Pediatric advance care planning (pACP) for teens with cancer and their families: Design of a dyadic, longitudinal RCCT

Title

Pediatric advance care planning (pACP) for teens with cancer and their families: Design of a dyadic, longitudinal RCCT

Creator

Curtin KB; Watson AE; Wang J; Okonkwo OC; Lyon ME

Publisher

Contemporary clinical trials

Date

2017

Subject

Decision Making; Terminal Care/og [Organization & Administration]; Male; Advance Care Planning/og [Organization & Administration]; Young Adult; Communication; Humans; United States; Longitudinal Studies; Adolescent; Neoplasms/px [Psychology]; Female; Research Design; Single-Blind Method; Quality of Life; Family/px [Psychology]; Patient Preference/px [Psychology]

Description

Cancer is the leading cause of disease-related death for adolescents and young adults (AYAs) in the United States. Parents of AYAs with life-threatening illnesses have expressed the desire to talk to their children about end of life (EOL) care, yet, like caregivers of adult patients, struggle to initiate this conversation. Building Evidence for Effective Palliative/End of Life Care for Teens with Cancer is a longitudinal, randomized, controlled, single-blinded clinical trial aimed at evaluating the efficacy of FAmily CEntered disease-specific advance care planning (ACP) for teens with cancer (FACE-TC). A total of 130 dyads (260 subjects) composed of AYAs 14-20years old with cancer and their family decision maker (>=18years old) will be recruited from pediatric oncology programs at Akron Children's Hospital and St. Jude Children's Research Hospital. Dyads will be randomized to either the FACE-TC intervention or Treatment as Usual (TAU) control. FACE-TC intervention dyads will complete three 60-minute ACP sessions held at weekly intervals. Follow-up data will be collected at 3, 6, 12, and 18months post-intervention by a blinded research assistant (RA). The effects of FACE-TC on patient-family congruence in treatment preferences, quality of life (QOL), and advance directive completion will be analyzed. FACE-TC is an evidenced-based and patient-centered intervention that considers QOL and EOL care according to the AYA's representation of illness. The family is involved in the ACP process to facilitate shared decision making, increase understanding of the AYA's preferences, and make a commitment to honor the AYA's wishes.Copyright � 2017 Elsevier Inc. All rights reserved.

Citation List Month

Oncology 2018 List

Collection

Citation

Curtin KB; Watson AE; Wang J; Okonkwo OC; Lyon ME, “Pediatric advance care planning (pACP) for teens with cancer and their families: Design of a dyadic, longitudinal RCCT,” Pediatric Palliative Care Library, accessed May 25, 2022, https://pedpalascnetlibrary.omeka.net/items/show/16051.

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