Brain Tumor, Cancer Childhood
Conditions
Brief summary
We aim to conduct a feasibility study to determine the feasibility and suitability of implementing a musical training program for children surviving brain tumours. This study will demonstrate the feasibility of implementing a musical training program in improving the neurocognitive functioning of surviving brain tumours.
Detailed description
Brain tumour is the second most common childhood cancer in Hong Kong. Evidence shows that cancer and its treatments have long-term and lasting adverse effects on the neurocognitive functioning of paediatric brain tumour survivors, including the impairment of intellectual development and deficits in attention, working memory, processing speed and executive functions. There has been an increase in the use of musical training to promote the neuro-rehabilitation of patients suffering from stroke and Parkinson's disease, and to improve reading skills and academic achievement in young poor readers, and to enhance children's cognitive development. We conducted a randomized controlled trial (RCT) from 2017 to 2018 to examine the effectiveness of musical training on psychological outcomes and quality of life in Chinese paediatric brain tumour survivors. The results showed that participants who received a weekly 45-min lesson on musical training for 52 weeks (intervention group) reported statistically significant fewer depressive symptoms, higher levels of self-esteem, and better quality of life than those who received placebo intervention (control group) at 12-month demonstrating the effectiveness of musical training intervention. Nevertheless, it is unclear whether musical training can also be used to improve neurocognitive functioning, in particular the attention, processing speed, and executive functions of children surviving brain tumours. The overall aim of this proposed study will be to assess the feasibility of a musical training program in improving the neurocognitive functioning of children surviving brain tumours. The objectives of this feasibility study are as follows: 1. To ascertain the feasibility of recruitment and data collection in the outpatient clinic of the Hong Kong Children's Hospital; 2. To assess the response and retention rates of the study; 3. To examine the content of the proposed musical training program for its appropriateness, comprehensiveness and duration to the target participants; 4. To evaluate the appropriateness and feasibility of using various assessment tools in measuring the intelligence, attention, processing speed and executive functions of the paediatric brain tumour survivors; and 5. To assess any changes in neurocognitive functioning of children surviving brain tumours after receiving musical training for 52 weeks.
Interventions
a weekly 45-minute lesson, one-to-one musical training
Sponsors
Health and Medical Research Fund
The Hong Kong Polytechnic University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
1. children who have completed cancer treatment at least 2 months previously; 2. aged between 7 and 16 years, 3. able to speak Cantonese and read Chinese, and 4. those who have not undertaken any musical training following their cancer diagnosis.
Exclusion criteria
1\. those survivors with evidence of cancer recurrence or second malignancy in their medical records
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment rate of the study | at baseline before the start of the intervention | the proportion of subjects who are eligible and invited and consent to participate. |
| Response rate of the study | at baseline and 12 months after starting the intervention | The proportion of subjects who complete the questionnaires and assessments at baseline and 12 months after starting the intervention |
| Retention rate of the study | at baseline and 12 months after starting the intervention | The proportion of subjects who complete the whole intervention from baseline to 12 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nonverbal intelligence scores of the subject | at baseline and 12 months after starting the intervention | Measured by the Test of Nonverbal Intelligence, 4th edition (TONI-4) |
| Executive functions scores of the subject | at baseline and 12 months after starting the intervention | Measured by the Children's Color Trails Test (CCTT) |
| Attention scores of the subject | at baseline and 12 months after starting the intervention | Measured by the Digit Span |
| Processing speed scores of the subject | at baseline and 12 months after starting the intervention | Measured by the Children's Color Trails Test (CCTT) |
Countries
Hong Kong
Outcome results
None listed