of participants reporting usage of at least one of the Care Kit materials.
|
At Follow-up Assessment Visit (Day 21, up to Day 28)
|
Intervention Assessment Completion Rate
Time Frame: At Follow-up Assessment Visit (Day 21, up to Day 28)
|
Feasibility of the DREAMS Program intervention is defined as ≥80% of enrolled participants completing the Follow-up Assessment.
|
At Follow-up Assessment Visit (Day 21, up to Day 28)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PROMIS Sleep Disturbance Questionnaire
Time Frame: Baseline and Follow-up Assessment Visit (Day 21, up to Day 28)
|
An 8-item measure used to assess the extent of a child's poor sleep.
|
Baseline and Follow-up Assessment Visit (Day 21, up to Day 28)
|
PROMIS Sleep-Related Impairment Questionnaire
Time Frame: Baseline and Follow-up Assessment Visit (Day 21, up to Day 28)
|
An 8-item measure used to assess the extent of the consequences of a child's poor sleep.
|
Baseline and Follow-up Assessment Visit (Day 21, up to Day 28)
|
Sleep Diary
Time Frame: Daily, for 1 week, during the study period.
|
A self-report of a participant's daily sleep patterns, including bedtime and total sleep duration.
|
Daily, for 1 week, during the study period.
|
Program Experience
Time Frame: At Follow-up Assessment Visit (Day 21, up to Day 28)
|
Open-ended questions regarding what was liked/disliked about the Care Kit materials.
|
At Follow-up Assessment Visit (Day 21, up to Day 28)
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Eric Zhou, PhD, Dana-Farber Cancer Institute
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- 24-254
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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