Trial Outcomes & Findings for Feasibility and Preliminary Efficacy of a Mindfulness-based Intervention for Children and Young Adults With High Grade or High-Risk Cancer and Their Caregivers (NCT NCT03538587)

NCT ID: NCT03538587

Last Updated: 2023-08-01

Results Overview

Percentage of eligible dyads (1 parent, 1 child) who enroll during a two-year period (the number of dyads who enrolled divided by the number of dyads who were found eligible).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

2 years

Results posted on

2023-08-01

Participant Flow

Participant milestones

Participant milestones
Measure
Arm 1 Enhanced Mindfulness Intervention (EMI) - Immediate Group
Arm 1/Enhanced Mindfulness Intervention (EMI) Group - Participate in an in-person session followed by a series of at-home assignments, and two booster sessions. Enhanced Mindfulness Intervention: The 8-week EMI will consist of one initial in-person session with the child participant and parent (= 1 dyad), a series of at home assignments, and two "booster" sessions.
Arm 2 Control Group - Psychoeducation Group
Arm 2 Control Group - Psychoeducation Group Participants will briefly meet with a member of the research team who will assess parent and child coping and provide the child- caregiver dyad educational material about coping with cancer. Psychoeducation: The dyads (= 1 child participant and 1 caregiver) in the psychoeducation group will be given educational material about coping with cancer. The psychoeducation group will be offered the opportunity to participate in the EMI 8 weeks post-baseline.
Overall Study
STARTED
4
6
Overall Study
Child Participants
2
3
Overall Study
Parent Participants
2
3
Overall Study
COMPLETED
2
2
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Number of participants analyzed = child and parent participants.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1 Enhanced Mindfulness Intervention (EMI) - Immediate Group
n=4 Participants
Arm 1/Enhanced Mindfulness Intervention (EMI) Group - Participate in an in-person session followed by a series of at-home assignments, and two booster sessions. Enhanced Mindfulness Intervention: The 8-week EMI will consist of one initial in-person session with the participant and parent, a series of at home assignments, and two "booster" sessions. The psychoeducation group will be given educational material about coping with cancer.
Arm 2 Control Group - Psychoeducation Group
n=6 Participants
Arm 2 Control Group - Psychoeducation Group Participants will briefly meet with a member of the research team who will assess parent and child coping and provide the child- caregiver dyad educational material about coping with cancer. Psychoeducation: The psychoeducation group will be offered the opportunity to participate in the EMI 8 weeks post-baseline.
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
2 Participants
n=4 Participants
3 Participants
n=6 Participants
5 Participants
n=10 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=4 Participants
3 Participants
n=6 Participants
5 Participants
n=10 Participants
Age, Categorical
>=65 years
0 Participants
n=4 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
Age, Continuous
Child participants
11.0 years
STANDARD_DEVIATION 2.82 • n=2 Participants • Number of participants analyzed = child and parent participants.
13.33 years
STANDARD_DEVIATION 4.73 • n=3 Participants • Number of participants analyzed = child and parent participants.
12.16 years
STANDARD_DEVIATION 3.77 • n=5 Participants • Number of participants analyzed = child and parent participants.
Age, Continuous
Parent participants
44.0 years
STANDARD_DEVIATION 5.66 • n=2 Participants • Number of participants analyzed = child and parent participants.
42.0 years
STANDARD_DEVIATION 6.56 • n=3 Participants • Number of participants analyzed = child and parent participants.
43.0 years
STANDARD_DEVIATION 6.11 • n=5 Participants • Number of participants analyzed = child and parent participants.
Sex: Female, Male
Female
4 Participants
n=4 Participants
5 Participants
n=6 Participants
9 Participants
n=10 Participants
Sex: Female, Male
Male
0 Participants
n=4 Participants
1 Participants
n=6 Participants
1 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=4 Participants
2 Participants
n=6 Participants
4 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=4 Participants
4 Participants
n=6 Participants
5 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=4 Participants
0 Participants
n=6 Participants
1 Participants
n=10 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=4 Participants
1 Participants
n=6 Participants
1 Participants
n=10 Participants
Race (NIH/OMB)
Asian
0 Participants
