减少拉丁裔癌症儿童的学习和心理社会差异:一个随机干预试验
Sunita K Patel1,2, Seong-Hyeon Kim3, Kathleen Ingman4,5
1Department of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA 91010, United States.
Journal of the National Cancer Institute
|October 16, 2024
概括
高强度育儿干预改善了儿童癌症幸存者的家庭的育儿技能和知识. 虽然它没有改善学校的整体运作,但它提高了儿童的社交技能和注意力.
科学领域:
- 儿科瘤学 儿科瘤学
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童癌症幸存者 (CCS) 经常经历影响学校运作的挑战.
- 父母的支持对于CCS的学术成功至关重要.
- 拉丁裔家庭在获得和受益于干预措施方面面临着独特的挑战.
研究的目的:
- 为了评估高强度育儿干预 (HIP) 与低强度计划 (LIP) 对CCS拉丁裔家庭的有效性.
- 评估HIP对家长效率,知识和CCS学校运作的影响.
- 探索二次结果,包括学业成绩,注意力和社会功能.
主要方法:
- 随机对照试验涉及106名拉丁裔CCS (白血病/淋巴瘤,6-12岁) 和他们的父母.
- 父母被随机分配到HIP (n=54) 或LIP (n=52).
- 线性混合效应模型分析了基线,6个月和12个月的群体差异.
主要成果:
- 与LIP (P ≤ .01) 相比,HIP显著提高了家长的有效性和知识.
- 在12个月 (P < .05) 时,HIP儿童表现出增强的社会功能和注意力 (CPT-3委员会).
- 对HIP报告了更高的满意度和感知到的好处;注意到了坚持挑战.
结论:
- 像HIP这样的家长指导的行为干预措施显示出支持CCS及其家庭的希望.
- 解决参与障碍对于最大限度地发挥干预效益至关重要.
- 需要进一步的研究来加强参与并维持积极的结果.
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