African American Families Fighting Parental Cancer Together

Overview

The purpose of this study is to test the usefulness of a family-based program for African American parents/primary caregivers with newly diagnosed solid tumor cancer and their adolescent children. The program is designed to promote family communication reduce and depressive symptoms for adolescence.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Outcomes Assessor)
  • Study Primary Completion Date: June 30, 2024

Detailed Description

The investigators will offer a 8-week prevention program to help African American parents and caregivers (e.g., grandparents) diagnosed for the first time with Stages 0, I, II, or III solid tumor cancer or hematologic cancer in the last 24 months who are caring for a 11-21 year old child at home who has been told about the parent's cancer diagnosis. Parents and their adolescent child(ren) will first be asked to complete a set of questionnaires that takes about 60 minutes and then will be told within 2 to 4 weeks whether they have been assigned to 1 of 2 programs that will get chosen by chance, like flipping a coin. Neither the families nor the researchers will choose what program is assigned. Both programs are designed to offer help coping with cancer. Both short- and long-term effects of the program will be evaluated. Program A involves just parents attending five educational sessions every other week (1 hour/session) with a group of parents who are also coping with cancer with specially trained group leaders. Adolescent children will not participate in these group sessions; this is the treatment as usual comparison group as most cancer centers do not meet with adolescent children who have parents diagnosed with cancer. Program B involves five group sessions (2 hours/session) every other week with other families like them that include adolescents in some of the sessions and parents and adolescents together in other sessions with specially trained group leaders. The primary, secondary, and exploratory aims of this research are: Primary Aim: Aim 1. Compare the efficacy of Families Fighting Cancer Together (FFCT) to Treatment-as-Usual (TAU) in reducing depressive symptoms (CDI) in AA adolescents at post-treatment using an intention-to-treat (ITT) analysis. Secondary Aim: Aim 2. Compare the efficacy of Families Fighting Cancer Together (FFCT) to Treatment-as-Usual (TAU) in reducing parental stress (PCQ) in AA parents at post-treatment using ITT analysis. Exploratory Aims: Aim 3a. Determine trajectories of adolescent depressive symptoms (CDI), anxiety (RCMAS), and parental stress (PCQ) from baseline to 12-month follow-up. Aim 3b. Determine whether perceived levels of group support (HGE), adolescent gender and age, parent's marital and socioeconomic status, and parent's cancer staging modify the effects of treatment on adolescent depression (CDI) and anxiety (RCMAS). Aim 3c. Determine whether pre-post changes in parent-adolescent attachment and communication mediate the association between treatment and adolescent depressive symptoms (CDI) and anxiety (RCMAS) at 6- and 12-month follow-ups.

Interventions

  • Behavioral: Family-based attachment-focused intervention
    • 5 2-hour biweekly sessions involving parent and/or adolescent(s).
  • Behavioral: Psychoeducation
    • Provides equivalent number of American Cancer Society psychoeducational sessions involving only parents.

Arms, Groups and Cohorts

  • Experimental: Experimental
    • Family-based attachment-focused intervention for families where parent/caregiver is within 12 months of first diagnosis of a stage I-III solid tumor cancer.
  • Active Comparator: Psychoeducation
    • Provides equivalent number of American Cancer Society psychoeducational sessions.

Clinical Trial Outcome Measures

Primary Measures

  • Reduce 8-week depressive symptoms among African American adolescents on the Child Depression Inventory (CDI-2)
    • Time Frame: Baseline to 8 weeks (end of treatment)
    • Compare the efficacy of Families Fighting Cancer Together (FFCT) to Psychoeducation (PED) in reducing Child Depression Inventory symptoms (CDI-2) in AA adolescents at post-treatment using an intention-to-treat (ITT) analysis.

Secondary Measures

  • Reduce 8-week parental stress among African American parents on the Parenting Concerns Questionnaire (PCQ)
    • Time Frame: Baseline to 8 weeks (end of treatment)
    • Compare the efficacy of Families Fighting Cancer Together (FFCT) to Psychoeducation (PED) in reducing parenting stress on the Parenting Concerns Questionnaire (PCQ) in AA parents at post-treatment using ITT analysis.

Participating in This Clinical Trial

Inclusion Criteria

  • Parents must identify as non-Hispanic Black – Must be diagnosed for the first time with stage 0, I, II, or III solid tumor cancer (e.g., breast, prostate, colorectal, lung) or hematologic cancer in the last 24 months – Must be parent or primary caregiver of at least 1 adolescent living (target child) at home (ages 11-21) who has been told about the diagnosis Exclusion Criteria:

  • Parents with serious mental health illness that prevents them from participating in the group sessions (e.g., clinically relevant depressive symptomatology as evidenced by the Center for Epidemiological Studies Depression Scale >27) – Parents with psychotic features or severe cognitive impairment – Parents not fluent in English. – Severely depressed adolescents (CDI-2; T-scores of 70 and higher on the total 28-item CDI-2 scale – Severely anxious adolescents (RCMAS-2; We will use a cutoff score of 71 (T-score) or higher to screen out African American adolescents with severe anxiety) at baseline – Adolescents with psychotic features – Adolescents with cognitive impairment (e.g., mental retardation, severe developmental disorders) as evidenced by educational records, parental report and/or clinical impression – Adolescents currently in active outpatient mental health treatment.

Gender Eligibility: All

Minimum Age: 11 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • University of Delaware
  • Collaborator
    • Helen F. Graham Cancer Center & Research Institute at Christiana Care
  • Provider of Information About this Clinical Study
    • Principal Investigator: Adam Davey, Professor, Behavioral Health and Nutrition – University of Delaware
  • Overall Official(s)
    • Adam Davey, Ph.D., Principal Investigator, University of Delaware
  • Overall Contact(s)
    • Adam Davey, Ph.D., 302-831-3856, davey@udel.edu

References

Davey MP, Bilkins B, Diamond G, Willis AI, Mitchell EP, Davey A, Young FM. African American Patients' Psychosocial Support Needs and Barriers to Treatment: Patient Needs Assessment. J Cancer Educ. 2016 Sep;31(3):481-7. doi: 10.1007/s13187-015-0861-9.

Davey MP, Kissil K, Lynch L, Harmon LR, Hodgson N. A culturally adapted family intervention for African American families coping with parental cancer: outcomes of a pilot study. Psychooncology. 2013 Jul;22(7):1572-80. doi: 10.1002/pon.3172. Epub 2012 Sep 5.

Davey MP, Kissil K, Lynch L, Harmon LR, Hodgson N. Lessons learned in developing a culturally adapted intervention for African-American families coping with parental cancer. J Cancer Educ. 2012 Dec;27(4):744-51. doi: 10.1007/s13187-012-0398-0.

Davey MP, Tubbs CY, Kissil K, Nino A. 'We are survivors too': African-American youths' experiences of coping with parental breast cancer. Psychooncology. 2011 Jan;20(1):77-87. doi: 10.1002/pon.1712.

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