A Cognitive- Behavioral Play Intervention for Siblings of Children Diagnosed With Cancer
30. juli 2015 oppdatert av: Case Comprehensive Cancer Center
A Cognitive- Behavioral Play Intervention for Siblings of Children Diagnosed With Cancer: A Pilot Study
The goal of this study is to determine whether a brief (three 20-30 minute session) cognitive-behavioral play intervention will improve coping skills and adjustment for siblings of children diagnosed with cancer.
Studieoversikt
Status
Avsluttet
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Aim 1: Assess baseline adjustment, coping, pretend play, parenting stress, and family interactions.
- Hypothesis 1a: Children with siblings diagnosed with cancer will have lower levels of adjustment, coping skills, and pretend play compared to previous sample norms.
- Hypothesis 1b: The child's adjustment will be mediated by factors related to their involvement in the sibling's medical care, such as parent's level of communication regarding their sibling's illness, frequent isolation from the family and other social support, time since their sibling's diagnosis, and parenting stress. -Hypothesis 1c: Parents of children diagnosed with cancer will report higher levels of parenting stress compared to previous sample norms.
Aim 2: Assess outcome of three play intervention sessions focusing on increasing coping and adjustment.
- Hypothesis 2a: Compared to the active control, children in the play intervention group will have increased coping skills after intervention.
- Hypothesis 2b: Compared to the active control, children in the play intervention group will have better psychological adjustment following intervention.
- Hypothesis 2c: Parents of children in the play intervention group will report decreased parenting stress following the intervention.
Once parents consent to participate and their child provides assent, they and their child will complete the baseline questionnaires and measures. Immediately following completion of the baseline measures, the child will be randomly assigned to either the play intervention or active control group.Children will also be asked to rate their mood at the beginning of each play session. The outcome parent and child questionnaires will be administered again at a session approximately one week after the third play session, for a total of four play sessions each spaced approximately one week apart. Children will also be asked to rate their satisfaction with the treatment at the outcome session (e.g., "How much did you like being a part of this study?").
Studietype
Intervensjonell
Registrering (Faktiske)
5
Fase
- Tidlig fase 1
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Ohio
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Cleveland, Ohio, Forente stater, 44106
- Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
4 år til 10 år (Barn)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Families who have had children diagnosed with any type of cancer in the past year.
- At least one sibling between the ages of 4 and 10 years old
- Patients will be targeted 1-2 months after diagnosis, but could be included in the study up to 12 months following diagnosis.
Exclusion Criteria:
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Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Støttende omsorg
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Sham-komparator: Active Control Group
Children in the active control group will play with puzzles, a building toy, or color.
The play facilitator will praise the child and interact at a similar rate to control for interaction with a caring adult.
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Andre navn:
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Eksperimentell: Play Intervention
children in the play intervention group will be given 3 story stems that they are asked to play out with the goal of helping the main character "feel better" (see session scripts).
The play facilitator will play with the child, modeling and praising use of positive coping skills.
In the first session the play facilitator will focus on positive self-statements, in the second session the play facilitator will focus on problem-solving, and a combination of these two approaches will be used in the final session.
The child will be allowed to make up a story about whatever they want before ending each session.
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Andre navn:
Andre navn:
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Number of children with increase in coping skills after intervention
Tidsramme: 4 weeks
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Compared to the active control, children in the play intervention group will have increased coping skills after intervention.
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4 weeks
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Number of children with better psychological adjustment following intervention
Tidsramme: 4 weeks
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Compared to the active control, children in the play intervention group will have better psychological adjustment following intervention.
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4 weeks
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Number of parents with decreased parenting stress following intervention
Tidsramme: 4 weeks
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Parents of children in the play intervention group will report decreased parenting stress following the intervention.
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4 weeks
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Karla Fehr, M.A., Case Western Reserve University
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. september 2011
Primær fullføring (Faktiske)
1. juli 2015
Studiet fullført (Faktiske)
1. juli 2015
Datoer for studieregistrering
Først innsendt
9. oktober 2012
Først innsendt som oppfylte QC-kriteriene
9. oktober 2012
Først lagt ut (Anslag)
12. oktober 2012
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
3. august 2015
Siste oppdatering sendt inn som oppfylte QC-kriteriene
30. juli 2015
Sist bekreftet
1. juli 2015
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- CASE4Z11
- CC00130 (Annen identifikator: University Hospitals Cancer IRB)
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