Characterizing Lone Parenting: A Multi-institutional Pilot Study of the Perceptions of Support and Perceived Stress of Lone Parents of Children With Cancer
NCT ID: NCT00969579
Last Updated: 2019-12-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
275 participants
OBSERVATIONAL
2009-08-06
2018-03-08
Brief Summary
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Background:
* Parents and families of children with chronic illnesses have stressors, including financial stress, role strains, separations, and interruptions in daily routines and plans for the future. All of these experiences may lead directly and indirectly to parental stress.
* The number of families headed by single or lone parents is increasing. Little work has been done to better understand if the needs of parents who are providing care for a child on their own differ from parents who do not classify themselves as lone. Identifying parents who may need additional support within a pediatric oncology setting is very important so that appropriate support is provided.
Objectives:
\- To better understand the social, emotional, and practical effects of lone parents on children with cancer.
Eligibility:
* All parents whose child has been diagnosed with cancer between 6 and 18 months before enrolling on the study.
* Participants must be able to speak and read English
Design:
* Parents will be asked to complete a questionnaire during one of their child s clinic or hospital visits.
* The questionnaire will ask about the parenting experience since the child was diagnosed with cancer. It will ask about the support the parent has received from family and friends since the diagnosis.
* The questionnaire will take approximately 20 minutes to complete.
Detailed Description
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* Research examining the potential impact of childhood chronic illness on parents and families has delineated a myriad of stressors that parents may experience, including financial stress, role strains, separations, interruptions in daily routines and plans for the future, and general uncertainty regarding the child s prognosis.
* All of these possible experiences may lead directly and indirectly to anxiety, depression, posttraumatic-stress, hopelessness, and feelings of loss of control in parents and families.
* The number of families headed by single, or lone parents has increased significantly, with 3 in 10 children now living in single parent homes.
* It is not known whether distress is greater for parents who are lone parents.
* Lone-parent families earn on average only 55% of what married-parent families earn, and are four times more likely to live in poverty.
* It is unclear how lone parents trying to navigate the complex needs of maintaining a home, family, and a chronically ill child adapt to these challenges.
* It is also unclear how many parents who check single on a standardized forced choice questionnaire format consider themselves to be lone when it comes to the experience of caring for their child with cancer.
Objective:
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* Aim 1: To define and characterize lone parents
* Aim 2: To describe perceptions of social support and how they relate to lone and non-lone parenting
* Aim 3: To identify distress outcomes in parents of children with cancer who identify themselves as being lone when it comes to the experience of caring for a child with cancer
Study Population:
English and Spanish speaking parents of a child (1through 17 years) with a malignancy, diagnosed 6-18 months before recruitment will be invited to participate in this study.
Design:
-This is a pilot, exploratory study designed to describe the perceptions of support and distress outcomes of single/lone parents of a child with cancer. Participants will be administered a Lone Parent Support Questionnaire designed for this study. The study will be completed in one visit (\<30mins).
Conditions
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Keywords
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Study Design
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PROSPECTIVE
Eligibility Criteria
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Inclusion Criteria
2. Ability to give informed consent.
3. English or Spanish speaking
Exclusion Criteria
2. Relapse of malignancy
18 Years
65 Years
ALL
No
Sponsors
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National Institute of Mental Health (NIMH)
NIH
Responsible Party
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Principal Investigators
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Maryland Pao, M.D.
Role: PRINCIPAL_INVESTIGATOR
National Institute of Mental Health (NIMH)
Locations
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University of Alabama at Birmingham
Birmingham, Alabama, United States
Miller Children's Hospital
Long Beach, California, United States
National Institutes of Health Clinical Center, 9000 Rockville Pike
Bethesda, Maryland, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
University Of Mississippi Medical Center
Jackson, Mississippi, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Akron Children's Hospital
Akron, Ohio, United States
Oklahoma State University
Stillwater, Oklahoma, United States
St. Jude Children's Research Hospital
Memphis, Tennessee, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, United States
Countries
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References
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Barakat LP, Kazak AE, Meadows AT, Casey R, Meeske K, Stuber ML. Families surviving childhood cancer: a comparison of posttraumatic stress symptoms with families of healthy children. J Pediatr Psychol. 1997 Dec;22(6):843-59. doi: 10.1093/jpepsy/22.6.843.
Barrera M, D'Agostino NM, Gibson J, Gilbert T, Weksberg R, Malkin D. Predictors and mediators of psychological adjustment in mothers of children newly diagnosed with cancer. Psychooncology. 2004 Sep;13(9):630-41. doi: 10.1002/pon.765.
Brown RT, Wiener L, Kupst MJ, Brennan T, Behrman R, Compas BE, David Elkin T, Fairclough DL, Friebert S, Katz E, Kazak AE, Madan-Swain A, Mansfield N, Mullins LL, Noll R, Patenaude AF, Phipps S, Sahler OJ, Sourkes B, Zeltzer L. Single parents of children with chronic illness: an understudied phenomenon. J Pediatr Psychol. 2008 May;33(4):408-21. doi: 10.1093/jpepsy/jsm079. Epub 2007 Sep 29.
Other Identifiers
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09-M-0194
Identifier Type: -
Identifier Source: secondary_id
090194
Identifier Type: -
Identifier Source: org_study_id