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NØGLER til at lykkes: Kognitivt og akademisk interventionsprogram for børn og unge, der overlever kræft

21. september 2026 opdateret af: Donald Mabbott, The Hospital for Sick Children

The study will examine whether school liaison services and home-based parental tutoring can help with academic difficulties of paediatric brain tumour survivors who received cranial spinal radiation and have returned to school. Forty-five patients will participate in the project. All patients will receive psychology liaison services to link resources at the hospital with those in the community. Patients will participate in one of two tutoring programs designed to directly or indirectly improve math skills over 12 weeks. Weekly phone calls will be used to support parents using the program. Patients will be tested before, immediately after, and six months following each tutoring program to assess growth in mathematics and working memory abilities.

Studieoversigt

Detaljeret beskrivelse

Paediatric brain tumour survivors who receive cranial spinal radiation have learning problems, particularly in mathematics and working memory. Working memory is often described as a "mental workspace" where relevant information is held in mind and processed. Working memory is important in mathematics for holding in mind relevant information and carrying out steps necessary to solve problems.

This study will examine whether school liaison support and home-based parental tutoring can help address the academic difficulties of paediatric brain tumour survivors who have received cranial spinal radiation and who have returned to their community school. Forty five patients will participate in the project. First, all patients will receive psychology liaison services to link resources at the hospital with those in the community in order to provide information regarding the effects of pediatric cancer on learning and facilitate the implementation of appropriate assistive technology and remediation programs. Patients will then participant in one of two tutoring programs over the course of a 12 week period. One group of patients will participate in a program that addresses working memory with the intent of indirectly helping with mathematics skills. This program will be delivered over the internet. Another group of patients will participate in a program using a work book to directly help improve mathematics skills. Weekly phone calls will be used to support parents in doing the program. Patients will be tested before, immediately after, and six months following each tutoring program to assess growth in mathematics and working memory abilities. The two intervention programs will be compared to a waitlist control group that receives only the liaison service (including academic support through weekly phone calls over the 12 weeks).

The findings from this study will provide evidence about the type of intervention that is most effective at helping paediatric brain tumour survivors improve their mathematics skills and working memory ability.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

28

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 1X8
        • Hospital for Sick Children

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 17 år (Barn)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Has been diagnosed with a brain tumour and treated with cranial radiation
  • Is between 1 and 10 years following diagnosis
  • Has English as his or her native language or has had at least two years of schooling in English
  • Is between the ages of 6 and 17
  • Less than a Grade 8 equivalent math score

Exclusion Criteria:

  • Is younger than 6 years or older than 17 years of age
  • Is receiving palliative care

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Math + Liaison Service

To help with mathematics, participants will be assigned to a workbook based version of the JUMP Math program which will be completed at home with a parent. This intervention focuses on mental math skills. In addition all participants will receive the liaison service program.

Jump Math is a workbook based program aimed at improving math skills

Liaison Services will include working closely with schools to help explain the strengths and weaknesses of a child based on cognitive testing and to help with the implementation of recommendations

Eksperimentel: Working Memory + Liaison Service

To help with working memory, participants will be assigned to Cogmed, a game-like computer exercise focusing on improving working memory. In addition all participants will receive the liaison service program.

Liaison Services will include working closely with schools to help explain the strengths and weaknesses of a child based on cognitive testing and to help with the implementation of recommendations

Cogmed is an online computer program aimed at improving working memory skills

Andet: Liaison Services

Participants in this group will only receive the liaison service program for 12 weeks before being assigned to one of the intervention groups.

Liaison Services will include working closely with schools to help explain the strengths and weaknesses of a child based on cognitive testing and to help with the implementation of recommendations

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Woodcock Johnson Academic-Third Edition
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of math Fluency, applied math problems, and qualitative concepts

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Wechsler Intelligence Scale for Children - Fourth Edition Integrated
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of verbal and visual working memory

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Wide Range Assessment of Memory and Learning - Second Edition
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of verbal and visual working memory

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Automated Working Memory Assessment
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of verbal and visual working memory

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Connors' Continuous Performance Test-Second Edition
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of sustained attention

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Behaviour Rating Inventory of Executive Function-Parent Version
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of executive functioning

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Monitoring Basic Skills Progress
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of mathematics

Pre-intervention, 12 weeks after intervention and 6 months follow-up

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
SAM
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of participants attitude towards math

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Wide Range Assessment of Memory and Learning - Second Edition
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of visual learning and memory

Pre-intervention, 12 weeks after intervention and 6 months follow-up
California Verbal Learning Test, Children's Version
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of verbal learning and memory

Pre-intervention, 12 weeks after intervention and 6 months follow-up
CANTAB
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

Measures of processing speed

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Wechsler Abbreviated Scale of Intelligence - Second Edition
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

A measure of vocabulary and abstract visual reasoning

Pre-intervention, 12 weeks after intervention and 6 months follow-up
Delis-Kaplan Executive Function System
Tidsramme: Pre-intervention, 12 weeks after intervention and 6 months follow-up

Measures of processing speed and switching attention

Pre-intervention, 12 weeks after intervention and 6 months follow-up

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Donald Mabbott, Ph.D., The Hospital for Sick Children

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 (Faktiske)

1. oktober 2015

Primær færdiggørelse (Faktiske)

1. maj 2018

Studieafslutning (Faktiske)

1. maj 2018

Datoer for studieregistrering

Først indsendt

7. oktober 2015

Først indsendt, der opfyldte QC-kriterier

7. oktober 2015

Først opslået (Anslået)

9. oktober 2015

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 1000043747

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 .

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