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Yoga Intervention in Supporting Children With Cancer and Their Parents During Chemotherapy Infusion

22. juli 2020 opdateret af: Sheila Ridner, Vanderbilt-Ingram Cancer Center

A Preliminary Pilot Study to Tailor and Evaluate the Feasibility of Child and Parent Yoga (CAPY) During Chemotherapy Infusion

This trial studies how well Yoga works in supporting children with cancer and their parents during chemotherapy infusion. Pediatric cancer and its treatment is one of life's most stressful events for children and their parents. Yoga is an ancient holistic healing science that incorporates postures, breathing, relaxation, and meditation to facilitate harmony between body, mind, and spirit. Participating in Yoga exercise may improve the negative psychosocial effects in children with cancer and their parents during chemotherapy treatment.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

PRIMARY OBJECTIVES:

  • To determine the feasibility of Yoga for children with cancer and their parents, specifically
  • Identify possible required modifications for safe and feasible practice during infusions.
  • Obtain recruitment estimates and determine barriers.
  • Assess satisfaction.

SECONDARY OBJECTIVES:

  • To determine the feasibility of administering and acceptability of measures to assess preliminary efficacy of Yoga for the following outcomes:
  • Child psychological distress (stress, anxiety).
  • Parent psychological distress (stress, anxiety, anger, depression).
  • Child and parent physiological stress (heart rate, respiratory rate, and blood pressure).
  • Parent-child communication.
  • Child physical symptoms.

OUTLINE:

Patients and parents participate in up to 8 Yoga sessions consisting of check in, awareness, breathing practices, gentle movement, and relaxation over 30 minutes each.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

10

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Tennessee
      • Nashville, Tennessee, Forenede Stater, 37232
        • Vanderbilt University School of Nursing

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

8 år til 17 år (Barn)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Children: 8-17 years of age, within 4 weeks of: 1) any new cancer diagnosis or newly diagnosed relapsed cancer, and 2) medical clearance who anticipate 3-weeks of continous contact with Monroe Carell Jr. Children's Hospital.
  • Parents: 18 years of age and older, child's primary caregiver (planning to attend appointments, infusions visits, or be in hospital rooms/clinics) or secondary caregiver (an as needed back-up to primary).

Children and Parents: able to speak and understand English, absence of cognitive impairment, and willing to engage in Yoga as part of a dyad.

Exclusion Criteria:

  • CHILDREN: Medical conditions that would prohibit the safe implementation of a Yoga practice
  • PARENTS: Practices Yoga weekly
  • PARENTS: Pregnant or plans to become pregnant during next 3 months
  • CHILDREN AND PARENTS: Unwilling to work as a dyad.

Studieplan

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

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Yoga Therapy
Andet: Spørgeskemaadministration
Hjælpestudier

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Modifications
Tidsramme: Up to 2 years
Will be assessed qualitatively. A tally of the specific modifications will be maintained to determine if particular modification are made more frequently than others.
Up to 2 years
Recruitment
Tidsramme: Up to 2 years
The total number of eligible child-parent dyads approached to achieve an enrolled sample of 5 dyads will be tallied.
Up to 2 years
Retention
Tidsramme: Up to 2 years
The number of the enrolled child-parent dyads who complete both the self-report assessments required at baseline (T1 - prior to first Yoga session), the Yoga protocol, and the measures at the end-of-infusion (T2 - prior to last Yoga session) will be tallied. The proportion completing will be used to inform the level of over-recruitment required in future studies of efficacy.
Up to 2 years
Barriers
Tidsramme: Up to 2 years
Participants who do not complete the study will be contacted and queried as to the reason for the lack of completion. A tally of the specific barriers will be maintained to determine if particular barriers are encountered more frequently than others. This information will inform possible modifications required to the protocol in future research.
Up to 2 years
Participant satisfaction
Tidsramme: Up to 2 years
The total number of responses to the 14 satisfaction questions with a rating > 4 (maximum rating = 7) will be generated for each of the 5 parent participants. It is expected that all participants will exceed that threshold for all questions. If not, frequency distributions will be used to summarize the responses to each of the 14 items to assess which produced the lower ratings. Responses to open-ended questions will be analyzed qualitatively. Findings from both components of the satisfaction survey (program satisfaction and yoga survey) will be used to revise the Yoga protocol as needed.
Up to 2 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Child psychological distress
Tidsramme: Up to 2 years
Will assess child distress using Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Psychological Stress Experiences- Short Form
Up to 2 years
Parent psychological distress
Tidsramme: Up to 2 years
Will assess parent distress using the PROMIS Depression - Short Form
Up to 2 years
Parent psychological distress
Tidsramme: Up to 2 years
Will assess parent distress using the PROMIS Emotional Distress - Anger - Short Form
Up to 2 years
Parent psychological distress
Tidsramme: Up to 2 years
Will assess parent distress using the PROMIS Anxiety
Up to 2 years
Child and parent physiological stress
Tidsramme: Up to 2 years
Will assess blood pressure
Up to 2 years
Child and parent physiological stress
Tidsramme: Up to 2 years
Will assess heart rate
Up to 2 years
Child and parent physiological stress
Tidsramme: Up to 2 years
Will assess respiratory rate
Up to 2 years
Parent-child communication
Tidsramme: Up to 2 years
Will be assessed using the Parent-Adolescent Communication Scale (PACS). Participants answer 20-40 questions. A total score is calculated ranging from 20-100 with higher scores indicating more positive communication.
Up to 2 years
Child physical symptoms
Tidsramme: Up to 2 years
Will be assessed using the PROMIS Pediatric Physical Stress Experiences -Short Form.
Up to 2 years
Parent psychological distress
Tidsramme: Up to 2 years
Parent distress will be assessed using the NIH Toolbox Perceived Stress
Up to 2 years
Child psychological distress
Tidsramme: Up to 2 years
Child distress will be assessed using the PROMIS Pediatric Anxiety - Short Form
Up to 2 years

Samarbejdspartnere og efterforskere

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

Sponsor

Vanderbilt-Ingram Cancer Center

Efterforskere

  • Ledende efterforsker: Terrah Akard, PhD, Vanderbilt University School of Nursing
  • Ledende efterforsker: Sheila Ridner, PhD, Vanderbilt University School of Nursing

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)

7. august 2019

Primær færdiggørelse (Faktiske)

29. juni 2020

Studieafslutning (Faktiske)

30. juni 2020

Datoer for studieregistrering

Først indsendt

17. juli 2019

Først indsendt, der opfyldte QC-kriterier

25. juli 2019

Først opslået (Faktiske)

26. juli 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. juli 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

22. juli 2020

Sidst verificeret

1. juli 2020

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • VICC SUPP 1935
  • NCI-2019-04525 (Registry Identifier: NCI, Clinical Trials Reporting Program)

Plan for individuelle deltagerdata (IPD)

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