n=4 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=4 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=4 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
White
4 Participants
n=4 Participants
5 Participants
n=6 Participants
9 Participants
n=10 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=4 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=4 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
Region of Enrollment
United States
4 participants
n=4 Participants
6 participants
n=6 Participants
10 participants
n=10 Participants
School Setting for Child Participants
Public
1 Participants
n=2 Participants • Analyzed = child participants only.
3 Participants
n=3 Participants • Analyzed = child participants only.
4 Participants
n=5 Participants • Analyzed = child participants only.
School Setting for Child Participants
Home School
1 Participants
n=2 Participants • Analyzed = child participants only.
0 Participants
n=3 Participants • Analyzed = child participants only.
1 Participants
n=5 Participants • Analyzed = child participants only.
Current School Grade Level for Child Participants
Grade 12
0 Participants
n=2 Participants • Analyzed = child participants only.
1 Participants
n=3 Participants • Analyzed = child participants only.
1 Participants
n=5 Participants • Analyzed = child participants only.
Current School Grade Level for Child Participants
Grade 10
0 Participants
n=2 Participants • Analyzed = child participants only.
1 Participants
n=3 Participants • Analyzed = child participants only.
1 Participants
n=5 Participants • Analyzed = child participants only.
Current School Grade Level for Child Participants
Grade 7
1 Participants
n=2 Participants • Analyzed = child participants only.
0 Participants
n=3 Participants • Analyzed = child participants only.
1 Participants
n=5 Participants • Analyzed = child participants only.
Current School Grade Level for Child Participants
Grade 4
1 Participants
n=2 Participants • Analyzed = child participants only.
0 Participants
n=3 Participants • Analyzed = child participants only.
1 Participants
n=5 Participants • Analyzed = child participants only.
Current School Grade Level for Child Participants
Grade 3
0 Participants
n=2 Participants • Analyzed = child participants only.
1 Participants
n=3 Participants • Analyzed = child participants only.
1 Participants
n=5 Participants • Analyzed = child participants only.
Occupation Status for Parent Participants
Working
1 Participants
n=2 Participants • Analyzed = parent participants only.
1 Participants
n=3 Participants • Analyzed = parent participants only.
2 Participants
n=5 Participants • Analyzed = parent participants only.
Occupation Status for Parent Participants
Not working
0 Participants
n=2 Participants • Analyzed = parent participants only.
1 Participants
n=3 Participants • Analyzed = parent participants only.
1 Participants
n=5 Participants • Analyzed = parent participants only.
Occupation Status for Parent Participants
On leave
1 Participants
n=2 Participants • Analyzed = parent participants only.
0 Participants
n=3 Participants • Analyzed = parent participants only.
1 Participants
n=5 Participants • Analyzed = parent participants only.
Occupation Status for Parent Participants
Disability
0 Participants
n=2 Participants • Analyzed = parent participants only.
1 Participants
n=3 Participants • Analyzed = parent participants only.
1 Participants
n=5 Participants • Analyzed = parent participants only.
Marital Status
Single
0 Participants
n=2 Participants • Analyzed = parent participants only.
1 Participants
n=3 Participants • Analyzed = parent participants only.
1 Participants
n=5 Participants • Analyzed = parent participants only.
Marital Status
Married
2 Participants
n=2 Participants • Analyzed = parent participants only.
2 Participants
n=3 Participants • Analyzed = parent participants only.
4 Participants
n=5 Participants • Analyzed = parent participants only.
Number of Parent Participants Working (Hours/Weeks)
40 Hours/Week
0 Participants
n=2 Participants • Analyzed = parent participants only.
1 Participants
n=3 Participants • Analyzed = parent participants only.
1 Participants
n=5 Participants • Analyzed = parent participants only.
Number of Parent Participants Working (Hours/Weeks)
37 Hours/Week
1 Participants
n=2 Participants • Analyzed = parent participants only.
0 Participants
n=3 Participants • Analyzed = parent participants only.
1 Participants
n=5 Participants • Analyzed = parent participants only.
Number of Parent Participants Working (Hours/Weeks)
Not Working
1 Participants
n=2 Participants • Analyzed = parent participants only.
2 Participants
n=3 Participants • Analyzed = parent participants only.
3 Participants
n=5 Participants • Analyzed = parent participants only.

