Pediatric Cancer, Cognitive Dysfunction
Conditions
Keywords
Pediatric Cancer, Cognitive Dysfunction, Neuropsychological Rehabilitation, Neurobehavioral Impairment
Brief summary
The aim of the present pilot study is to evaluate the feasibility, acceptability, and preliminary efficacy of a novel, context-sensitive neuropsychological rehabilitation intervention for childhood cancer survivors and their families.
Detailed description
Cognitive impairment is the most common late effect in childhood cancer survivors, and despite the negative effects of these symptoms on quality of life, scholastic achievement and long-term socioeconomic outcomes, there continues to be no gold standard treatment for childhood cancer survivors with cognitive impairment. Indeed, there is a dearth of research on interventions to treat cognitive impairment in childhood cancer survivors, and the relatively few studied interventions have proven limited effects. Arguably, four key elements are missing from a majority of studied interventions:1) transfer of learning to real-world functional outcomes, 2) awareness training to enhance compensatory strategy use, 3) inclusion of parents that could enhance transfer of learning to the home, and 4) recognition of the inter-related nature of cognitive, neurobehavioral, and psychological functions. The I'M aware: Parents and Children Together (ImPACT) program is a novel, context-sensitive neuropsychological rehabilitation intervention that targets the above mentioned missing elements in previous rehabilitation efforts. The present pilot study aims to assess the feasibility, acceptability, and preliminary efficacy of this program in childhood cancer survivors with cognitive impairment in preparation for a large-scale randomized controlled trial.
Interventions
BEHAVIORALImPACT
During the ImPACT program, the childhood cancer survivor and at least one parent collaborates on: 1. Becoming aware of the child's core strengths and difficulties 2. Helping the child to be optimally responsive to the guidance of the parent(s), and 3. Creating compensatory strategies to respond to real-world manifestations of the child's difficulties and helping the child implement these strategies at home.
Sponsors
University of Aarhus
Aarhus University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
10 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Cancer diagnosis of a leukemia, lymphoma, or central nervous system tumor * Completed primary treatment at least 6 months ago * Not terminally ill * Attend school * Living with one or more parents who speak Danish and are willing to co-participate * Screened as having parent-reported cognitive and/or neurobehavioral impairment
Exclusion criteria
• Confounding diagnosed or suspected psychiatric or medical condition unrelated to the cancer or its treatment that might contribute to cognitive or neurobehavioral impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Parent-reported cognitive functioning | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The parent-report version of the Pediatric Perceived Cognitive Function (PedsPCF) Short Form. 7 items: answer format range 1-5; total score range: 7-35. Lower score indicates more impairment. |
| Parent-reported neurobehavioral functioning | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The parent-report screening version of the Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF-2). 12 items: answer format range: 1-3; total score range: 12-36. Higher score indicates more impairment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parent-reported cognitive functioning | Baseline (T1) to 9 week after post-intervention (approximately 18 weeks later: Follow-up, T4) | The parent-report version of the Pediatric Perceived Cognitive Function (PedsPCF) Short Form. 7 items: answer format range 1-5; total score range: 7-35. Lower score indicates more impairment. |
| Child-reported neurobehavioral functioning | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The child-report version of the Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF-2). 55 items: answer format range: 1-3; total score range: 55-165. Higher score indicates more impairment. |
| Child-reported cognitive functioning | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The child-report version of the Pediatric Perceived Cognitive Function (PedsPCF) Short Form. 7 items: answer format range 1-5; total score range: 7-35. Lower score indicates more impairment. |
