TY - JOUR
T1 - Acceptability and Feasibility of eSCCIP
T2 - Results From a Pilot Study of the Electronic Surviving Cancer Competently Intervention Program
AU - Canter, Kimberly S.
AU - Vega, Gabriela
AU - Ramirez, Alejandra Perez
AU - Osorio, Angel Munoz
AU - Thomas, Courtney
AU - Lewis, Amanda M.
AU - Arasteh, Kamyar
AU - Kazak, Anne
N1 - Publisher Copyright:
© The Author(s) 2022. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved.
PY - 2023/3/1
Y1 - 2023/3/1
N2 - Background Providing high-quality psychosocial care to parents and other primary caregivers of children with cancer (henceforth referred to as caregivers) is important, given the numerous challenges associated with a pediatric cancer diagnosis and the increased risk for negative psychosocial sequelae among caregivers. The Electronic Surviving Cancer Competently Intervention Program (eSCCIP) is a psychosocial eHealth intervention for caregivers, developed using an iterative, user-centered process. Method eSCCIP was tested in a single-arm pilot trial at Nemours Children’s Hospital, Delaware (NCT05333601). The primary outcomes were intervention acceptability and feasibility, assessed via enrollment and retention targets, and item-level acceptability ratings. Enrollment and retention targets of 45% were set based on previous work, and an item-level acceptability threshold of 80% was set. A secondary exploratory analysis was conducted examining acute distress, anxiety, symptoms of post-traumatic stress, and family functioning. Results 44 caregivers enrolled in the study and 31 completed. The intervention was rated favorably by completers, with over 80% of the sample selecting “mostly true” or “very true” for all items of the eSCCIP Evaluation Questionnaire, which was used to assess acceptability and feasibility. Enrollment and retention rates were 54% and 70%, respectively. Exploratory psychosocial outcomes showed statistically significant decreases from pre-intervention to post-intervention for overall symptoms of post-traumatic stress disorder (PTSD), cluster D symptoms of PTSD (negative mood and cognitions), and anxiety. Small-moderate effect sizes were observed for all psychosocial outcomes of interest. Conclusions eSCCIP is an acceptable and feasible intervention for caregivers. Results are promising regarding reductions in symptoms of post-traumatic stress and anxiety.
AB - Background Providing high-quality psychosocial care to parents and other primary caregivers of children with cancer (henceforth referred to as caregivers) is important, given the numerous challenges associated with a pediatric cancer diagnosis and the increased risk for negative psychosocial sequelae among caregivers. The Electronic Surviving Cancer Competently Intervention Program (eSCCIP) is a psychosocial eHealth intervention for caregivers, developed using an iterative, user-centered process. Method eSCCIP was tested in a single-arm pilot trial at Nemours Children’s Hospital, Delaware (NCT05333601). The primary outcomes were intervention acceptability and feasibility, assessed via enrollment and retention targets, and item-level acceptability ratings. Enrollment and retention targets of 45% were set based on previous work, and an item-level acceptability threshold of 80% was set. A secondary exploratory analysis was conducted examining acute distress, anxiety, symptoms of post-traumatic stress, and family functioning. Results 44 caregivers enrolled in the study and 31 completed. The intervention was rated favorably by completers, with over 80% of the sample selecting “mostly true” or “very true” for all items of the eSCCIP Evaluation Questionnaire, which was used to assess acceptability and feasibility. Enrollment and retention rates were 54% and 70%, respectively. Exploratory psychosocial outcomes showed statistically significant decreases from pre-intervention to post-intervention for overall symptoms of post-traumatic stress disorder (PTSD), cluster D symptoms of PTSD (negative mood and cognitions), and anxiety. Small-moderate effect sizes were observed for all psychosocial outcomes of interest. Conclusions eSCCIP is an acceptable and feasible intervention for caregivers. Results are promising regarding reductions in symptoms of post-traumatic stress and anxiety.
KW - eHealth
KW - pediatric oncology
KW - psychosocial intervention
UR - http://www.scopus.com/inward/record.url?scp=85150751355&partnerID=8YFLogxK
U2 - 10.1093/jpepsy/jsac082
DO - 10.1093/jpepsy/jsac082
M3 - Article
C2 - 36303445
AN - SCOPUS:85150751355
SN - 0146-8693
VL - 48
SP - 216
EP - 227
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 3
ER -