PRIMARY outcome

Timeframe: 2 years

Population: Each dyad = 1 child, 1 parent. Two dyads were analyzed in group 1 (i.e., 2 children, 2 parents), and three dyads were analyzed in group 2 (i.e., 3 children, 3 parents).

Percentage of eligible dyads (1 parent, 1 child) who enroll during a two-year period (the number of dyads who enrolled divided by the number of dyads who were found eligible).

Outcome measures

Outcome measures
Measure
Arm 1 Enhanced Mindfulness Intervention (EMI) - Immediate Group
n=2 Participants
Arm 1/Enhanced Mindfulness Intervention (EMI) Group - Participate in an in-person session followed by a series of at-home assignments, and two booster sessions. Enhanced Mindfulness Intervention: The 8-week EMI will consist of one initial in-person session with the child participant and parent (= 1 dyad), a series of at home assignments, and two "booster" sessions.
Arm 2 Control Group - Psychoeducation Group
n=3 Participants
Arm 2 Control Group - Psychoeducation Group Participants will briefly meet with a member of the research team who will assess parent and child coping and provide the child- caregiver dyad educational material about coping with cancer. Psychoeducation: The dyads (= 1 child participant and 1 caregiver) in the psychoeducation group will be given educational material about coping with cancer. The psychoeducation group will be offered the opportunity to participate in the EMI 8 weeks post-baseline.
Percentage of Eligible Dyads (Parent-child) Who Enroll During a Two-year Period
100 percentage of dyads
100 percentage of dyads

PRIMARY outcome

Timeframe: 8 weeks from study entry

Percent of participants who completed the study among those who enrolled and were randomized, with a target retention rate of 70% over the 8 Week EMI/control period.

Outcome measures

Outcome measures
Measure
Arm 1 Enhanced Mindfulness Intervention (EMI) - Immediate Group
n=4 Participants
Arm 1/Enhanced Mindfulness Intervention (EMI) Group - Participate in an in-person session followed by a series of at-home assignments, and two booster sessions. Enhanced Mindfulness Intervention: The 8-week EMI will consist of one initial in-person session with the child participant and parent (= 1 dyad), a series of at home assignments, and two "booster" sessions.
Arm 2 Control Group - Psychoeducation Group
n=6 Participants
Arm 2 Control Group - Psychoeducation Group Participants will briefly meet with a member of the research team who will assess parent and child coping and provide the child- caregiver dyad educational material about coping with cancer. Psychoeducation: The dyads (= 1 child participant and 1 caregiver) in the psychoeducation group will be given educational material about coping with cancer. The psychoeducation group will be offered the opportunity to participate in the EMI 8 weeks post-baseline.
Percent of Participants (Parent/Child) With Treatment Specific Retention Among All Randomized Participants, With a Target Retention Rate of 70% Over the 8 Week EMI/Control Period
50 percentage of participants(parent/child)
33 percentage of participants(parent/child)

PRIMARY outcome

Timeframe: For 8 weeks from study entry

Compliance with at-home practices (e.g., at home assignments), with a proposed target rate of at least 4 out of 7 days per week on average over the 8 weeks. This will be measured in phone interviews and recorded on a study form.