| Parent-reported pediatric quality of life | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The parent-report version of the Pediatric Quality of Life (PedsQL) Core and Cancer scale. 23 items for the Core Scale, 25 items for the Cancer Scale: answer format range: 0-4; total score range: 0-100 (both scales). Lower scores indicate more impairment. |
| Child-reported pediatric quality of life | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The child-report version of the Pediatric Quality of Life (PedsQL) Core and Cancer scale. 23 items for the Core Scale, 25 items for the Cancer Scale: answer format range: 0-4; total score range: 0-100 (both scales). Lower scores indicate more impairment. |
| Parent-reported pediatric anxiety and depression | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The parent-report version of the Revised Children's Anxiety and Depression Scale (CADS) Short Form. 47 items: answer format range: 0-3; total score range: 0-27 (social phobia and panic disorder subscales), 0-30 (major depressive disorder subscale), 0-21 (social anxiety disorder subscale), 0-18 (generalized anxiety disorder and obsessive compulsive disorder subscales). Higher scores indicate more anxiety and depression. |
| Child-reported pediatric anxiety and depression | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The child-report version of the Revised Children's Anxiety and Depression Scale (CADS) Short Form. 47 items: answer format range: 0-3; total score range: 0-27 (social phobia and panic disorder subscales), 0-30 (major depressive disorder subscale), 0-21 (social anxiety disorder subscale), 0-18 (generalized anxiety disorder and obsessive compulsive disorder subscales). Higher scores indicate more anxiety and depression. |
| Child-reported pediatric fatigue | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The child-report version of the Pediatric Quality of Life - Multidimensional Fatigue Scale (PedsQL-MFS). 18 items: answer format range 0-4; total score range: 0-100. Lower score indicates more fatigue. |
| Parent sense of competence | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The Parenting Sense of Competence Scale (PSC scale).17 items: answer format range 1-6; total score range: 16-102. Higher score indicates more competence. |
| Parent-reported participant motivation | After last session (approximately 9 weeks after Baseline assessment (T1): Post-intervention, T3) | The 7-item interest/enjoyment subscale of the Intrinsic Motivation Inventory (IMI). 7 items: answer format range 1-7; total score range: 1-7. Higher score indicates more motivation. |
| Child-reported participant motivation | After last session (approximately 9 weeks after Baseline assessment (T1): Post-intervention, T3)) | The 7-item interest/enjoyment subscale of the Intrinsic Motivation Inventory (IMI). 7 items: answer format range 1-7; total score range: 1-7. Higher score indicates more motivation. |
| Parent-reported participant satisfaction | After last session (approximately 9 weeks after Baseline assessment (T1): Post-intervention, T3) | The Client Satisfaction Questionnaire (CSQ-8). 8 items: answer format range 1-4; total score range: 8-32. Higher score indicates better satisfaction. |
| Child-reported participant satisfaction | After last session (approximately 9 weeks after Baseline assessment (T1): Post-intervention, T3) | The Client Satisfaction Questionnaire (CSQ-8). 8 items: answer format range 1-4; total score range: 8-32. Higher score indicates better satisfaction. |
| Objective cognitive functioning (Child only) | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | Standard neuropsychological test battery. Different scoring formats. |
| Parent-reported pediatric fatigue | Baseline (T1) to after last session (approximately 9 weeks later: Post-intervention, T3) | The parent-report version of the Pediatric Quality of Life - Multidimensional Fatigue Scale (PedsQL-MFS). 18 items: answer format range 0-4; total score range: 0-100. Lower score indicates more fatigue. |
| Parent-reported neurobehavioral functioning | Baseline (T1) to 9 week after post-intervention (approximately 18 weeks later: Follow-up, T4) | The parent-report version of the Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF-2). 63 items: answer format range: 1-3; total score range: 63-189. Higher score indicates more impairment. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Qualitative Interviews | 9 week after post-intervention (approximately 18 weeks after Baseline assessment (T1): Follow-up, T4) | Following the T4 assessment, the child and parent(s) will be invited to participate in a 30-minutes semi-structured, audio recorded interview. |
Countries
Denmark
Contacts
Primary ContactLisa M Wu, PhD
Backup ContactCecilie R Buskbjerg, PhD
Outcome results
None listed