School Activity for the Reduction of Distress, Pain and Negative Emotions in Children Experiencing Hospital School

NCT ID: NCT04046692

Last Updated: 2025-02-17

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

Total Enrollment

180 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-03-15

Study Completion Date

2020-03-15

Brief Summary

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Aim of present study is to evaluate the efficacy of hospital school experience in the reduction of distress, pain and negative emotion in children from 8 to 12 years old, hospitalized in oncology and pediatric wards. Investigators also want to explore the ideas and opinions of teachers and parents about hospital school service.

Hypothesis: the investigators expect a reduction in pain, distress and negative emotions.

Detailed Description

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The school service into the hospital was born as an attempt to support emotionally, relationally and cognitively the hospitalized children, who have to spend a lot of time alone, without being educated by teachers with their classmates. There are not many studies in the Italian contest about this issue and with the present study the investigators intended to implement the acknowledgement about this theme.

The principal aim of this study is to explore if the school service reduces negative emotions experienced by oncological children as well as perceived pain and distress. To evaluate this aims, the investigators organized the study in 3 sections: the first is about the emotions experienced by oncological children between 8 and 12 years old, who benefit from the school service into the hospital; the second is about their parents' opinions and believes about the hospital school service; the third is about opinions, training and educational method dedicated by hospital school teachers and not hospital school teachers (who previously thought to our oncology children sample).

Conditions

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Hospital School Experience

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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children in hospital school in contact with outside school

children experience school's lesson with the hospital teacher in the school's room or into their bedrooms and the investigator give before/after the lesson 2 questionnaire (PANAS-C and PH-C) and the VAS to evaluate the aim's study. Then, the investigator asks the children to make 2 paintings: one about the hospital school experience (what is for him/her the hospital school) and one about the outside school (what he/she do/did outside during school).

Hospital School Experience, point of view of the children

Intervention Type OTHER

Operators of the PANAS-C, PH-C and VAS ask the children to answer the questionnaire before/after the school lesson; then they ask the children to make 2 paintings about hospital and not hospital school experience.

children in hospital school NOT in contact with outside school

it's the same of the previous group ("children experiencing hospital school still in contact with outside school"); the only difference of this group is that children are not in contact with the outside school.

Hospital School Experience, point of view of the children

Intervention Type OTHER

Operators of the PANAS-C, PH-C and VAS ask the children to answer the questionnaire before/after the school lesson; then they ask the children to make 2 paintings about hospital and not hospital school experience.

hospital teachers

teachers have to answer to some questions (qualitative interview) and fill in CEESQ schedule

Hospital School Experience, point of view of the hospital teachers

Intervention Type OTHER

operators interview hospital teachers and make them complete a questionnaire (CEESQ)

outside teachers

teachers have to answer to some questions (qualitative interview) and fill in CEESQ schedule

Hospital School Experience, point of view of the non hospital teachers

Intervention Type OTHER

operators interview the teachers and make them complete a questionnaire (CEESQ)

Parents

parents have to answer some questions (qualitative interview)

Hospital School Experience, point of view of parents

Intervention Type OTHER

Operators interview parents

Interventions

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Hospital School Experience, point of view of the children

Operators of the PANAS-C, PH-C and VAS ask the children to answer the questionnaire before/after the school lesson; then they ask the children to make 2 paintings about hospital and not hospital school experience.

Intervention Type OTHER

Hospital School Experience, point of view of the hospital teachers

operators interview hospital teachers and make them complete a questionnaire (CEESQ)

Intervention Type OTHER

Hospital School Experience, point of view of the non hospital teachers

operators interview the teachers and make them complete a questionnaire (CEESQ)

Intervention Type OTHER

Hospital School Experience, point of view of parents

Operators interview parents

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* age between 8 and 12 years old
* knowledge of Italian language
* consent for study participation
* recovery
* be/not be in contact with classmates (group A and group B)


* Italian knowledge
* Being a hospital teacher


* Italian knowledge

* Italian knowledge
* consent for study participation
* Health or mental issues that can cause problems in completing questionnaires or answering questions

Exclusion Criteria

* patients who have already had hospital school experience in the past
* cognitive disability
* patients that cannot complete the study because of health or mental issues incoming during the period of the research


\- Have earlier experience as a hospital children in other hospitals

* A past experience as a hospital teacher


* Cognitive disability
* Health or mental issues that can cause problems in completing questionnaires or answering questions
Minimum Eligible Age

8 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Florence

OTHER

Sponsor Role collaborator

Meyer Children's Hospital IRCCS

OTHER

Sponsor Role lead

Responsible Party

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Rosanna Martin

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rosanna Martin, MSc

Role: STUDY_DIRECTOR

Meyer Children's Hospital IRCCS

Locations

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Meyer Chidren's Hospital

Florence, Firenze, Italy

Site Status

Countries

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Italy

References

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Antonelli E, Vagnoli L, Ciucci E, Vernucci C, Lachi F, Messeri A. A Comparison of Nonpharmacologic Interventions on the Emotional State of Children in the Emergency Department. Pediatr Emerg Care. 2019 Feb;35(2):81-88. doi: 10.1097/PEC.0000000000000900.