Outcome measures

Outcome measures
Measure
Arm 1 Enhanced Mindfulness Intervention (EMI) - Immediate Group
n=4 Participants
Arm 1/Enhanced Mindfulness Intervention (EMI) Group - Participate in an in-person session followed by a series of at-home assignments, and two booster sessions. Enhanced Mindfulness Intervention: The 8-week EMI will consist of one initial in-person session with the child participant and parent (= 1 dyad), a series of at home assignments, and two "booster" sessions.
Arm 2 Control Group - Psychoeducation Group
n=6 Participants
Arm 2 Control Group - Psychoeducation Group Participants will briefly meet with a member of the research team who will assess parent and child coping and provide the child- caregiver dyad educational material about coping with cancer. Psychoeducation: The dyads (= 1 child participant and 1 caregiver) in the psychoeducation group will be given educational material about coping with cancer. The psychoeducation group will be offered the opportunity to participate in the EMI 8 weeks post-baseline.
Percent of Participants Who Completed a Mean of 4 Days/Week At-home Practices or More
25 percentage of participants
0 percentage of participants

PRIMARY outcome

Timeframe: 8 weeks from study entry

Population: Each dyad = 1 child, 1 parent. Half a dyad was analyzed in group 1 (i.e., 1 child), and 1 dyad (i.e., 1 child, 1 parent) was analyzed in group 2. Measure type "Number" is used instead of "Mean" because you cannot compute a mean from only one data point. Unfortunately, not enough participants completed this study measure to calculate means and standard deviations.

The Feasibility questionnaire is a 12-item measure created by the researchers to assess satisfaction with the study. The first 6 items are on 5-point Likert scales and ask how helpful various aspects of the intervention were. Satisfaction scores are the mean of items 1-6 for both the caregiver and child forms, with possible scores ranging from 1 to 5. Higher scores represent more satisfaction. For youth ages 8+ and caregivers, average item scores of \>3.0 reflect adequate satisfaction.

Outcome measures

Outcome measures
Measure
Arm 1 Enhanced Mindfulness Intervention (EMI) - Immediate Group
n=1 Participants
Arm 1/Enhanced Mindfulness Intervention (EMI) Group - Participate in an in-person session followed by a series of at-home assignments, and two booster sessions. Enhanced Mindfulness Intervention: The 8-week EMI will consist of one initial in-person session with the child participant and parent (= 1 dyad), a series of at home assignments, and two "booster" sessions.
Arm 2 Control Group - Psychoeducation Group
n=2 Participants
Arm 2 Control Group - Psychoeducation Group Participants will briefly meet with a member of the research team who will assess parent and child coping and provide the child- caregiver dyad educational material about coping with cancer. Psychoeducation: The dyads (= 1 child participant and 1 caregiver) in the psychoeducation group will be given educational material about coping with cancer. The psychoeducation group will be offered the opportunity to participate in the EMI 8 weeks post-baseline.
Score on a Scale for Caregiver/Children Reports of Satisfaction on the Feasibility Questionnaire
Child Participants
1.83 score on a scale
3.5 score on a scale
Score on a Scale for Caregiver/Children Reports of Satisfaction on the Feasibility Questionnaire
Parent Participants
3.67 score on a scale

OTHER_PRE_SPECIFIED outcome

Timeframe: Date treatment consent signed to date off study, approximately 2-3 months.

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcome measures

Outcome measures
Measure
Arm 1 Enhanced Mindfulness Intervention (EMI) - Immediate Group
n=4 Participants
Arm 1/Enhanced Mindfulness Intervention (EMI) Group - Participate in an in-person session followed by a series of at-home assignments, and two booster sessions. Enhanced Mindfulness Intervention: The 8-week EMI will consist of one initial in-person session with the child participant and parent (= 1 dyad), a series of at home assignments, and two "booster" sessions.
Arm 2 Control Group - Psychoeducation Group
n=6 Participants
Arm 2 Control Group - Psychoeducation Group Participants will briefly meet with a member of the research team who will assess parent and child coping and provide the child- caregiver dyad educational material about coping with cancer. Psychoeducation: The dyads (= 1 child participant and 1 caregiver) in the psychoeducation group will be given educational material about coping with cancer. The psychoeducation group will be offered the opportunity to participate in the EMI 8 weeks post-baseline.
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
0 Participants
0 Participants

Adverse Events

Arm 1 Enhanced Mindfulness Intervention (EMI) - Immediate Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 2 Control Group - Psychoeducation Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Staci M. Peron, Ph.D.

National Cancer Institute

Phone: 240-760-6025

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place