Relieving Distress in Parents Caring for a Child Undergoing a Hematopoietic Stem Cell Transplant



Status:Recruiting
Conditions:Cancer, Psychiatric
Therapuetic Areas:Oncology, Psychiatry / Psychology
Healthy:No
Age Range:18 - Any
Updated:11/30/-0001
Start Date:January 2008

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Facilitating Parent Adaptation to Pediatric Transplant: The P-SCIP Trial


RATIONALE: A program that helps parents learn to cope with the distress of caring for a
child undergoing stem cell transplant may reduce depression and anxiety and improve the
well-being of the parent.

PURPOSE: This randomized clinical trial is studying ways to relieve distress in parents
caring for a child undergoing transplant.


OBJECTIVES:

Primary

- To evaluate the relative impact of the Parent Social-Cognitive Intervention Program
(P-SCIP) vs the Best-Recommended Psychosocial Care (BPC) interventions on parent short-
and long-term psychological distress.

- To evaluate parent personal resources as well as child medical course variables that
contribute to intervention response.

Secondary

- To examine differential effects of P-SCIP vs BPC on parent social and cognitive
processing.

- To investigate barriers to participation in the intervention trial.

OUTLINE: This is a multicenter study.

Participants are stratified according to caregiving parent status (father vs mother), study
center, and primary parent caregiver language at CHLA vs Columbia (English vs Spanish).
Participants are randomized to 1 of 2 intervention arms.

- Arm I (Parent Social-Cognitive Intervention Program [P-SCIP]): Participants undergo
five 60-minute behavioral intervention sessions once or twice weekly for 3 weeks to
learn how to engage in effective social and cognitive processing to deal with fears and
worries about the transplant and transplant-related concerns. Participants receive a
laptop computer and a CD-ROM after the first session.

- Arm II (Best-recommended Psychosocial Care [BPC]): Participants undergo usual care and
receive a "Discovery to Recovery" DVD and pamphlet developed by the National Marrow
Donor Program (NMDP) describing psychological issues associated with hematopoietic stem
cell transplantation (HSCT), the booklet "Top Tips for Parent Caregivers During the BMT
Process" published by National Marrow Donor Program-Link describing caregiver issues
during HSCT and advice on how to handle them, 2 walkie-talkies, a laptop to view the
DVD, and 5 hours of respite care from a child-life specialist once or twice weekly for
3 weeks.

Participants are assessed periodically by demographic information, hospitalization for
emotional problems, psychosocial services (i.e., religious counseling, professional
counseling, attending a support or therapy group, and other support services in the past
month), psychosocial care services during the child's HSCT hospitalization, psychotropic
medications and sleep medications taken, optimism by the Life Orientation Test, enacted
social support, informational support from medical team, treatment Expectancy, Working
Alliance Inventory, homework adherence (P-SCIP only), utilization of the CD-ROM/DVD, use of
offer of respite care by Child Life Specialist (BPC only), psychosocial and supportive care
available at site, and mental health services by the Awareness and Barriers to
Counseling-Revised questionnaire.

After completion of study intervention, participants are followed up at 1, 6, and 12 months.

DISEASE CHARACTERISTICS:

- Biological or foster parent of child < 18 years of age scheduled for hematopoietic
stem cell transplantation (HSCT) within the next month

- Child must not have medulloblastoma or other brain cancer

- Primary caregiver, defined as the parent who self-identifies as intending to play a
primary caregiving role, to the child during HSCT

PATIENT CHARACTERISTICS:

- Has residential phone service

- Speaks English or Spanish

PRIOR CONCURRENT THERAPY:

- See Disease Characteristics
We found this trial at
5
sites
701 West 168th Street
New York, New York 10032
(212) 851-4680
Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center The Herbert Irving Comprehensive Cancer...
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New York, NY
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1405 Clifton Road Northeast
Atlanta, Georgia 30322
(404) 785-6000
AFLAC Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta - Egleston Campus...
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Atlanta, GA
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4650 Sunset Blvd
Los Angeles, California 90027
 (323) 660-2450
Childrens Hospital Los Angeles Children's Hospital Los Angeles is a 501(c)(3) nonprofit hospital for pediatric...
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Los Angeles, CA
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1275 York Avenue
New York, New York 10065
212-639-2000
Memorial Sloan-Kettering Cancer Center Memorial Sloan-Kettering Cancer Center — the world's oldest and largest private...
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New York, NY
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333 Cottman Ave
Philadephia, Pennsylvania 19111
(215) 728-6900
Fox Chase Cancer Center Fox Chase has earned the prestigious designation from the National Cancer...
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from
Philadephia, PA
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