Parent-Child Communication About Cancer

关于癌症的亲子沟通

• 批准号: 8018527
• 负责人: Bruce E Compas
• 金额: $ 38.16万
• 依托单位: VANDERBILT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-04-01 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8018527
• 关键词: Address; African American; Age; American; Anxiety; Cancer Prognosis; Caring; Cessation of life; Characteristics; Child; Cognitive; Communication; Complex; Conflict (Psychology); Diagnosis; Disease; Distress; Education; Environment; Equilibrium; Family; Fathers; Female; Fright; Gender; Goals; Guidelines; Health Personnel; Health Professional; Home environment; Hospitals; Malignant Childhood Neoplasm; Malignant Neoplasms; Mediating; Mediator of activation protein; Medical; Mental Depression; Methods; Mothers; National Cancer Institute; Nature; Newly Diagnosed; Ohio; Outcome; Palliative Care; Parents; Patients; Pediatric Hospitals; Pediatric Oncology; Probability; Process; Protocols documentation; Public Health; Questionnaires; Recording of previous events; Recruitment Activity; Recurrence; Relapse; Research; Research Personnel; Resources; Role; Site; Stress; Symptoms; Thinking; Time; United States; Universities; cancer diagnosis; caregiving; cohesion; coping; emotional distress; evidence based guidelines; follow-up; male; outcome forecast; parent-child communication; parental role; programs; psychological distress; syntax

DESCRIPTION (provided by applicant): Over 12,400 children age 19 and under are diagnosed with cancer in the U.S. each year, and 2,300 die annually from the disease (Ries et. al., 2004). One of the most difficult questions facing parents of children with cancer is, "How do I talk with my child about cancer?" Further, parents of children with a poor prognosis struggle with the question, "How do I talk with my child about the possibility of death?" Parents often turn to healthcare providers for guidance, but ultimately parents must determine the type and amount of information they share with their child about the disease, treatment, and prognosis. Further, parents must decide how to balance this information in the context of managing their own and their child's fear and worries. Although the National Cancer Institute (NCI) has recommended that parents communicate openly and honestly about cancer, little research has addressed this issue in pediatric oncology. Moreover, no studies have used direct observation of parents and children as they discuss the diagnosis or examined how communication is associated with coping and adjustment over time. This application will use questionnaires and direct observation to assess parent-child communication about cancer and determine how the content and process of communication are associated with family outcomes. Over 560 families of children newly diagnosed with cancer or a recurrence will be recruited from two sites to complete questionnaires about coping, communication and adjustment 1 month after the child's diagnosis. Approximately 224 families are expected to complete an observation of family communication 3 months after the child's diagnosis, and follow-up questionnaires will be completed 12 months after diagnosis. We will pursue 3 aims: 1) To use a standardized observation protocol to describe the content and process of parent-child communication about cancer and examine differences in communication as a function of medical (for example, diagnosis, prognosis), child (for instance, age, gender), and family (for example, history of loss, family environment) factors; 2) To examine associations between communication and distress in parents and children; 3) To examine associations between communication and children's subsequent coping and emotional distress. The study has potentially significant public health implications, as findings from this study will enable healthcare professionals to better guide parents on how to communicate with their child in order to optimize their child's adjustment and care by providing guidelines about the content and quantity of information to share. Thus, the long-term goal of the proposed research is to provide health care professionals with evidence based recommendations for facilitating parent-child communication regarding childhood cancer and to decrease children's and parents' psychological distress.

描述（由申请人提供）：每年在美国被诊断出12,400名19岁及19岁以下儿童，每年有2300名死于该疾病（Ries等，2004）。癌症儿童父母面临的最困难的问题之一是：“我如何与孩子谈论癌症？”此外，预后不良的孩子的父母与一个问题斗争：“我如何与孩子谈论死亡的可能性？”父母经常向医疗保健提供者寻求指导，但最终父母必须确定与孩子共享有关疾病，治疗和预后的信息类型和数量。此外，父母必须决定如何在管理自己的恐惧和忧虑的背景下平衡这些信息。尽管国家癌症研究所（NCI）建议父母对癌症进行公开和诚实的沟通，但在小儿肿瘤学中几乎没有研究解决这个问题。此外，在讨论诊断或检查沟通如何随着时间的推移与应对和调整相关联时，没有任何研究直接观察父母和孩子。该应用程序将使用问卷调查并直接观察来评估有关癌症的亲子交流，并确定沟通的内容和过程与家庭结果如何相关。将有560个新诊断为癌症或复发的儿童家庭将从两个地点招募，以完成有关儿童诊断后1个月的应对，沟通和调整的调查表。预计在孩子诊断后3个月，大约有224个家庭将完成对家庭沟通的观察，后续调查表将在诊断后12个月完成。我们将追求3个目标：1）使用标准化的观察方案来描述有关癌症的亲子交流的内容和过程，并检查与医学的函数（例如，诊断，预后），儿童（例如，年龄，性别）和家庭（例如，损失历史，家庭环境）因素； 2）检查父母和子女的沟通与困扰之间的联系； 3）检查沟通与儿童随后的应对与情绪困扰之间的关联。这项研究具有潜在的公共卫生影响，因为这项研究的发现将使医疗保健专业人员能够更好地指导父母如何与孩子沟通，以通过提供有关共享信息和数量的指南来优化孩子的调整和护理。因此，拟议研究的长期目标是为医疗保健专业人员提供基于证据的建议，以促进有关儿童癌症的亲子交流，并减少孩子和父母的心理困扰。