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CLÉS pour réussir : programme d'intervention cognitive et scolaire pour enfants et adolescents survivants d'un cancer

21 septembre 2026 mis à jour par: 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.

Aperçu de l'étude

Description détaillée

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.

Type d'étude

Interventionnel

Inscription (Réel)

28

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 1X8
        • Hospital for Sick Children

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 17 ans (Enfant)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

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

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

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: 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

Expérimental: 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

Autre: 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

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Woodcock Johnson Academic-Third Edition
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
SAM
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Chercheur principal: Donald Mabbott, Ph.D., The Hospital for Sick Children

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 (Réel)

1 octobre 2015

Achèvement primaire (Réel)

1 mai 2018

Achèvement de l'étude (Réel)

1 mai 2018

Dates d'inscription aux études

Première soumission

7 octobre 2015

Première soumission répondant aux critères de contrôle qualité

7 octobre 2015

Première publication (Estimé)

9 octobre 2015

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

24 septembre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

21 septembre 2026

Dernière vérification

1 septembre 2026

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • 1000043747

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 .

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