Testing the Effectiveness of Child and Parent-Targeted Health Promotion Interventions in Pediatric Stem Cell Transplantation
27. september 2011 opdateret af: St. Jude Children's Research Hospital
The overall aim of the proposed project is to evaluate the impact of a health promotion intervention for children undergoing bone marrow or stem cell transplant (BMT).
The intervention is complementary in nature, designed to increase the experience of positive affect and reduce somatic distress and mood disturbance, that is, to improve overall child well-being.
The study will utilize a positive psychology model, exploring the hypothesis that improved outcomes will be mediated by the increased experience of positive affect states brought about by the intervention.
The primary focus is on a child-targeted intervention that includes massage therapy and humor therapy.
The study will also assess whether the addition of a similar parent-targeted intervention involving massage therapy and relaxation training will provide significant benefits beyond those provided by the child-targeted intervention alone.
The study will utilize a 3-group design, with participants randomized to receive:1) a child-targeted intervention (HPI-C); 2) a child targeted intervention plus a parent-targeted intervention (HPI-CP); 3) standard care (SC).
Primary outcomes include child positive affect, somatic distress and mood disturbance, as well as measures of parental positive affect and distress.
Additional objectives of the study include examining the impact of the intervention on short-term medical outcomes, as well as measures of child health-related quality of life and parent and child post-traumatic stress symptoms (PTSS) at 6 months post-BMT.
Analyses will explore hypotheses specific to the positive psychology model, testing the role of positive affect and dispositional optimism as mediators and moderators of the intervention on child and parent well-being.
We will also obtain pilot data examining the effect of the interventions on neuroendocrine and neuroimmune markers of stress.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Treatment Plan: Interventions involve 3 components, Massage Therapy, Humor Therapy, and Relaxation Therapy, as described below:
Massage Therapy Patient and parents will meet with a licensed massage therapist at the time of admission. During the session, the therapist will introduce them to the rationale of the massage intervention before moving on to provide the initial massage session. Each session will last approximately 1/2 hour. Massage sessions will be scheduled 3x/week from admission through week +3.
Humor Therapy For this component will utilize a humor cart, stocked with humorous video shorts, books, gags, props and games.
Relaxation Therapy In the initial session held near the time of admission, parents will meet with the RA therapist, who will describe relaxation response and the benefits of a regular practice of relaxation techniques. They will be led through a modified progressive muscle relaxation induction, using breath awareness and muscle release, followed by guided imagery.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
189
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
Ontario
-
Toronto, Ontario, Canada, M5G
- The Hospital for Sick Children
-
-
-
-
Ohio
-
Columbus, Ohio, Forenede Stater
- Columbus Children's Research Institute
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Forenede Stater, 19104
- Children's Hospital of Philadelphia
-
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Tennessee
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Memphis, Tennessee, Forenede Stater, 38105
- St. Jude Children's Research Hospital
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
6 år til 18 år (Barn, Voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
For Child Participants:
- Age 6-18 years inclusive.
- Scheduled to undergo allogeneic or autologous stem cell transplant.
- Anticipated hospital stay of at least 3 weeks.
- English speaking
For Resident Parent Participants:
- Parent speaks and reads English.
- Parent will be a primary caregiver for child during BMT.
- Parent will be available for the duration of transplant hospitalization.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Tildeling: Randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Andet: 1: HPI-C
Child Intervention Only Group
|
Patient and parents will meet with a licensed massage therapist at the time of admission.
During the session, the therapist will introduce them to the rationale of the massage intervention before moving on to provide the initial massage session.
Each session will last approximately 1/2 hour.
Massage sessions will be scheduled 3x/week from admission through week +3.
For this component will will utilize a humor cart, stocked with humorous video shorts, books, gags, props and games.
|
|
Andet: 2: HPI-CP
Parent and Child Intervention Group
|
Patient and parents will meet with a licensed massage therapist at the time of admission.
During the session, the therapist will introduce them to the rationale of the massage intervention before moving on to provide the initial massage session.
Each session will last approximately 1/2 hour.
Massage sessions will be scheduled 3x/week from admission through week +3.
In the initial session held near the time of admission, parents will meet with the RA therapist, who will describe relaxation response and the benefits of a regular practice of relaxation techniques.
They will be led through a modified progressive muscle relaxation induction, using breath awareness and muscle release, followed by guided imagery.
|
|
Ingen indgriben: 3: SC
Standard Care Control Group- No Intervention
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
To test the effectiveness of the health-promotion interventions in improving patient and parent well-being during the acute phase of BMT.
Tidsramme: 6 weeks
|
6 weeks
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: Sean Phipps, PhD, St. Jude Children's Research Hospital
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Hjælpsomme links
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. januar 2003
Primær færdiggørelse (Faktiske)
1. december 2007
Datoer for studieregistrering
Først indsendt
25. september 2008
Først indsendt, der opfyldte QC-kriterier
25. september 2008
Først opslået (Skøn)
26. september 2008
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
29. september 2011
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
27. september 2011
Sidst verificeret
1. september 2011
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- HOBIT3
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .