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African American Families Fighting Parental Cancer Together

非裔美国家庭共同抗击父母癌症

基本信息

批准号：
10478019
负责人：
ADAM DAVEY
金额：
$ 35.45万
依托单位：
UNIVERSITY OF DELAWARE
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-07-01 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10478019
关键词：
Address Adolescent Adult African American African American population Aftercare Age Anxiety Attitude Behavior Black race Breast Cancer Center Cancer Etiology Cancer Patient Caucasians Child Child Rearing Clinical Cognition Colon Colorectal Communication Cultural Sensitivity Depressed mood Development Diagnosis Diagnostic Neoplasm Staging Distress Emotional Ethnic group Family Gender Home Illness impact Income Intention Intervention Life Low income Lung Malignant Neoplasms Marital Status Mediating Mission Nature Newly Diagnosed Not Hispanic or Latino Outcome Parent-Child Relations Parental Ages Parents Participant Patients Population Population Intervention Prevention program Prostate Race Randomized Randomized Controlled Trials Research Sampling School-Age Population Socioeconomic Status Solid Neoplasm Stress Support Groups Time United States Vulnerable Populations Youth base cancer health disparity child depression comparative efficacy coping daily functioning depressive symptoms design efficacy evaluation emotional distress experience fighting follow-up high risk improved improved outcome inner city intervention program psychoeducation psychoeducational intervention public health relevance recruit stressor treatment as usual treatment effect

项目摘要

DESCRIPTION (provided by applicant): In 2015, an estimated 340,000 parents of school age children will be newly diagnosed with cancer in the U.S. Parental cancer causes significant emotional distress in both diagnosed parents and children. African American (AA) adults experience a disproportionate burden of solid tumor cancers (e.g., breast, prostate, lung, and colon) which puts AA adolescents, a vulnerable population to begin with, at high risk for parental cancer related distress. Treatments have been somewhat successful for younger school age children (ages 7-12) of cancer patients but most treatment studies have included white middle class samples. Differences in attitudes, daily functioning and levels of distress among different ethnic and racial groups are well-documented, yet few culturally sensitive family intervention programs have been developed for AA families coping with cancer. Building on the PI's previous studies with AA families coping with parental cancer, we propose to conduct a randomized control trial to address this gap. We will of a culturally sensitive family-based intervention that targets the parent child relationship in AA families coping with the impact of solid tumor parental cancer. We will randomize 172 AA families coping with parental cancer to either Families Fighting Cancer Together (FFCT) or to parent psycho-education (TAU). Both manualized treatments include 5 bi-monthly sessions over 10 weeks. Subjects will be African American parents diagnosed for the first time in the past 12 months with Stage I, II, or III solid tumor cancers with at least one child between the ages of 12 and 18 living at home. Patients will be recruited from 3 large inner city cancer centers where there is an estimated 500 eligible low to middle income AA cancer patients a year. Family assessments will be done at baseline, post-treatment (10 weeks), 6-month, and 12-month follow-up. The proposed R01 research has the following aims: Aim 1: Compare the efficacy of FFCT to TAU in reducing depressive symptoms (CDI) and anxiety (RCMAS) in AA adolescents at post-treatment and long term outcome (6 and 12-month follow-up). Aim 2: Compare the efficacy of FFCT to TAU in reducing parental stress (PCQ: impact of illness on child/concerns about parenting) in AA parents at post-treatment and long term outcome (6 and 12-month follow-up). Exploratory Aims: 1. Explore whether moderators identified in Caucasian samples have a similar impact on treatment in AA samples. Specifically, we will examine: a) perceived level of group support, b) gender and age of adolescent, c) parent's marital status, d) SES, and e) stage of parent's cancer on the impact of treatment. 2. Explore whether changes in parent-child attachment and communication mediate the association between treatment and depressive symptoms (CDI) and anxiety (RCMAS) at 6 and12-month follow-up. Treatments to help adolescents cope with the impact of parental cancer are urgently needed, particularly those designed to reach low-income AA populations. Developing effective and transportable family-based interventions for this population could improve developmental adjustment to this significant life stressor at a critical point in the livesof adolescents.

项目成果

期刊论文数量（13）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Study protocol: a randomized control trial of African American families fighting parental cancer together.

DOI：
10.1186/s12885-018-5052-8
发表时间：
2018-11-20
期刊：
BMC cancer
影响因子：
3.8
作者：
McKinney NS;Virtue S;Lewis FM;Willis AI;Pettyjohn T;Harmon LR;Davey A
通讯作者：
Davey A

Carotid Artery Blood Flow Velocities and Cognitive Performance: Forecasting Cognitive Decline.

颈动脉血流速度和认知表现：预测认知能力下降。

DOI：
10.1093/ajh/hpy184
发表时间：
2019
期刊：
American journal of hypertension
影响因子：
3.2
作者：
Elias,MerrillF;Torres,RachaelV;Davey,Adam
通讯作者：
Davey,Adam

Frailty in community-dwelling older people and nursing home residents: An adaptation and validation study.

社区老年人和疗养院居民的虚弱：一项适应和验证研究。

DOI：
10.1111/jan.15898
发表时间：
2024
期刊：
Journal of advanced nursing
影响因子：
3.8
作者：
Kmetec,Sergej;Fekonja,Zvonka;Davey,Adam;Kegl,Barbara;Mori,Jernej;Reljić,NatašaMlinar;McCormack,Brendan;Lorber,Mateja
通讯作者：
Lorber,Mateja

Does sleep duration, napping, and social jetlag predict hemoglobin A1c among college students with type 1 diabetes mellitus?