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Design and rationale for NOURISH-T: a randomized control trial targeting parents of overweight children off cancer treatment.

作者信息

Stern Marilyn, Ewing Lin, Davila Esther, Thompson Amanda L, Hale Gregory, Mazzeo Suzanne

机构信息

Department of Rehabilitation and Mental Health Counseling, University of South Florida, Tampa, FL, United States.

University of Pittsburgh Medical Center, Pittsburgh, PA, United States.

出版信息

Contemp Clin Trials. 2015 Mar;41:227-37. doi: 10.1016/j.cct.2014.12.018. Epub 2015 Jan 2.


DOI:10.1016/j.cct.2014.12.018
PMID:25559916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8077729/
Abstract

Approximately 40% of off-treatment pediatric cancer survivors (PCS) are overweight or obese, which increases their risk for negative long-term physical health complications. Consistent with the Institute of Medicine's (IOM) emphasis on patients transitioning from treatment to cancer survivorship and increasing long-term healthy behaviors in these survivors, we plan to conduct a pilot RCT to address the increasing overweight/obesity rates among PCS by targeting their caregivers as agents for PCS behavior change. We plan to focus on parents' behaviors, attitudes and roles in promoting healthier eating and physical activity (PA) in PCS and adapt an evidence-informed, manualized parent intervention - NOURISH - found to be effective for parents of overweight and obese children and adolescents in reducing child and adolescent BMI. We plan to adapt NOURISH for caregivers of 5-12 year old PCS (6 months-4 years off active cancer treatment). Our pilot feasibility RCT - NOURISH-T (Nourishing Our Understanding of Role modeling to Improve Support for Healthy Transitions) evaluates: 1) the preliminary efficacy of NOURISH-T for PCS, compared with an Enhanced Usual Care (EUC) control condition, and 2) factors to consider to improve future adaptations of the intervention. The project will enroll caregivers of PCS at two pediatric oncology clinics into the 6-week intervention (or EUC) with assessments occurring pre- and post-6 weeks of intervention, and at a 4-month follow-up.

摘要

相似文献

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[2]
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[3]
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J Immigr Minor Health. 2021-2

[4]
Nutrition education and cooking workshops for families of children with cancer: a feasibility study.

BMC Nutr. 2019-11-19

[5]
NOURISH-T: Targeting caregivers to improve health behaviors in pediatric cancer survivors with obesity.

Pediatr Blood Cancer. 2018-1-19

[6]
Research- and Practice-Based Nutrition Education and Cooking Workshops in Pediatric Oncology: Protocol for Implementation and Development of Curriculum.

JMIR Res Protoc. 2018-1-9

[7]
Diet and exercise interventions for pediatric cancer patients during therapy: tipping the scales for better outcomes.

Pediatr Res. 2017-10-25

[8]
Weight Trajectories of Israeli Pediatric Cancer Survivors.

J Pediatr Psychol. 2017-6-1

[9]
Nutritional interventions for survivors of childhood cancer.

Cochrane Database Syst Rev. 2016-8-22

本文引用的文献

[1]
Parent skills training to enhance weight loss in overweight children: evaluation of NOURISH.

Eat Behav. 2014-2-3

[2]
Systematic review and meta-analysis of comprehensive behavioral family lifestyle interventions addressing pediatric obesity.

J Pediatr Psychol. 2014-9

[3]
Fit4Life: a weight loss intervention for children who have survived childhood leukemia.

Pediatr Blood Cancer. 2014-1-16

[4]
Relations among optimism, perceived health vulnerability, and academic, self-regulatory, and social self-efficacy in adolescent survivors of childhood cancer.

J Psychosoc Oncol. 2014

[5]
Survivors of childhood and adolescent cancer: life-long risks and responsibilities.

Nat Rev Cancer. 2013-12-5

[6]
Obesity and insulin resistance in pediatric acute lymphoblastic leukemia worsens during maintenance therapy.

Pediatr Blood Cancer. 2013-2-26

[7]
Nourishing Our Understanding of Role Modeling to Improve Support and Health (NOURISH): design and methods.

Contemp Clin Trials. 2012-1-18

[8]
Psychological, social, and behavioral issues for young adults with cancer.

Cancer. 2011-5-15

[9]
A cross-sectional study of overweight in pediatric survivors of acute lymphoblastic leukemia (ALL).

Pediatr Blood Cancer. 2011-2-11

[10]
Six-month dietary changes in ethnically diverse, obese adolescents participating in a multidisciplinary weight management program.

Clin Pediatr (Phila). 2011-5

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