Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future

We conducted a three-armed trial to assess Cascade, a four-module group videoconferencing cognitive behavior therapy (CBT) intervention for parents of childhood cancer survivors currently aged <18 years. We allocated parents to Cascade, an attention control (peer-support group), or a waitlist. Th...

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Autores principales:	Claire E. Wakefield, Ursula M. Sansom-Daly, Brittany C. McGill, Kate Hetherington, Sarah J. Ellis, Eden G. Robertson, Mark W. Donoghoe, Maria McCarthy, Lauren Kelada, Afaf Girgis, Madeleine King, Martha Grootenhuis, Antoinette Anazodo, Pandora Patterson, Cherie Lowe, Luciano Dalla-Pozza, Gordon Miles, Richard J. Cohn
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	childhood cancer parent feasibility acceptability efficacy psychological interventions Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/765095d9440e4d6c8762d1e2dce8a3be
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spelling	oai:doaj.org-article:765095d9440e4d6c8762d1e2dce8a3be2021-11-25T17:01:07ZProviding Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future10.3390/cancers132255972072-6694https://doaj.org/article/765095d9440e4d6c8762d1e2dce8a3be2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5597https://doaj.org/toc/2072-6694We conducted a three-armed trial to assess Cascade, a four-module group videoconferencing cognitive behavior therapy (CBT) intervention for parents of childhood cancer survivors currently aged <18 years. We allocated parents to Cascade, an attention control (peer-support group), or a waitlist. The primary outcome was parents’ health-related quality of life (<i>PedsQL-Family Impact/EQ-5D-5L</i>) six months post-intervention. Parents also reported their anxiety/depression, parenting self-agency, fear of recurrence, health service and psychotropic medication use, engagement in productive activities, confidence to use, and actual use of, CBT skills, and their child’s quality of life. Seventy-six parents opted in; 56 commenced the trial. Cascade achieved good parent engagement and most Cascade parents were satisfied and reported benefits. Some parents expressed concerns about the time burden and the group format. Most outcomes did not differ across trial arms. Cascade parents felt more confident to use more CBT skills than peer-support and waitlisted parents, but this did not lead to more use of CBT. Cascade parents reported lower psychosocial health scores for their child than waitlisted parents. Cascade parents’ health service use, psychotropic medication use, and days engaged in productive activities did not improve, despite some improvements in waitlisted parents. Our trial was difficult to implement, but participants were largely satisfied. Cascade did not improve most outcomes, possibly because many parents were functioning well pre-enrolment. We used these findings to improve Cascade and will trial the new version in future.Claire E. WakefieldUrsula M. Sansom-DalyBrittany C. McGillKate HetheringtonSarah J. EllisEden G. RobertsonMark W. DonoghoeMaria McCarthyLauren KeladaAfaf GirgisMadeleine KingMartha GrootenhuisAntoinette AnazodoPandora PattersonCherie LoweLuciano Dalla-PozzaGordon MilesRichard J. CohnMDPI AGarticlechildhood cancerparentfeasibilityacceptabilityefficacypsychological interventionsNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5597, p 5597 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	childhood cancer parent feasibility acceptability efficacy psychological interventions Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	childhood cancer parent feasibility acceptability efficacy psychological interventions Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Claire E. Wakefield Ursula M. Sansom-Daly Brittany C. McGill Kate Hetherington Sarah J. Ellis Eden G. Robertson Mark W. Donoghoe Maria McCarthy Lauren Kelada Afaf Girgis Madeleine King Martha Grootenhuis Antoinette Anazodo Pandora Patterson Cherie Lowe Luciano Dalla-Pozza Gordon Miles Richard J. Cohn Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future
description	We conducted a three-armed trial to assess Cascade, a four-module group videoconferencing cognitive behavior therapy (CBT) intervention for parents of childhood cancer survivors currently aged <18 years. We allocated parents to Cascade, an attention control (peer-support group), or a waitlist. The primary outcome was parents’ health-related quality of life (<i>PedsQL-Family Impact/EQ-5D-5L</i>) six months post-intervention. Parents also reported their anxiety/depression, parenting self-agency, fear of recurrence, health service and psychotropic medication use, engagement in productive activities, confidence to use, and actual use of, CBT skills, and their child’s quality of life. Seventy-six parents opted in; 56 commenced the trial. Cascade achieved good parent engagement and most Cascade parents were satisfied and reported benefits. Some parents expressed concerns about the time burden and the group format. Most outcomes did not differ across trial arms. Cascade parents felt more confident to use more CBT skills than peer-support and waitlisted parents, but this did not lead to more use of CBT. Cascade parents reported lower psychosocial health scores for their child than waitlisted parents. Cascade parents’ health service use, psychotropic medication use, and days engaged in productive activities did not improve, despite some improvements in waitlisted parents. Our trial was difficult to implement, but participants were largely satisfied. Cascade did not improve most outcomes, possibly because many parents were functioning well pre-enrolment. We used these findings to improve Cascade and will trial the new version in future.
format	article
author	Claire E. Wakefield Ursula M. Sansom-Daly Brittany C. McGill Kate Hetherington Sarah J. Ellis Eden G. Robertson Mark W. Donoghoe Maria McCarthy Lauren Kelada Afaf Girgis Madeleine King Martha Grootenhuis Antoinette Anazodo Pandora Patterson Cherie Lowe Luciano Dalla-Pozza Gordon Miles Richard J. Cohn
author_facet	Claire E. Wakefield Ursula M. Sansom-Daly Brittany C. McGill Kate Hetherington Sarah J. Ellis Eden G. Robertson Mark W. Donoghoe Maria McCarthy Lauren Kelada Afaf Girgis Madeleine King Martha Grootenhuis Antoinette Anazodo Pandora Patterson Cherie Lowe Luciano Dalla-Pozza Gordon Miles Richard J. Cohn
author_sort	Claire E. Wakefield
title	Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future
title_short	Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future
title_full	Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future
title_fullStr	Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future
title_full_unstemmed	Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future
title_sort	providing psychological support to parents of childhood cancer survivors: ‘<i>cascade</i>’ intervention trial results and lessons for the future
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/765095d9440e4d6c8762d1e2dce8a3be
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Providing Psychological Support to Parents of Childhood Cancer Survivors: ‘<i>Cascade</i>’ Intervention Trial Results and Lessons for the Future

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