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IRCT20141216020344N3 IRCT 2021-03-07 Iran University of Medical Sciences the effect of family-centered are on the self-efficacy and hope of parents of children with cancer سرطان the effect of family-centered are on the self-efficacy and hope of parents of children with cancer 2021-03-21 anticipated 64 Complete https://irct.ir/trial/53695 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Cancer in children. Intervention 1: The family-centered model is implemented in four stages of perceived threat, self-efficacy, educational participation and evaluation during four sessions of 20 to 40 minutes for the intervention group. Based on this model, the first step in the intervention stage is threat perception, which increases parental knowledge and awareness. This is done through education about the disease, its complications, ways of prevention, ways of transfer and consumption of drugs, morale and follow-up of tests and treatment. The second step is the problem-solving stage, which is done to increase self-esteem and self-control. At this stage, when parents' knowledge and attitudes about the disease should be increased, they should be included in care programs. The third step is educational participation. The fourth step is evaluation, which is measured in two stages, one at the end of the intervention and one month later. Complete the relevant questionnaire. Then four 40-minute sessions are performed in four consecutive weeks (one session per week, every day). Before each session with the parents, the meeting time is set and the sessions are held for their convenience in the study class of the department. In the first session (40 minutes), the researcher uses face-to-face training with parents about childhood cancer, common signs and symptoms, and diagnostic techniques. And treatment plans, depending on the stage and condition of the child's illness; These parents are then given basic training in this area. It should be noted that this session is presented separately to all parents in the intervention group. The second session is 40 minutes long, they are asked to talk about ways of communication. And exchange views with the hospital treatment team. In this session, they share their experiences and information about treatment, evaluation and control of treatment side effects. Other topics discussed in this session include ways to prevent infection, control and relieve pain, side effects of medications, improve self-control in the face of sick children and their problems, as well as ways to support other family members. During this session, the researcher tries to indirectly lead the discussion and guide the group towards enriching self-efficacy. During the third session, and in order to implement the third phase of the empowerment model, each participant is asked to teach one of their family members, who is responsible for child care, about what they have learned in the previous two sessions. , And answer the researcher's questions under his / her indirect supervision. During this session, any possible problems, such as forgetting the material or passing on incorrect information by the trained parents, will be corrected immediately by the researcher. In the fourth session or the final evaluation session, the researcher evaluates all the questions of the participants in the intervention group by asking questions about the total content taught and the items that were discussed in the second and third sessions. It finally clears up the remaining ambiguities. Intervention 2: Control group: Control group: in the control group, routine care is performed and family-centered interventions are not performed. Yes - There is a plan to make this available What will be shared: Data is encrypted in order to make the identities of individuals unidentifiable and confidential When: En From the end of sampling to 6 months after the publication of the article To whom: University Ethics Committee, Project Arbitration Committee, Article Arbitration Committee and other researchers Conditions: Perform systematic review or meta-analysis by mentioning the document Where to obtain: Dr. Hamidreza Khoshnezhad Ebrahimi How to obtain: After submitting the application via academic email, we will provide information files to individuals within a maximum of one week Comments:
public Dr. Shabahang Jafarnejad
Tehran, Modares Highway, after Mirdamad Bridge, Shahid Dastgerdi St. (Zafar), Hazrat Ali Asghar Children's Hospital
Tehran Iran (Islamic Republic of) 1919816766 +98 21 2222 2045 Jafarnejad.sh@iums.ac.ir Iran University of Medical Sciences scientific Dr. Hamidreza Khoshnezhad Ebrahimi
Tehran, Modares Highway, after Mirdamad Bridge, Shahid Dastgerdi St. (Zafar), Hazrat Ali Asghar Children's Hospital
Tehran Iran (Islamic Republic of) 1919816766 +98 21 2222 2045 khoshnezhad.hr@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) Parents of children 6 to 12 years old with cancer Self-declaration of non-parental mental illness Knowledge of the type of child disease No stressful event other than the child's illness during the past year Absence from attending similar training sessions and classes - hospitalization Hospitalization and presence of the child for at least 5 days in the ward Lack of care for another patient at home 6 years 12 years Both Lack of parental cooperation C80.1 Malignant (primary) neoplasm, unspecified N/A N/A The family-centered model is implemented in four stages of perceived threat, self-efficacy, educational participation and evaluation during four sessions of 20 to 40 minutes for the intervention group. Based on this model, the first step in the intervention stage is threat perception, which increases parental knowledge and awareness. This is done through education about the disease, its complications, ways of prevention, ways of transfer and consumption of drugs, morale and follow-up of tests and treatment. The second step is the problem-solving stage, which is done to increase self-esteem and self-control. At this stage, when parents' knowledge and attitudes about the disease should be increased, they should be included in care programs. The third step is educational participation. The fourth step is evaluation, which is measured in two stages, one at the end of the intervention and one month later. Complete the relevant questionnaire. Then four 40-minute sessions are performed in four consecutive weeks (one session per week, every day). Before each session with the parents, the meeting time is set and the sessions are held for their convenience in the study class of the department. In the first session (40 minutes), the researcher uses face-to-face training with parents about childhood cancer, common signs and symptoms, and diagnostic techniques. And treatment plans, depending on the stage and condition of the child's illness; These parents are then given basic training in this area. It should be noted that this session is presented separately to all parents in the intervention group. The second session is 40 minutes long, they are asked to talk about ways of communication. And exchange views with the hospital treatment team. In this session, they share their experiences and information about treatment, evaluation and control of treatment side effects. Other topics discussed in this session include ways to prevent infection, control and relieve pain, side effects of medications, improve self-control in the face of sick children and their problems, as well as ways to support other family members. During this session, the researcher tries to indirectly lead the discussion and guide the group towards enriching self-efficacy. During the third session, and in order to implement the third phase of the empowerment model, each participant is asked to teach one of their family members, who is responsible for child care, about what they have learned in the previous two sessions. , And answer the researcher's questions under his / her indirect supervision. During this session, any possible problems, such as forgetting the material or passing on incorrect information by the trained parents, will be corrected immediately by the researcher. In the fourth session or the final evaluation session, the researcher evaluates all the questions of the participants in the intervention group by asking questions about the total content taught and the items that were discussed in the second and third sessions. It finally clears up the remaining ambiguities. Control group: Control group: in the control group, routine care is performed and family-centered interventions are not performed Self-efficacy. Timepoint: Before intervention and immediately after intervention and one month after intervention. Method of measurement: Scherer General Self-Efficacy Questionnaire. Hope. Timepoint: Before intervention and immediately after intervention and one month after intervention. Method of measurement: Schneider Life expectancy questionnaire. Iran University of Medical Sciences Approved 2020-12-13 Ethics Committee of Iran University of Medical Sciences Tehran, Hemmat Highway next to Milad Tower, Iran University of Medical Sciences Tehran Tehran Iran (Islamic Republic of)