scholarly journals Well-Being of Child and Family Participants in Phase 1 Pediatric Oncology Clinical Trials

2018 ◽  
Vol 45 (5) ◽  
pp. E67-E97 ◽  
Author(s):  
Stacey Crane ◽  
Joan Haase ◽  
Susan Hickman
2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e21534-e21534
Author(s):  
Stacey Crane ◽  
James Croop ◽  
Jill Lunsford Lee ◽  
Jamie Walski ◽  
Joan Haase

e21534 Background: Phase I clinical trials (P1Ts) are an essential step in the validation of novel therapies to treat childhood cancer. Children with cancer participate in P1Ts when no known curative therapy remains for their cancer. It is important to understand the experiences of children with advanced cancer and their families in P1Ts to ensure that participation supports the participants’ well-being. Methods: An empirical phenomenology study, using an adapted Colaizzi method, was conducted of 11 parents’ lived experiences of their child’s participation in pediatric oncology P1Ts. Parents were recruited from two pediatric academic medical centers in the Midwest United States and from national childhood cancer groups not affiliated with either medical center. Parents participated in individual interviews (mean length 59.1 minutes), with one broad data-generating question. Demographics and the child’s clinical trial records provided additional context for understanding the experiences. This presentation describes the study themes identified that were specifically related to pediatric oncology P1T processes and logistics. Results: Parents’ experiences during the P1Ts were primarily positive. However, data analysis revealed five aspects of P1T participation that were problematic for parents to varying degrees. These aspects were: (1) Learning About Clinical Trials, (2) Being Referred to Another Institution, (3) Undergoing Research-Only Procedures, (4) Complying with the Trial Requirements, and (5) Taking Oral Medications. Conclusions: While overall experiences during P1T participation were positive, improvements can be made that could potentially enhance participants’ experiences. In particular, enhancing the education provided to participants during on-trial processes and minimizing the logistical burdens associated with P1T requirements may help to address problematic aspects of P1Ts.


2013 ◽  
Vol 3 (11) ◽  
Author(s):  
Yvonne D Hastings ◽  
Natalie K Bradford ◽  
Liane R Lockwood ◽  
Robert S Ware ◽  
Jeanine Young

2013 ◽  
Vol 3 (2) ◽  
pp. 101-103 ◽  
Author(s):  
Paola Angelini ◽  
Kathryn Pritchard-Jones ◽  
Darren R Hargrave

2020 ◽  
Vol 123 (10) ◽  
pp. 1496-1501
Author(s):  
Johnique T. Atkins ◽  
Goldy C. George ◽  
Kenneth Hess ◽  
Kathrina L. Marcelo-Lewis ◽  
Ying Yuan ◽  
...  

2021 ◽  
Vol 24 ◽  
pp. S59
Author(s):  
M. Murugappan ◽  
B.L. King-Kallimanis ◽  
G.H. Reaman ◽  
V. Bhatnagar ◽  
E.G. Horodniceanu ◽  
...  

2019 ◽  
Vol 7 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Victoria Rezash ◽  
Janice Reed ◽  
Barbara Gedeon ◽  
Eric Parsons ◽  
Sandra Siedlecki ◽  
...  

Background: The study design and nature of oncology phase 1 clinical trials create a uniquely vulnerable patient population yet little research has been conducted to identify the added burden these trials create for both cancer patients and their caregiver(s). Objective: Examining the perceptions and needs of patients and their caregivers participating in phase 1 oncology clinical trials, the investigators tested the hypothesis that the caregiver will exhibit a higher level of burden and/or distress than the patient. Method: A mixed-methods exploratory process utilizing patient and caregiver interviews and quality-of-life questionnaires was used to assess the psychosocial burdens associated with oncology clinical trial participation. A qualitative and quantitative analysis of the responses were 8 performed. Result: Both patients and caregivers reported similar themes identifying the burdens and benefits related to phase 1 clinical trial participation. However, the caregivers’ expressed burden exceeded that of the patients’ validating the study’s hypothesis. Conclusion: The need for ongoing additional support services for not only the patient but also the caregiver was identified.


2020 ◽  
Vol 157 (3) ◽  
pp. 729-732 ◽  
Author(s):  
Eli Awad ◽  
Rajesh Paladugu ◽  
Nathaniel Jones ◽  
Jennifer Young Pierce ◽  
Jennifer Scalici ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document