NCT05457153

Brief Summary

Objective: The research was planned to evaluate the effectiveness of the 8-week technology-based Well-Being Process program for children and adolescents in the palliative care period. Methods: This study was planned as a randomized controlled experimental study. The research will be carried out with children aged 12-20 years with a diagnosis of cancer, in the pediatric oncology and hematology clinics of two hospitals in Turkey. Data collection will consist of the children and adolescent's and parents' descriptive characteristic form Adolescent Spiritual Well-Being Scale, Beck Anxiety Scale, Pediatric Cancer Coping Scale and Technology-Based Spiritual Care Program Process Evaluation Forms. The program will be implemented for the intervention group. In the 8-week program; a) 4 web-based modules, b) 8 online individual interviews after each module (8 total interviews with each child) c) simultaneous mobile messages with the modules, and d) 24/7 counseling. Animation videos, breathing and progressive relaxation exercises, and imagination methods will be included in the modules. This research is based on the "Watson Model of Human Care".

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2022

Typical duration for not_applicable

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 22, 2022

Completed
21 days until next milestone

First Posted

Study publicly available on registry

July 13, 2022

Completed
3 months until next milestone

Study Start

First participant enrolled

October 1, 2022

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2023

Completed
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2024

Completed
Last Updated

July 13, 2022

Status Verified

July 1, 2022

Enrollment Period

5 months

First QC Date

June 22, 2022

Last Update Submit

July 10, 2022

Conditions

Keywords

Palliative CareSpiritualitiySpiritual CareCancerChild

Outcome Measures

Primary Outcomes (3)

  • The Scale of Spiritual Well-Being in Adolescents (SSWA)

    The scale developed by Törüner et al. assesses the spiritual well-being of adolescents aged 14-18 years. The scale, which is thought to help health professionals provide holistic care for adolescents, consists of a total of 34 items. Adolescents receive a minimum of 0 and a maximum of 136 points from the scale. As the score obtained from the scale increases, the spiritual well-being scores of adolescents increase. As the score obtained from the scale decreases, the spiritual well-being of the adolescents decreases. The Cronbach alpha value of the scale is 90.

    The Scale of Spiritual Well-Beingscores will be checked at the beginning of the program "baseline"

  • Beck Anxiety Scale

    The scale, which was developed by Beck et al. in 1988 to determine the level of anxiety (anxiety) of adult and adolescent individuals, consists of 21 items of the four-likert type. The Turkish validity and reliability study of the scale was conducted by Ulusoy et al. in 1993. Individuals are expected to be marked by their intensity of experiencing substances that are composed of symptoms and emotions commonly associated with anxiety. The sum of the scores was evaluated as 0-7: Minimal level of anxiety, 8-15: Mild level of anxiety, 16-25: Moderate level of anxiety, 26-63: Severe level of anxiety

    Anxiety scores will be checked at the beginning of the program "baselıne

  • Pediatric Cancer Coping Scale (PCCS)

    The scale developed by Wu et al. for children with cancer between the ages of 7 and 18 years. The Turkish validity and reliability of the scale was conducted by Sengul and Törüner (2019). There are a total of 33 items in the scale. There are three sub-dimensions of cognitive coping, problem-oriented coping and defensive coping. A minimum of 0 and a maximum of 99 points is obtained from the scale. High scores obtained from the scale indicate high levels of coping strategies. A low score means that coping skills are insufficient.In the original study of the scale, the Cronbach Alpha value was determined as 0.91

    Coping scores will be checked at the beginning of the program "baseline"

Secondary Outcomes (3)

  • The Scale of Spiritual Well-Being in Adolescents (SSWA)

    The Scale of Spiritual Well-Being scores will be checked completed"through study completion, an average of 1 week"

  • Beck Anxiety Scale

    Anxiety scores will be checked completed"through study completion, an average of 1 week"

  • Pediatric Cancer Coping Scale (PCCS)

    Coping scores will be checked completed "through study completion, an average of 1 week"

Other Outcomes (3)

  • The Scale of Spiritual Well-Being in Adolescents (SSWA)

    The Scale of Spiritual Well-Beingscores will be checked completed, "through study completion, one month"

  • Beck Anxiety Scale

    Anxiety scores will be checked completed, "through study completion, one month"

  • Pediatric Cancer Coping Scale (PCCS)

    Coping scores will be checked completed, "through study completion, one month

Study Arms (2)

Technology-Based Well-Being Process Program

EXPERIMENTAL

WEBEPROP will be conducted for 8 weeks. The program for the intervention group is included the modüls. In the program, the modules of "Self-Knowledge, Inner Communication and Awareness of Perceptions, Emotion and Thought Management" will be completed in 8 weeks (each model two weeks) . The other module will not be accessible and cannot be switched before the prevous module is completed.

Other: Well-Being Process Program (WEBEPROP)

Control Group

ACTIVE COMPARATOR

After the first follow-ups have been made to the control group, they will continue to receive standard care. After the monitoring of the initiative group within the scope of the program is completed, the website of the well-being process program will be made available to the control group. Children and adolescents will benefit from the modules by promoting the website.

Other: Well-Being Process Program (WEBEPROP)

Interventions

Technology-Based Well-Being Process Program (WEBEPROP)

Control GroupTechnology-Based Well-Being Process Program

Eligibility Criteria

Age10 Years - 20 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Between the ages of 10-20,
  • Child and adolescent with palliative care needs
  • At least 3 months before diagnosis
  • Child and adoescent have completed the induction phase of treatment,
  • İntermediate-high-risk group defined under a treatment protocol,
  • Child and aolescent can utilizecomputer, mobile phone and tablet
  • Children and adolescents who agreed to participate in the survey and their parent.

You may not qualify if:

  • Newly diagnosed with physical and mental disabilities,
  • Child and adolescent with severe anxiety according to the anxiety score scale,
  • Out of diagnosis in the last 6 months (loss of parents, natural disaster, etc.) are children and adolescents who experience high levels of stress and have an important psychiatric diagnosis that affects their mental health.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Neoplasms

Central Study Contacts

Sümeyye YILDIZ, PhD Student

CONTACT

Ebru KILIÇARSLAN TORUNER,, PhD, RN

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

June 22, 2022

First Posted

July 13, 2022

Study Start

October 1, 2022

Primary Completion

February 28, 2023

Study Completion

September 30, 2024

Last Updated

July 13, 2022

Record last verified: 2022-07