AzTrials
AzTrials

Malignant NeoplasmNCT01556256

Music Therapy Video Development in Improving Communication, Emotional Distress, and Recovery in Adolescents/Young Adults Undergoing Treatment for High-Risk Cancer and Their Parents

A study testing Caregiver-Related Intervention or Procedure, Music Therapy and Quality-of-Life Assessment in people with Malignant Neoplasm, run by Children's Oncology Group at 8 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This randomized trial studies how well music therapy and parents' education work in improving communication, emotional distress, and recovery in adolescents/young adult patients undergoing treatment for high-risk cancer and their parents. Read more about this study

Who is it for?
Ages 11 to 24 years
Conditions the study is for
Malignant Neoplasm
What is being tested?
Caregiver-Related Intervention or Procedure, Music Therapy and Quality-of-Life Assessment
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
124 participants
Where
8 sitesUnited States
Study dates
23 Apr 2012to 2 Oct 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 11 to 24 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • AYA has initial or relapsed cancer diagnosis and is actively on treatment and will continue to be on treatment long enough to complete the intervention and evaluation (4 to 6 weeks)
  • AYA meets at least 1 of 3 criteria indicating potentially high palliative care or end-of-life needs:
  • Any high-risk cancer (i.e., metastatic or stage IV)
  • Receiving moderate- to high-intensity chemotherapy during 3-5 consecutive days in an in- or out-patient setting
  • A diagnosis with an estimated 5-year event-free survival of < 50%
  • AYA is able to participate in sessions as evaluated by the Karnofsky/Lansky score of 50% or greater
Show all 9Show fewer
  • One consistent parent is willing and available to participate in all parent and evaluation sessions
  • AYA is not married and has no children
  • AYA and parent are able to read, understand, and speak English

Who cannot join

  • Cancers not usually occurring in childhood/adolescent or young adult populations, such as lung or prostate cancer
  • Cognitive impairments that would make it difficult for AYA/parents to participate in the intervention or complete questionnaires (determination in consultation with attending physician, oncologist, and, for adolescents below age 18, the parents)

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Children's Healthcare of Atlanta - Egleston

    Atlanta, Georgia, 30322

  • Children's Healthcare of Atlanta - Scottish Rite

    Atlanta, Georgia, 30342

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Cook Children's Medical Center

    Fort Worth, Texas, 76104

  • Riley Hospital for Children

    Indianapolis, Indiana, 46202

  • Children's Mercy Hospitals and Clinics

    Kansas City, Missouri, 64108

  • Children's Hospitals and Clinics of Minnesota - Minneapolis

    Minneapolis, Minnesota, 55404

  • University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229

Other trials in United States

About this study

Official title: Music Video for AYA-Parent Communication and Resilience

This randomized trial studies how well music therapy and parents' education work in improving communication, emotional distress, and recovery in adolescents/young adult patients undergoing treatment for high-risk cancer and their parents. Making a music therapy video may improve communication, emotional distress, and recovery in younger patients undergoing treatment for cancer. It is not yet known whether music therapy and counseling for parents is more effective than information handouts for parents in improving communication and emotional distress in patients undergoing treatment for cancer.

Read the detailed description

PRIMARY OBJECTIVES:

  1. Compare the efficacy of a Therapeutic Music Video (TMV) intervention with a Therapeutic Music Video plus Parent (TMV+P) intervention on outcomes for adolescents/young adults (AYA) undergoing treatment for high-risk cancer.

II. Compare the efficacy of a TMV intervention with a TMV+P intervention on outcomes for parents of AYA with high-risk cancer.

III. Determine relationships of parent distress and parent perceived family environment with AYA outcomes using a mixed methods approach. (exploratory)

OUTLINE: This is a multicenter study. Patients are stratified according to age in years (11-13 vs 14-17 vs 18-24). Parents are randomized to 1 of 2 intervention arms.

ARM I (TMV, low-dose parent): AYA patients undergo 60-minute sessions, delivered in a private setting during outpatient clinic visits or hospitalizations, within a 6-8 weeks period with board-certified music therapists. The music therapists help patients in brainstorming and lyric writing, singing and creatively exploring how AYA lyrics and structure of the selected music fit together, recording their song with a digital accompaniment track, completing video layout worksheets (determining the contents of the video), taking and gathering photos or making drawings for the video, and viewing clip art and pictures on a computer. The music therapist then digitally formats, compiles, and transfers the AYA-developed music video to a DVD. When completed, the therapist shares the video with the AYA and offers the option of having a video "premiere." AYAs who choose a premiere select a date and time for the viewing and identify individuals they wish to attend (family, friends, healthcare professionals). After the viewing, AYAs receive a copy of their DVD to keep. Parents' presence and involvement during all sessions are directed by the AYAs. Parents receive 2 sessions over 15-60 minutes with a trained study team. During the first session, parents receive handouts of helpful website resources that have specific information to help parents support their AYAs. Team members also assure that parents know how to assess the sites. During the second session, parents receive audio-recorded, telephone-based contact by a trained nurse who asks them questions focusing on the content available on the provided website. The trained nurse also answers any questions parents may have.

