Pediatric Cancer
Conditions
Brief summary
This study is being conducted to determine how best to educate caregivers about cancer and its treatment. When caregivers are well-informed, they are more confident in supporting their child through treatment, which can improve treatment adherence.
Interventions
OTHERtext-based education messages only
Participants will receive text-based education messages
OTHERin-clinic tablet-based multimedia education
Participants will receive tablet-based multimedia education in clinic
OTHERstandard of care provider led education
Participants will receive standard of care education from their provider
Sponsors
Duke University
National Cancer Institute (NCI)
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* a known pediatric cancer diagnosis * Adult caregivers of children with cancer (\<18yo) at time of new patient registration * Ability to understand and speak Swahili * If illiterate, availability of a household member who can read Swahili * Be able to access the messages
Exclusion criteria
* any potential participant who is unable to access messages will also be excluded. * Non cancer pediatric diagnosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment abandonment rate. | 6 months | All analyses estimating efficacy of the intervention will be based on intention-to-treat principles, whereby participants will be analyzed according to their randomization assignment, irrespective of whether they complied with the intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver knowledge | Baseline, 6 months | Caregiver knowledge will be assessed by a 10-question multiple choice survey testing core knowledge on childhood cancer |
| Caregiver attitudes | Baseline, 6 months | Caregiver attitudes will be assessed by a version of the Swahili Cataldo Cancer Stigma Scale (CASS) previously modified to target childhood cancer stigma and validated for use in Tanzania by the current study team. Responses are rated using a four-point Likert scale to evaluate the caregivers attitude towards the statements (ranging from 1=strongly disagree; 4=strongly agree) |
| Perceived behavior control | Baseline, 6 months | Perceived behavioral control will be assessed using a modified Swahili Generalized Self -Efficacy survey, adapted for use to evaluate caretaker perceived ability to complete therapy as the behavior measured. This is a 12 question item survey with a 5 point Likert scale (1=Not at all confident to 5=Extremely confident). |
| Caregiver intention | Baseline, 6 months | Behavior intention will be assessed using a 3-question validated measure of intention translated into Swahili to determine caregiver's intention to complete therapy, with scaled response options from 1 to 7, from "strongly disagree/ very unlikely" to "strongly agree/ very likely." |
Contacts
CONTACTHillary Sued Study Coordinator
PRINCIPAL_INVESTIGATORKristin Schroeder Principal Investigator
Duke University
Outcome results
None listed