None listed
Conditions
Brief summary
The study is evaluating the feasibility of an E-Health eating and nutrition intervention (called ENeRgy-KIDS) for children after cancer treatment. Who is it for? Parents/carers and their children may be eligible to join this study if the child has been treated for childhood cancer at Sydney Children’s Hospital within the previous 5 years, and is aged 12 years or less. The child should also have been clinically identified as having a maladaptive feeding behaviour of 'fussy eating' post cancer treatment. Trial details All eligible parents/carers and their children will receive the ENeRgy-KIDS intervention. This is a parent and child targeted E-health diet and feeding behaviour program. The program consists of weekly, 90 minute E-Health treatment sessions, delivered over 6 weeks to provide diet education specific to the needs of childhood cancer patients after cancer treatment. The program will include information on how to manage child feeding behaviors, evidence-based best feeding practices by parents, healthy nutrition/diet after cancer treatment, medical long term effects of cancer treatment, healthy lifestyle now and in the future and goal setting. The program will also consist of a 15 minute child component that will deliver nutrition information and feeding therapy techniques through fun messy play and workbook activities. Children will undergo dietary assessment and body composition measurements at enrolment, at the end of the program, and 3 months later in order to assess the feasibility of the intervention. Parents will provide information on their child’s eating behaviours and diet at enrolment, at the end of the program, and 3 months later in order to assess the feasibility of the intervention. Parents will also provide information on how useful and easy to use the program was at the end of the program.
Interventions
The intervention 'ENeRgy-KIDS' is a parent and child-targeted e-Health diet/feeding behavior program. The program will consist of weekly, 90 minute E-Health treatment sessions, delivered over 6 weeks to provide diet education specific to the needs of childhood cancer patients after cancer treatment. The program will include information on how to manage child feeding behaviors, evidence-based best feeding practices by parents, healthy nutrition/diet after cancer treatment, medical long term effects of cancer treatment, healthy lifestyle now and in the future and goal setting. The program will also consist of a 15 minute child component that will deliver nutrition information and feeding therapy techniques through fun messy play and workbook activities. Sessions will be delivered through video conferencing software on the Internet (WebEx, by Cisco). WebEx combines a teleconference with a web-based video-conference and requires a phone line, a computer with standard browser and a webcam. It is a secure, password-protected videoconferencing program that allows participants access to the online system only through a personal email invitation from the study coordinator. WebEx includes an automated upcoming session reminder and can record sessions. Participants will also receive a reminder SMS on their mobile phone 24 hours before their session. Several SCH staff are trained WebEx technicians and will support the technical aspects of this study. The use of this delivery method was also following recommendations of the systematic review that suggested that if frequent session delivery is not feasible in clinic (often due to the rural location of patients), telephone or online sessions in the home environment, may be a practical alternative. After each session the study coordinator will collect session-specific feedback through a short 10 minute online survey using Lime Survey Trademark completed by the parent participant. This will enable the study investigators to determine the feasibility and effectiveness of each individual program treatment session and module content for the parent. The information collected will be on: If participant found the session useful, what they and their child enjoyed from the session, the skills they gained from the session and any barriers (time or technological) that they may have experienced for the running of the session.
Sponsors
Study design
Eligibility
Inclusion criteria
Parents/carers and patients treated for childhood cancer at Sydney Children’s Hospital, who are: - Recently off treatment (< 5 years) - <12 years of age and of a pre or primary school cognitive development level. - Have been clinically identified as having a maladaptive feeding behaviour of ‘fussy eating’ post childhood cancer treatment.
Exclusion criteria
Parent/caregiver and or child: a) Has cognitive or other impairment as identified by their clinical team b) Have insufficient English skills to complete the written questionnaire, as identified by their clinical team. Have a child who has been treated for childhood cancer treatment that: a) Is > 12 years of age b) Is > 5 years off treatment c) Is currently on active treatment for childhood cancer d) Does not have a clinical maladaptive feeding disorder of ‘fussy eating’ as identified by The Children’s Eating Behaviour Questionnaire (Cooke et al 2003) or from a health professionals concerns.