Reference Type BACKGROUND
PMID: 27749803 (View on PubMed)

Charlton A, Larcombe IJ, Meller ST, Morris Jones PH, Mott MG, Potton MW, Tranmer MD, Walker JJ. Absence from school related to cancer and other chronic conditions. Arch Dis Child. 1991 Oct;66(10):1217-22. doi: 10.1136/adc.66.10.1217.

Reference Type BACKGROUND
PMID: 1953006 (View on PubMed)

Clatworthy S, Simon K, Tiedeman ME. Child drawing: hospital--an instrument designed to measure the emotional status of hospitalized school-aged children. J Pediatr Nurs. 1999 Feb;14(1):2-9. doi: 10.1016/S0882-5963(99)80054-2.

Reference Type BACKGROUND
PMID: 10063243 (View on PubMed)

Clatworthy S, Simon K, Tiedeman M. Child drawing: hospital manual. J Pediatr Nurs. 1999 Feb;14(1):10-8. doi: 10.1016/S0882-5963(99)80055-4. No abstract available.

Reference Type BACKGROUND
PMID: 10063244 (View on PubMed)

Georgiadi, M., & Kourkoutas, E. E. (2010). Supporting pupils with cancer on their return to school: a case study report of a reintegration program. Procedia-Social and Behavioral Sciences, 5, 1288-1282.

Reference Type BACKGROUND

Hughes AA, Kendall PC. Psychometric properties of the Positive and Negative Affect Scale for Children (PANAS-C) in children with anxiety disorders. Child Psychiatry Hum Dev. 2009 Sep;40(3):343-52. doi: 10.1007/s10578-009-0130-4. Epub 2009 Jan 14.

Reference Type BACKGROUND
PMID: 19142724 (View on PubMed)

Katz LF, Leary A, Breiger D, Friedman D. Pediatric cancer and the quality of children's dyadic peer interactions. J Pediatr Psychol. 2011 Mar;36(2):237-47. doi: 10.1093/jpepsy/jsq050. Epub 2010 Jun 2.

Reference Type BACKGROUND
PMID: 20522423 (View on PubMed)

Laurent J, Catanzaro SJ, Joiner TE Jr. Development and preliminary validation of the physiological hyperarousal scale for children. Psychol Assess. 2004 Dec;16(4):373-80. doi: 10.1037/1040-3590.16.4.373.

Reference Type BACKGROUND
PMID: 15584796 (View on PubMed)

Pelander T, Lehtonen K, Leino-Kilpi H. Children in the hospital: elements of quality in drawings. J Pediatr Nurs. 2007 Aug;22(4):333-41. doi: 10.1016/j.pedn.2007.06.004.

Reference Type BACKGROUND
PMID: 17645961 (View on PubMed)

af Sandeberg M, Johansson E, Bjork O, Wettergren L. Health-related quality of life relates to school attendance in children on treatment for cancer. J Pediatr Oncol Nurs. 2008 Sep-Oct;25(5):265-74. doi: 10.1177/1043454208321119. Epub 2008 Jul 22.

Reference Type BACKGROUND
PMID: 18648091 (View on PubMed)

Worchel-Prevatt, F. F., Heffer, R. W., Prevatt, B. C., Miner, J., Young-Saleme, T., Horgan, D., ... & Frankel, L. (1998). A school reentry program for chronically ill children. Journal of school psychology, 36(3), 261-289.

Reference Type BACKGROUND

Yilmaz MC, Sari HY, Cetingul N, Kantar M, Erermis S, Aksoylar S. Determination of school-related problems in children treated for cancer. J Sch Nurs. 2014 Oct;30(5):376-84. doi: 10.1177/1059840513506942. Epub 2013 Sep 27.

Reference Type BACKGROUND
PMID: 24076657 (View on PubMed)

Other Identifiers

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Hospital_School

Identifier Type: -

Identifier Source: org_study_id

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