Telephone-Based Educational Intervention in Improving Communication Between Patients With Stage 0-III Cancer and Their Children

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02129049
Recruitment Status : Completed
First Posted : May 2, 2014
Last Update Posted : March 9, 2016
National Cancer Institute (NCI)
Information provided by (Responsible Party):
University of Washington

April 30, 2014
May 2, 2014
March 9, 2016
April 2014
July 2015   (Final data collection date for primary outcome measure)
  • Recruitment and retention, monitored by tracking detailed recruitment spreadsheets [ Time Frame: Up to 3 months ]
    Each referral source and method of referral will be monitored, including documenting reason for refusal. Four methods of recruitment will be monitored in order to know which method yields the highest enrollment: self-referral, provider referral, passive letter opt-in, and passive letter opt-out.
  • Dosage and fidelity, monitored for each intervention session using Performance Checklists [ Time Frame: Up to 3 months ]
    Each audio-recorded intervention session will be reviewed against these checklists. Study participants' compliance with the in-session and at-home assignments will be monitored by the audio-recorded intervention sessions.
  • Acceptability of the program, assessed from interview data obtained from the Exit interview and the Swanson Caring Professional Scale [ Time Frame: Up to 3 months ]
  • Rate of receipt of mailed materials both to participants and from participants [ Time Frame: Up to 3 months ]
    Materials include signed consents, baseline data, and parent's educational materials.
  • Duration of phone intervention sessions [ Time Frame: Up to 3 months ]
  • Rate of success in scheduling and completing intervention sessions by telephone [ Time Frame: Up to 3 months ]
  • Quality of data on baseline and post-intervention measures [ Time Frame: Up to 3 months ]
  • Short-term impact of the program, evaluated by comparing the change in pre- and post-test scores on the standardized questionnaires [ Time Frame: Baseline up to 3 months ]
    Analysis of covariance (ANCOVA) will be used to test for significant differences between pre- and post-test scores, assuming the data meet the statistical assumptions. Baseline scores will serve as the covariate, along with empirical variables that are known to co-vary with parent and child functioning, e.g., length of time of diagnosis, type of medical treatment, adjuvant therapy, among others). Two-tailed tests of significance will be calculated, allowing us to evaluate any potential negative effects of the intervention.
  • Impact of the telephone-delivered compared to the in-person delivered program [ Time Frame: Up to 3 months ]
    Linear mixed modeling will be used. Random effects models are based on Maximum Likelihood Estimation in which an iterative method estimates a trajectory for each study participant based on all available data for that participant supplemented by data obtained from the total sample.
Same as current
Complete list of historical versions of study NCT02129049 on Archive Site
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Telephone-Based Educational Intervention in Improving Communication Between Patients With Stage 0-III Cancer and Their Children
Enhancing Connections Telephone Program: A Cancer Education Program for Parents
This pilot clinical trial studies the feasibility of a telephone-based educational intervention in improving communication between patients with stage 0-III cancer and their children. An educational program delivered by telephone may help parents talk with their school-age child about their cancer.


I. Test the feasibility of the recruitment and study protocol.

II. Evaluate the short-term impact of the program on the diagnosed parents' and the parent's perceptions of their children's adjustment using a within group design (pre-posttest design).

III. To compare outcomes from the telephone-delivered program with outcomes obtained from the in-person program (between group design).


Participants complete the Enhancing Connections Telephone Program comprising 5, 1 hour educational telephone sessions over 3 months. During session 1, parents receive help defining the child's experience with the cancer as distinct from their own and ways to manage their own cancer-related emotions so that they do not emotionally flood the child. During session 2, parents receive assistance with developing skills to deeply listen and attend to the child's thoughts and feelings, complementing the parent's tendency to be a teacher, not a deep listener, of the child's thoughts, concerns, worries or understandings. During session 3, parents receive additional communication and parenting skills enabling them to initiate difficult cancer-related conversations and also interact with an upset child or one who is not forthcoming. During session 4, parents receive help focusing on and non-judgmentally interpreting the child's ways of coping with the cancer. It includes exercises that assist the parent to relinquish negative assumptions about the child's behavior related to the parent's cancer. Concurrently the session offers the ill parent ways to elicit their child's report of what the parent can do to assist the child cope with the child's cancer-related pressures. During session 5, parents focus on the gains they made in prior sessions and what they have accomplished, in their own words, in parenting their child about the cancer. The session also assists the ill parent to identify available resources that can be used after program completion to maintain the parent's newly acquired gains from the program.

Not Applicable
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
  • Breast Cancer
  • Cervical Cancer
  • Colon Cancer
  • Leukemia
  • Lymphoma
  • Malignant Neoplasm
  • Melanoma
  • Rectal Cancer
  • Other: educational intervention
    Participate in the Enhancing Connections Telephone Program
    Other Name: intervention, educational
  • Behavioral: telephone-based intervention
    Participate in the Enhancing Connections Telephone Program
  • Other: questionnaire administration
    Ancillary studies
Experimental: Supportive care (Enhancing Connections Telephone Program)
See Detailed Description.
  • Other: educational intervention
  • Behavioral: telephone-based intervention
  • Other: questionnaire administration
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Not Provided
July 2015   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Parents will be eligible if they have an initial diagnosis of non-metastatic cancer of any type (stage 0-3), including melanoma, colorectal, cervical, leukemia, lymphoma or breast cancer within the past 7 months
  • Read and write English among their languages of choice
  • Have ready access to a telephone
  • Have a child 5-12 years old living at home who has been told their parent's cancer diagnosis
  • The child is living at home and does not have learning challenges
  • No prior malignancy is allowed except for adequately treated basal (or squamous cell) skin cancer
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
NCI-2014-00928 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) )
9095 ( Other Identifier: Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium )
R03CA178488 ( U.S. NIH Grant/Contract )
P30CA015704 ( U.S. NIH Grant/Contract )
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Not Provided
University of Washington
University of Washington
National Cancer Institute (NCI)
Principal Investigator: Frances Lewis Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium
University of Washington
March 2016

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP