Pediatric Integrative Medicine Trial Pilot

NCT ID: NCT02028832

Last Updated: 2017-05-08

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

872 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2016-09-30

Brief Summary

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This study will investigate if adding complementary therapies such as acupuncture, massage and reiki to inpatient pediatric care is feasible and what the effects are on outcomes such as patient symptoms, cost, safety, satisfaction and length of stay.

Detailed Description

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Study Objective: To determine if a pediatric integrative medicine (PIM) service is effective in reducing overall symptoms of pain, nausea/vomiting, and/or anxiety (PNVA), length of stay, and costs, in hospitalized children when compared to conventional care. In this context, "integrative" refers to a combined approach of complementary and conventional medical therapies in an evidence-based fashion.

Design: cluster trial; 2-arm controlled evaluation study in pediatric oncology, general pediatrics and pediatric cardiology. Intervention will be offered during a 6-month PIM period following a 6 month control period.

Population: Inclusion criteria: (i) In-patients in participating division and (ii) informed consent/assent. Exclusion criteria: (i) lack of parent participation, fluency in English, or informed consent

Intervention: Recommendations for specific CAM therapies will be determined by a staff PIM pediatrician. Any combination of the following CAM therapies (dose, duration, amount to be based on patient need as assessed by CAM provider, patient, and parent): acupuncture/acupressure, massage, Reiki; all are to be offered in addition to usual care.

Control: Usual care.

Outcomes: Primary outcome: feasibility (i.e enrollment); Secondary outcomes: (i) PNVA symptom management, (ii) need for conventional pharmacotherapy, (iii) adverse events; (iv) parent and health care provider satisfaction with care provided, v) length of stay; and vi) cost-effectiveness (analysis of this outcome to be limited to patients admitted for at least 2 days and for not more than 30 days).

Significance: To our knowledge, this study will be the first comparative effectiveness trial to assess the impact of PIM for hospitalized children with cancer.

Conditions

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Pain Nausea Vomiting Anxiety

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Usual care

Usual care provided to pediatric inpatients

Group Type ACTIVE_COMPARATOR

Usual care

Intervention Type PROCEDURE

Usual care consists of all conventional care options in pediatric oncology including medication and other therapies.

PIM consult and service provision

Pediatric integrative medicine service (PIM) through which pediatric inpatients will have the option of supplementing their usual care with acupuncture/acupressure, massage, and/or reiki

Group Type EXPERIMENTAL

PIM consult and service provision

Intervention Type PROCEDURE

If service is requested, treatment options include acupuncture/acupressure, massage, and reiki

Usual care

Intervention Type PROCEDURE

Usual care consists of all conventional care options in pediatric oncology including medication and other therapies.

Interventions

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PIM consult and service provision

If service is requested, treatment options include acupuncture/acupressure, massage, and reiki

Intervention Type PROCEDURE

Usual care

Usual care consists of all conventional care options in pediatric oncology including medication and other therapies.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* (i) all children, aged 0-16 years, who are admitted to Pediatric Oncology, General Pediatrics and Pediatric Cardiology at the Stollery Children's Hospital, Edmonton, Canada who
* (ii) can communicate in English; and
* (iii) give informed consent/assent

Exclusion Criteria

* (i) cannot communicate in English;
* (ii) lack of parent availability to participate; or
* iii) lack of informed consent.
Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lotte & John Hecht Memorial Foundation

OTHER

Sponsor Role collaborator

University of Alberta

OTHER

Sponsor Role lead

Responsible Party

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Sunita Vohra

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sunita Vohra, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

University of Alberta

Locations

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Stollery Childrens' Hospital

Edmonton, Alberta, Canada

Site Status

Countries

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Canada

Other Identifiers

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PIM1

Identifier Type: -

Identifier Source: org_study_id

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