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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：
9327199
负责人：
ADAM DAVEY
金额：
$ 59.43万
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 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9327199
关键词：
Address Adolescent Adult African African American Aftercare Age American Anxiety Attitude Breast Cancer Center Cancer Etiology Cancer Patient Child Clinical Cognition Colorectal Communication Cultural Sensitivity Depressed mood Development Diagnosis Diagnostic Neoplasm Staging Distress Education Educational Intervention Ethnic group Family Gender Health Home environment Income Intention Intervention Life Low income Lung Malignant Neoplasms Marital Status Mediating Mission Nature Newly Diagnosed Outcome Parent-Child Relations Parents Patients Population Population Intervention Prevention program Prostate Race Randomized Randomized Controlled Trials Recruitment Activity Research Sampling School-Age Population Socioeconomic Status Solid Neoplasm Staging Stress Time Vulnerable Populations Youth base cancer health disparity child depression comparative efficacy coping daily functioning depressive symptoms design emotional distress experience fighting follow-up group support high risk improved intervention program rectal stressor treatment as usual treatment effect

项目摘要

DESCRIPTION (provided by applicant): In 2014, an estimated 1.2 million parents of school age children will be newly diagnosed with cancer in the U.S. 2 Parental cancer causes significant emotional distress in both diagnosed parents and their children. African 3 American (AA) adults experience a disproportionate burden of solid tumor cancers (e.g., breast, prostate, colo- 4 rectal, and lung) which puts AA adolescents; a vulnerable population to begin with, at high risks for parental cancer 5 related distresses. Treatments have been somewhat successful for younger school age children (ages 7-12) of 6 cancer patients but most treatment studies have included white middle class samples. Differences in attitudes, 7 daily functioning and levels of distress among different ethnic and racial groups are well-documented, yet few 8 culturally sensitive family intervention programs have been developed for AA families coping with cancer. 9 Building on the PI's previous studies with AA families coping with parental cancer, we propose to conduct a 10 randomized control trial to address this gap. We will evaluate the efficacy of a culturally sensitive family-based 11 intervention that targets the parent-child relationship in AA families coping with the impact of solid tumor parent- 12 tal cancer. We will randomize 172 AA families coping with parental cancer to either Families Fighting Cancer 13 Together (FFCT) or to parent psycho-education (TAU). Both manualized treatments include 5 bi-monthly ses- 14 sions over 10 weeks. Subjects will be African American parents diagnosed in the past 12 months with Stage I, 15 II, or III solid tumor cancers with at least one child between the ages of 12 and 18 living at home. Patients will 16 be recruited from 3 large urban cancer centers where there is an estimated 500 eligible low to middle income 17 AA cancer patients a year. Family assessments will be done at baseline, post-treatment (10 weeks), 6-month, 18 and 12-month follow-up. The proposed R01 research has the following aims: Aim 1: Compare the efficacy of 19 FFCT to TAU in reducing depressive symptoms (CDI) in AA adolescents at post-treatment and long term out- 20 come (6 and 12-month follow-up). Aim 2: Compare the efficacy of FFCT to TAU in reducing parental stress 21 (PCQ: parental stress related to coping with cancer) in AA parents at post-treatment and long term outcome (6 22 and 12-month follow-up). Exploratory Aims: 1. Explore whether moderators identified in white samples have a 23 similar impact on treatment in AA samples. Specifically, we will examine: a) perceived level of group support, 24 b) gender and age of adolescent, c) parent's marital status, d) SES, and e) stage of parent's cancer on the im- 25 pact of treatment. 2. Explore whether changes in parent-child attachment and communication mediate the as- 26 association between treatment and adolescent depressive symptoms (CDI) and anxiety (RCMAS) at 6 and12- 27 month follow-up. Treatments to help adolescents cope with the impact of parental cancer are needed, particu- 28 larly those designed to reach low-income AA populations. If the proposed research is successful, it will change 29 the nature of treatment support options available to a group that is overrepresented and underserved by exist- 30 ing interventions and reduce potentially harmful distress among AA adolescents.