The Enhancing Connection Telephone Study: A cancer parenting education program

增强联系电话研究：癌症育儿教育计划

• 批准号: 8569326
• 负责人: FRANCES Marcus LEWIS
• 金额: $ 7.73万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-02 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8569326
• 关键词: Affect; Anxiety; Back; Behavioral; Cancer Etiology; Cancer Patient; Child; Child Support; Clinical; Colorectal Cancer; Consent; Counseling; Depressed mood; Development; Diagnosis; Disease; Distress; Education; Emotional; Enrollment; Environment; Family; Fright; Goals; Home environment; Intervention; Intervention Studies; Language; Malignant Neoplasms; Malignant neoplasm of prostate; Measures; Medical; Moods; Mothers; National Cancer Institute; Newly Diagnosed; Outcome; Outcome Study; Pacific Northwest; Parenting Education; Parenting behavior; Parents; Participant; Patients; Persons; Phase; Phase III Clinical Trials; Pre-Post Tests; Problem behavior; Protocols documentation; Provider; Quality of life; Questionnaires; Randomized Clinical Trials; Randomized Controlled Trials; Reading; Reporting; Research Priority; School-Age Population; Services; Site; Staging; Survivors; Symptoms; Telephone; Testing; Time; Travel; Writing; active method; cancer care; cancer education; cancer type; cost; design; efficacy testing; emotional adjustment; emotional distress; follow-up; improved; leukemia; malignant breast neoplasm; melanoma; programs; public health relevance; skills; socioeconomics; standardize measure

DESCRIPTION (provided by applicant): An estimated 1.2 million parents of school age children will be newly diagnosed with cancer in the U.S. in 2012. Parental cancer causes substantial behavioral and emotional distress in both the diagnosed parent and child. An estimated 22-33% of the children exceed clinical cut off scores on standardized measures of distress or behavioral-emotional adjustment. Parents, regardless of education and socioeconomic level, are known to struggle with how and what to tell their child about their cancer or how to support the child during the many months of medical treatment. Treatment or disease-related symptoms and parental depressed mood negatively affect the child's physical and emotional access to the parent and the quality of parenting. Despite the magnitude of the problem and numbers affected, there is only 1 cancer parenting education program that has been tested for efficacy, the Enhancing Connections Program. In a 6-state randomized control trial, the program decreased parental depressed mood and anxiety, improved parenting quality, parenting skills and confidence, and enhanced the child's behavioral-emotional adjustment. Child outcomes were significant at 1- year follow up compared to controls. But that program, the Enhancing Connections Program (EC), was tested as an in-person delivered program, constraining its access and availability for parents for whom cost and time constraints or the burden of travel are prohibitive. The purpose of the proposed study is to test the feasibility of delivering the Enhancing Connections Program by telephone (EC-T) and to assess its short-term impact on parent and child outcomes, using both a pre-post-test (within group) design and a between group design, comparing current study outcomes with those obtained from the in-person delivered EC. A total of 60 recently diagnosed parents with Stage 0-3 cancer will be enrolled from provider sites that serve 5 states in the Pacific Northwest. Eligible parents will have a child 5- 12 years, have access to a telephone, and read, write and speak English among their languages. After consenting and obtaining baseline measures, study participants will receive 5 fully scripted, telephone delivered cancer education counseling sessions at 2- week intervals. Outcomes will be assessed at exit using the same standardized measures as those used to test efficacy of the EC. The study is adequately powered to detect a moderate effect size with .80 power, p=.05. Study results will inform the development of a randomized clinical trial.

描述（由申请人提供）：估计有120万学龄儿童的父母将于2012年在美国新诊断出患有癌症。父母癌症在被诊断的父母和孩子中造成了实质性的行为和情绪困扰。估计有22-33％的儿童超过了标准化的遇险或行为情感调整的标准化度量的临床切入分数。无论教育和社会经济水平如何，父母都在为孩子如何以及如何告诉孩子关于他们的癌症或如何在医疗的多个月中抚养孩子的方式挣扎。治疗或与疾病有关的症状和父母抑郁情绪对孩子与父母的身体和情感接触产生负面影响以及育儿的质量。尽管问题和数字受到影响，但只有1个癌症育儿教育计划已经过测试以提高功效，即增强联系计划。在一项六州随机控制试验中，该计划减少了父母的情绪和焦虑，提高了育儿质量，育儿技能和信心，并增强了孩子的行为情感调整。与对照组相比，在1年的随访中，儿童的结果显着。但是该计划是增强连接计划（EC），被测试为面对面交付的计划，限制了其对父母的访问和可用性，而父母的成本和时间限制或旅行负担却是高度限制的。 拟议的研究的目的是使用电话（EC-T）来测试提供增强连接计划的可行性，并评估其对父母和子女结果的短期影响，同时使用前测试前测试（组内）设计和组设计之间，将当前研究成果与从面对面交付的EC中获得的结果进行比较。总共有60名最近被诊断出患有0-3阶段癌症的父母的癌症将从提供西北太平洋5个州的提供商招募。符合条件的父母将有5至12年的孩子，可以访问电话，并在他们的语言中读，写和说英语。在同意并获得基线措施后，研究参与者将以2周的间隔收到5个完全脚本的脚本脚本，交付的癌症教育咨询会议。结果将在出口时使用与测试EC功效相同的标准化措施进行评估。这项研究足以检测以0.80功率为p = .05的中等效应大小。研究结果将为一项随机临床试验的发展提供信息。