Testing the Effectiveness of Child and Parent-Targeted Health Promotion Interventions in Pediatric Stem Cell Transplantation
27 septembre 2011 mis à jour par: 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.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Interventionnel
Inscription (Réel)
189
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
-
-
Ontario
-
Toronto, Ontario, Canada, M5G
- The Hospital for Sick Children
-
-
-
-
Ohio
-
Columbus, Ohio, États-Unis
- Columbus Children's Research Institute
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, États-Unis, 19104
- Children's Hospital of Philadelphia
-
-
Tennessee
-
Memphis, Tennessee, États-Unis, 38105
- St. Jude Children's Research Hospital
-
-
Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
6 ans à 18 ans (Enfant, Adulte)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
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.
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Répartition: Randomisé
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Autre: 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.
|
|
Autre: 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.
|
|
Aucune intervention: 3: SC
Standard Care Control Group- No Intervention
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
|
To test the effectiveness of the health-promotion interventions in improving patient and parent well-being during the acute phase of BMT.
Délai: 6 weeks
|
6 weeks
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Les enquêteurs
- Chercheur principal: Sean Phipps, PhD, St. Jude Children's Research Hospital
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Liens utiles
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 janvier 2003
Achèvement primaire (Réel)
1 décembre 2007
Dates d'inscription aux études
Première soumission
25 septembre 2008
Première soumission répondant aux critères de contrôle qualité
25 septembre 2008
Première publication (Estimation)
26 septembre 2008
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
29 septembre 2011
Dernière mise à jour soumise répondant aux critères de contrôle qualité
27 septembre 2011
Dernière vérification
1 septembre 2011
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- HOBIT3
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .