About this trial
This study is being conducted to determine how best to educate caregivers about cancer and its treatment. When caregivers are well-informed, they are more confident in supporting their child through treatment, which can improve treatment adherence.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
a known pediatric cancer diagnosis
Adult caregivers of children with cancer (<18yo) at time of new patient registration
Ability to understand and speak Swahili
If illiterate, availability of a household member who can read Swahili
Disqualifiers
any potential participant who is unable to access messages will also be excluded.
Non cancer pediatric diagnosis
Trial design
Single group
Treatments tested in this trial
text-based education messages only
Other interventionParticipants will receive text-based education messages
in-clinic tablet-based multimedia education
Other interventionParticipants will receive tablet-based multimedia education in clinic
standard of care provider led education
Other interventionParticipants will receive standard of care education from their provider
Treatment groups
Trial outcomes
Primary outcomes
Treatment abandonment rate.
All analyses estimating efficacy of the intervention will be based on intention-to-treat principles, whereby participants will be analyzed according to their randomization assignment, irrespective of whether they complied with the intervention.
Secondary outcomes
Caregiver knowledge
Caregiver knowledge will be assessed by a 10-question multiple choice survey testing core knowledge on childhood cancer
Caregiver attitudes
Caregiver attitudes will be assessed by a version of the Swahili Cataldo Cancer Stigma Scale (CASS) previously modified to target childhood cancer stigma and validated for use in Tanzania by the current study team. Responses are rated using a four-point Likert scale to evaluate the caregivers attitude towards the statements (ranging from 1=strongly disagree; 4=strongly agree)
Perceived behavior control
Perceived behavioral control will be assessed using a modified Swahili Generalized Self -Efficacy survey, adapted for use to evaluate caretaker perceived ability to complete therapy as the behavior measured. This is a 12 question item survey with a 5 point Likert scale (1=Not at all confident to 5=Extremely confident).
Caregiver intention
Behavior intention will be assessed using a 3-question validated measure of intention translated into Swahili to determine caregiver's intention to complete therapy, with scaled response options from 1 to 7, from "strongly disagree/ very unlikely" to "strongly agree/ very likely."
Locations
Sponsors and contacts
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Duke University
Lead sponsor
National Cancer Institute (NCI)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: