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Journal of Pediatric Psychology Advance Access originally published online on March 3, 2005
Journal of Pediatric Psychology 2005 30(8):644-655; doi:10.1093/jpepsy/jsi051
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Feasibility and Preliminary Outcomes from a Pilot Study of a Brief Psychological Intervention for Families of Children Newly Diagnosed with Cancer

Anne E. Kazak, PhD, ABPP1,2, Steven Simms, PhD1, Melissa A. Alderfer, PhD1,2, Mary T. Rourke, PhD1, Terry Crump, PhD1, Kelly McClure, PhD1, Portia Jones, BA1, Alyssa Rodriguez, PhD1, Alexandra Boeving, PhD1, Wei-Ting Hwang, PhD2 and Anne Reilly, MD1,2

1 The Children’s Hospital of Philadelphia and 2 The University of Pennsylvania

All correspondence concerning this article should be addressed to Anne E. Kazak, Division of Oncology, The Children’s Hospital of Philadelphia, Room 1486, CHOP North, 34th Street and Civic Center Boulevard, Philadelphia, Pennsylvania 19104. E-mail: kazak{at}email.chop.edu.

Objective To report initial feasibility and outcome from a pilot study of a new three-session intervention for caregivers of children newly diagnosed with cancer, Surviving Cancer Competently Intervention Program—Newly Diagnosed (SCCIP-ND). Method Nineteen families (38 caregivers) were randomly assigned to SCCIP-ND or treatment as usual subsequent to learning of their child’s illness. The study design included pre- and 2-month postintervention assessments, with state anxiety and posttraumatic stress symptoms as outcomes. Feasibility was based on therapist feedback and supervision, program evaluations, and data from study-tracking procedures. Results SCCIP-ND appears to be an acceptable intervention that can be used successfully with caregivers over the first few months after diagnosis. Recruitment and retention data document feasibility but also highlight challenges. Preliminary outcome data show changes in the desired direction [e.g., reduced anxiety and parental posttraumatic stress symptoms (PTSS)]. Conclusions The pilot data are supportive of the value and challenges of developing evidence-based family interventions in pediatric psychology.

Key words: cancer; children; families; intervention; posttraumatic stress; randomized clinical trial.


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