A Field Test of a Group-delivered Enhancing Connections Program: a Partnership Grant with the Cancer Support Community

团体提供的增强联系计划的现场测试：与癌症支持社区的合作赠款

• 批准号: 9233503
• 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: 2017
• 资助国家: 美国
• 起止时间: 2017-01-26 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9233503
• 关键词: Academic advising; Active Sites; Affect; Anxiety; Area; Back; Behavioral; Cancer Etiology; Cancer Patient; Child; Child Rearing; Child Support; Clinical; Clinical Trials; Collaborations; Colorectal Cancer; Communities; Competence; Consent; Data; Depressed mood; Diagnosis; Disease; Distress; Education; Eligibility Determination; Emotional; Enrollment; Family; Feasibility Studies; Fright; Goals; Grant; Home environment; Intervention; Language; Leadership; Logistics; Malignant Neoplasms; Malignant neoplasm of prostate; Measures; Medical; Moods; Mothers; National Cancer Institute; Newly Diagnosed; Outcome; Outcome Study; Parenting Education; Parents; Participant; Patients; Persons; Phase; Phase III Clinical Trials; Problem behavior; Program Acceptability; Provider; Quality of life; Questionnaires; Randomized Controlled Trials; Recruitment Activity; Reporting; Research Priority; Sampling; School-Age Population; Services; Site; Social Workers; Standardization; Survivors; Symptoms; Telephone; Testing; Time; Training; Travel; United States; Writing; active method; cancer care; cancer diagnosis; cancer site; cancer type; community organizations; cost; design; dosage; efficacy testing; emotional adjustment; emotional distress; field study; follow-up; improved; leukemia; malignant breast neoplasm; melanoma; negative affect; programs; skills; socioeconomics; standardize measure

An estimated 1.2 million parents of school age children will be newly diagnosed with cancer in the U.S. in 2016. 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. In order to increase the potential sustainability of the EC Program, the program was formatted for group-delivery. The overall goal of the proposed study is to test the feasibility and short-term impact of the group-delivered EC Program within the largest provider of free group- delivered cancer support services in the United States, the Cancer Support Community, an organization that is a merger of the Wellness Community and Gilda's Club. Phase I will involve training 6 Masters prepared social workers drawn from 3 Beta test sites of the Cancer Support Community in the United States. Phase II will involve implementing the program at these 3 Beta test sites and obtaining detailed data on the feasibility and short-term impact of the program on 33 program participants. A within group (pre-posttest) design will examine short term impact of the program. A total of 33 diagnosed parents with Stage 0-3 cancer will be enrolled, drawn from each Beta site's active recruitment channels. Eligible parents will have a child 5-17 years and read, write and speak English among their languages of choice. After consenting and obtaining baseline measures, study participants will receive 5 fully manualized group-delivered educational 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. With a sample of 33 parents, effect sizes will range from medium to large: 0.51-1.16; p values will range from .008 to <.001. Longer term, results will be used to inform a larger implementation grant and clinical trial.

在美国，估计有120万学龄儿童的父母将被新诊断为癌症