Listening to the Patient's Cancer Journey: A Randomised Controlled Trial of Digital Storytelling (DST) in Reducing Depressive Symptoms, Enhancing Self-esteem, and Promoting Quality of Life Among Hong Kong Chinese Childhood Cancer Survivors
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 248
- 试验地点
- 1
- 主要终点
- Depressive symptoms: Chinese version of the Center for Epidemiological Studies Depression Scale for Children (CES-DC)
研究概览
简要总结
This study aims to examine the effectiveness of Digital storytelling (DST) in reducing depressive symptoms, enhancing self-esteem, and promoting quality of life among Chinese survivors of childhood cancer.
Participants in the experimental group will be divided into groups of 6 to 8 childhood cancer survivors to receive the intervention, which comprises four workshops. Each workshop will last 2.5 hours and will be conducted by a qualified interventionist. Parents are not required to attend the workshop. The investigators will provide a waiting room for them. Parents will also be provided with a leaflet developed by Hong Kong Department of Health which contains self-help material for depression.
No intervention will be carried out among participants in the control group. However, customary care including medical follow-up, medication prescription, and nursing interventions will be provided, as usual. Parents will also be provided with a leaflet containing self-help materials for depression.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 13 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(1) age between 13 and 18 years;
- •(2) able to speak Cantonese and read Chinese; and
- •(3) completed the active treatment of cancer.
排除标准
- •survivors with mental and behavioural problems documented in their medical records.
研究组 & 干预措施
Intervention: Digital storytelling
Participants in the experimental group will receive the DST intervention, which comprises four workshops. Each workshop will last 2.5 hours and will be conducted by a qualified interventionist. In the workshops, a group of 6-8 participants will first share their personal cancer experiences and offer feedback to other participants in the context of a story circle. A set of guiding questions will be used to facilitate participants in telling their own stories. Particularly, probing will be used to guide the child participants to share their own experiences. Open-ended questions such as 'How do you think about your cancer experience?' will be asked. Subsequent supplementary questions, such as 'What makes you feel in this way?' and 'can you give me some examples' will be asked to encourage more sharing. Afterwards, participants wil be encouraged to write their own script and storyboard, record their stories using a microphone, and choose photos and videos to illustrate their stories.
干预措施: Digital storytelling (Other)
No Intervention: Standard of care
No intervention will be carried out among participants in the control group. However, customary care including medical follow-up, medication prescription, and nursing interventions will be provided, as usual.
结局指标
主要结局
Depressive symptoms: Chinese version of the Center for Epidemiological Studies Depression Scale for Children (CES-DC)
时间窗: The CES-DC will be conducted immediately after the completion of the intervention, and at 1-, 3- and 6-month follow-up via telephone interview.
The CES-DC will be used to assess the number of depressive symptoms among participants. This instrument contains 20 items evaluated on a 4-point scale, from 0 (not at all) to 3 (a lot). The possible range of scores is between 0 and 60, with higher scores indicating more depressive symptoms. The cut-off score is 15. Participants with scores higher than 15 are considered to be experiencing significant levels of depressive symptoms. This scale has been widely applied in studies among Hong Kong Chinese children with cancer, and its psychometric properties have been well-established in this population.
次要结局
- Self-esteem: Chinese version of the Rosenberg Self-Esteem Scale (RSES)(The RSES will be conducted immediately after the completion of the intervention, and at 1-, 3- and 6-month follow-up via telephone interview.)
- Quality of life: Chinese version of the Pediatric Quality of Life Inventory 4.0 Generic Core Scale (PedsQL 4.0)(The PedsQL 4.0 will be conducted immediately after the completion of the intervention, and at 1-, 3- and 6-month follow-up via telephone interview.)
研究者
Dr Eva Ho
associate professor
The Hong Kong Polytechnic University