title: Parent-directed intervention for children with cancer-related neurobehavioral late effects: a randomized pilot study.
abstract: OBJECTIVE : To evaluate feasibility and preliminary efficacy of an intervention directed at parents of childhood cancer survivors (CCSs) with neurobehavioral late effects to improve targeted parenting skills, and thus to indirectly benefit the child's educational functioning.  METHODS : 44 CCSs and their parents were randomized. Intervention-arm parents participated in eight individual training sessions augmented by a 3-month telephone support period. Pre- and postparent measures and child performance on Wechsler Individual Achievement Test-II and School Motivation and Learning Strategies Inventory assessed intervention effects.  RESULTS : 90% of intervention parents completed the program with high adherence/perceived benefit. Between-group effect sizes ranged from d = 0.77 to d = 1.45 for parent knowledge, efficacy, frequency of pro-learning behaviors, and d = 0.21 to d = 0.76 for child academic scores. Parental time spent in intervention activities was associated with academic change.  CONCLUSIONS : A parent-directed intervention to indirectly promote academic functioning in CCSs appears feasible and effective in improving targeted parenting outcomes and for selected child academic outcomes.
authors: City of Hope Medical Center, Duarte, CA, USA, South Central Los Angeles Regional Center, Los Angeles, CA, USA, and Fuller Theological Seminary, Pasadena, CA, USA spatel@coh.org.
authors: Sunita K
authors: SK
authors: Patel
authors: City of Hope Medical Center, Duarte, CA, USA, South Central Los Angeles Regional Center, Los Angeles, CA, USA, and Fuller Theological Seminary, Pasadena, CA, USA.
authors: Paula
authors: P
authors: Ross
authors: City of Hope Medical Center, Duarte, CA, USA, South Central Los Angeles Regional Center, Los Angeles, CA, USA, and Fuller Theological Seminary, Pasadena, CA, USA.
authors: Michelle
authors: M
authors: Cuevas
authors: City of Hope Medical Center, Duarte, CA, USA, South Central Los Angeles Regional Center, Los Angeles, CA, USA, and Fuller Theological Seminary, Pasadena, CA, USA.
authors: Anne
authors: A
authors: Turk
authors: City of Hope Medical Center, Duarte, CA, USA, South Central Los Angeles Regional Center, Los Angeles, CA, USA, and Fuller Theological Seminary, Pasadena, CA, USA.
authors: Heeyoung
authors: H
authors: Kim
authors: City of Hope Medical Center, Duarte, CA, USA, South Central Los Angeles Regional Center, Los Angeles, CA, USA, and Fuller Theological Seminary, Pasadena, CA, USA.
authors: Tracy T Y
authors: TT
authors: Lo
authors: City of Hope Medical Center, Duarte, CA, USA, South Central Los Angeles Regional Center, Los Angeles, CA, USA, and Fuller Theological Seminary, Pasadena, CA, USA.
authors: Lennie F
authors: LF
authors: Wong
authors: City of Hope Medical Center, Duarte, CA, USA, South Central Los Angeles Regional Center, Los Angeles, CA, USA, and Fuller Theological Seminary, Pasadena, CA, USA.
authors: Smita
authors: S
authors: Bhatia
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D000124:Achievement; D005240:Feasibility Studies; D007858:Learning; D009042:Motivation; D009369:Neoplasms / Q000523:psychology; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000523:psychology; D010865:Pilot Projects; D015397:Program Evaluation / Q000706:statistics & numerical data; D017741:Survivors / Q000523:psychology; D016896:Treatment Outcome; D003071:Cognition; D019359:Knowledge
keywords: cancer and oncology; intervention outcome; neuropsychology; parenting; randomized controlled trial; rehabilitation