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成功への鍵: がんを克服した小児および青年のための認知的および学術的介入プログラム

2026年9月21日 更新者: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.

調査の概要

詳細な説明

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.

研究の種類

介入

入学 (実際)

28

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • Ontario
      • Toronto、Ontario、カナダ、M5G 1X8
        • Hospital for Sick Children

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

6年~17年 (子)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

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

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:なし(オープンラベル)

武器と介入

参加者グループ / アーム
介入・治療
実験的: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

実験的: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

他の: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

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Woodcock Johnson Academic-Third Edition
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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

二次結果の測定

結果測定
メジャーの説明
時間枠
SAM
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

捜査官

  • 主任研究者:Donald Mabbott, Ph.D.、The Hospital for Sick Children

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2015年10月1日

一次修了 (実際)

2018年5月1日

研究の完了 (実際)

2018年5月1日

試験登録日

最初に提出

2015年10月7日

QC基準を満たした最初の提出物

2015年10月7日

最初の投稿 (推定)

2015年10月9日

学習記録の更新

投稿された最後の更新 (実際)

2026年9月24日

QC基準を満たした最後の更新が送信されました

2026年9月21日

最終確認日

2026年9月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • 1000043747

この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。

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