Ignite Creation Date:
2024-05-06 @ 7:08 AM
Last Modification Date:
2024-10-26 @ 11:44 AM
Study NCT ID:
NCT02470975
Status:
COMPLETED
Last Update Posted:
2022-05-18
First Post:
2015-06-10
Brief Title:
How Family Coping With Child Cancer Affects Childs Quality of Life
Sponsor:
University Childrens Hospital Zurich
Organization:
University Childrens Hospital Zurich
Study Overview
Official Title:
How Families Cope With Child Cancer A Longitudinal Study on the Role of We-appraisals on Childs Health-related Quality of Life
Status:
COMPLETED
Status Verified Date:
2022-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Children with newly diagnosed cancer and their parents will be contacted and invited to participate Upon agreement children will be interviewed both parents will fill out questionnaires and be additionally interviewed Using a 3-wave longitudinal design mainly self-reported parental we-appraisals and we-disease-appraisals couple dyadic coping DC and parent-child DC during a course of 12 months will be examined Additionally during brief separate interviews the parents speech will be coded for we-appraisals and expressed emotion regarding the other partner and the child Findings will provide information on how family variables affect child QoL over 12 months
Detailed Description:
Background
Researchers and clinicians alike have been calling for family-oriented and longitudinal research on child cancer CC The reason for this is threefold First parents are the most influential context on child development Second CC can be considered a we-family disease that is a stressor that affects the patient their parents and the interaction within all family members and subsystems since they are an interdependent unit Third the higher survivals rates and increased chronicity of CC demand an ongoing adaptation from the whole family to the illness-related stress As such several studies have found associations between family and child variables during and after cancer treatment and few studies suggest a causal relationship of family functioning on child adjustment and quality of life QoL Nevertheless 1 which family dimensions related with the process of stress appraisal and coping with CC 2 how changes and 3 divergences within those dimensions predict child QoL over time remain answered Research on stress and coping in couples has identified two crucial dimensions for better relational and health outcomes that have the potential to provide those answers We-Appraisals which is the process how individuals tend to evaluate what happens to them as a couple ie in a more relational-oriented way we problem or in a more individual way Iyou problem and Dyadic Coping ie the process how couples cope together with stress Therefore the aim to expand and understand these dimensions in the context of families coping with CC
Aims
Using a three-wave longitudinal design the investigators aim to examine 1 the role that parental we-appraisals and we-disease appraisals couple and parent-child dyadic coping have for a childs QoL over time 2 how these variables change over time and how these changes predict changes in a childs QoL 3 how congruence or discrepancies within we-appraisals and we-disease-appraisals couple and parent-child dyadic coping predict changes in childs QoL over time and 4 how observed parental we-appraisals partners and parental ex-pressed emotion predict child QoL
Hypothesis
The investigators expect that higher scores on parents variables will predict positive changes on child QoL during the first 12 months after cancer diagnosis T2 and T3 The investigators expect that changes and discrepancies within parents variables over time will predict changes in child QoL at T2 and T3
Methods
One hundred children with newly diagnosed cancer and their mothers and fathers will be recruited from the University Childrens Hospitals in Zurich and Berne and assessed three times during 12 months The children will be interviewed at all time points The parents will complete several paper-pencil questionnaires assessing the variables of interest and will be interviewed at T2 6 months and T3 1 year Latent change score models with three factors ie mother father child and multilevel analysis will be used to test our hypothesis
Relevance
By providing precursor information about the role that key family dimensions play on explaining better child QoL over time this study will enable health-care professionals to know which family resources and members should be targeted during cancer treatment improve interventions and ultimately to improve child QoL
Researchers and clinicians alike have been calling for family-oriented and longitudinal research on child cancer CC The reason for this is threefold First parents are the most influential context on child development Second CC can be considered a we-family disease that is a stressor that affects the patient their parents and the interaction within all family members and subsystems since they are an interdependent unit Third the higher survivals rates and increased chronicity of CC demand an ongoing adaptation from the whole family to the illness-related stress As such several studies have found associations between family and child variables during and after cancer treatment and few studies suggest a causal relationship of family functioning on child adjustment and quality of life QoL Nevertheless 1 which family dimensions related with the process of stress appraisal and coping with CC 2 how changes and 3 divergences within those dimensions predict child QoL over time remain answered Research on stress and coping in couples has identified two crucial dimensions for better relational and health outcomes that have the potential to provide those answers We-Appraisals which is the process how individuals tend to evaluate what happens to them as a couple ie in a more relational-oriented way we problem or in a more individual way Iyou problem and Dyadic Coping ie the process how couples cope together with stress Therefore the aim to expand and understand these dimensions in the context of families coping with CC
Aims
Using a three-wave longitudinal design the investigators aim to examine 1 the role that parental we-appraisals and we-disease appraisals couple and parent-child dyadic coping have for a childs QoL over time 2 how these variables change over time and how these changes predict changes in a childs QoL 3 how congruence or discrepancies within we-appraisals and we-disease-appraisals couple and parent-child dyadic coping predict changes in childs QoL over time and 4 how observed parental we-appraisals partners and parental ex-pressed emotion predict child QoL
Hypothesis
The investigators expect that higher scores on parents variables will predict positive changes on child QoL during the first 12 months after cancer diagnosis T2 and T3 The investigators expect that changes and discrepancies within parents variables over time will predict changes in child QoL at T2 and T3
Methods
One hundred children with newly diagnosed cancer and their mothers and fathers will be recruited from the University Childrens Hospitals in Zurich and Berne and assessed three times during 12 months The children will be interviewed at all time points The parents will complete several paper-pencil questionnaires assessing the variables of interest and will be interviewed at T2 6 months and T3 1 year Latent change score models with three factors ie mother father child and multilevel analysis will be used to test our hypothesis
Relevance
By providing precursor information about the role that key family dimensions play on explaining better child QoL over time this study will enable health-care professionals to know which family resources and members should be targeted during cancer treatment improve interventions and ultimately to improve child QoL
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None