ARM II (AYA TMV +P): AYA patients receive intervention as patients in arm I. Parents receive 3 tailored 60-minute sessions with a trained nurse intervener. Sessions are recorded to make sure study nurse delivers the sessions according to the study protocol. Study nurse provides support information to parents using the Robb's Contextual Support Model, including Managing the Chaos: Self Care as the First Step to Caring for Your AYA, Relationship Support: How to Listen to and Encourage Your AYA to Talk; and Strategies for AYA Autonomy Support: Understanding AYA's Ways of Coping. Session 3 content is also based on the Resilience in Illness model. Sessions are also tailored to parents' needs, skills practice and/or role playing, and reflection on and reinforcement of learning. Parents receive written materials on tips and prescribed skills practice plans. AYA and parents complete questionnaires including Illness-Related Distress, Defensive Coping, Spiritual Perspective, Social Integration, Family Environment questionnaires, Hope-Derived Meaning, Self-Transcendence, Positive Coping, Resilience, Parent Distress, and Quality of Life at baseline, at 2 weeks after final session, and then at 90 days after final intervention session. Medical background, intensity of treatment rating scale, and family demographics are also collected.

Being tested
Caregiver-Related Intervention or Procedure, Music Therapy, Quality-of-Life Assessment, Questionnaire Administration
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Caregiver-Related Intervention or ProcedureOther

    Undergo TMV+P

  • Music TherapyProcedure or surgery

    Undergo TMV

  • Music TherapyProcedure or surgery

    Undergo TMV+P

  • Quality-of-Life AssessmentOther

    Also called Quality of Life Assessment

    Ancillary studies

  • Questionnaire AdministrationOther

    Ancillary studies

Study groups in NCT01556256
Study groupRoleWhat they receive
Arm I (TMV)ExperimentalSee detailed description.
Receives: Procedure: Music Therapy; Other: Quality-of-Life Assessment; Other: Questionnaire Administration
Arm II (TMV+P)ExperimentalSee detailed description.
Receives: Other: Caregiver-Related Intervention or Procedure; Procedure: Music Therapy; Other: Quality-of-Life Assessment; Other: Questionnaire Administration

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. AYA illness-related distress measured by the Mishel Uncertainty in Illness Scale and the McCorkle Symptom Distress scale

    The MPLUS software will be used to perform latent variable analysis of covariance (ANCOVA) to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  2. AYA defensive coping measured by the Jalowiec Coping Scale-Revised

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  3. AYA spiritual perspective measured by the Reed Spiritual Perspective Scale

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  4. AYA social integration measured by the Perceived Social Support-Family scale, the Perceived Social Support-Friends scale, and the Perceived Social Support-Health Care Providers

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  5. AYA family environment measured by the Family Adaptability and Cohesion Scale II

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  6. AYA family environment measured by the Parent-Adolescent Communication scale

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  7. AYA family environment measured by the Family Strengths Scale

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  8. AYA positive coping measured by the Jalowiec Coping Scale-Revised

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  9. AYA hope-derived meaning measured by the Herth Hope Index

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  10. AYA self-transcendence measured by the Reed Self-Transcendence scale

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  11. AYA resilience measured by the Nowotny Confidence subscale, the Haase Resilience in Illness Scale, and the Index of Well-Being

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  12. Parental distress measured by the Perceived Stress Scale, the Profile of Mood States-Short Form, and the Spielberger's State-Trait Anxiety Inventory-State Component

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  13. Parent family environment measured by the Family Adaptability and Cohesion Scale

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  14. Parent family environment measured by the Parent-Adolescent Communication scale

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  15. Parent family environment measured by the Family Strengths Scale

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  16. Parent family environment measured by the Perceived Social Support-Health Care Providers

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

  17. Parent quality of life measured by the Index of Well-being

    The MPLUS software will be used to perform latent variable ANCOVA to account for measurement error and to reduce the number of comparisons.

    Measured: Up to 90 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Mar 2012 (estimated)
  2. Study start23 Apr 2012
  3. Primary completion31 Aug 2016
  4. Study completion2 Oct 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
124 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01556256
Sponsor's protocol ID
ANUR1131
Other IDs
NCI-2012-00682, CDR0000726664, COG-ANUR1131, ANUR1131, COG-ANUR1131, ANUR1131, R01CA162181, U10CA095861
Status last verified
Oct 2023
First submitted
15 Mar 2012
Last updated
10 Oct 2023
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Caregiver-Related Intervention or Procedure, Music Therapy and Quality-of-Life Assessment in people with Malignant Neoplasm, run by Children's Oncology Group at 8 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

AYA illness-related distress measured by the Mishel Uncertainty in Illness Scale and the McCorkle Symptom Distress scale (time frame: Up to 90 days). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Oct 2023; AzTrials last refreshed its copy on 7 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in