title: Acceptability and feasibility of an e-mental health intervention for parents of childhood cancer survivors: "Cascade".
abstract: The aim of this study was to evaluate the feasibility and acceptability of "Cascade": an online, group-based, cognitive behavioral therapy intervention, delivered "live" by a psychologist, to assist parents of children who have completed cancer treatment.
  
  
  
  Forty-seven parents were randomized to Cascade (n = 25) or a 6-month waitlist (n = 22). Parents completed questionnaires at baseline, 1-2 weeks and 6 months post-intervention. Thirty parents completed full evaluations of the Cascade program (n = 21 randomized to Cascade, n = 9 completed Cascade post-waitlist).
  
  
  
  Ninety-six percent of Cascade participants completed the intervention (n = 24/25). Eighty percent of parents completed every questionnaire (mean completion time 25 min (SD = 12)). Cascade was described as at least "somewhat" helpful by all parents. None rated Cascade as "very/quite" burdensome. Parents reported that the "online format was easy to use" (n = 28, 93.3 %), "I learnt new skills" (n = 28, 93.3 %), and "I enjoyed talking to others" (n = 29, 96.7 %). Peer-to-peer benefits were highlighted by good group cohesion scores.
  
  
  
  Cascade is highly acceptable and feasible. Its online delivery mechanism may address inequities in post-treatment support for parents, a particularly acute concern for rural/remote families. Future research needs to establish the efficacy of the intervention.
  
  
  
  ACTRN12613000270718, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12613000270718.
authors.affiliation: Kids Cancer Centre (KCC), Level 1, Sydney Children's Hospital, High Street, Randwick, NSW, 2031, Australia. c.wakefield@unsw.edu.au.|Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia. c.wakefield@unsw.edu.au.
authors.forename: Claire E
authors.initials: CE
authors.lastname: Wakefield
authors.affiliation: Kids Cancer Centre (KCC), Level 1, Sydney Children's Hospital, High Street, Randwick, NSW, 2031, Australia.|Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.|Sydney Youth Cancer Service, Prince of Wales/Sydney Children's Hospital, Randwick, NSW, Australia.
authors.forename: Ursula M
authors.initials: UM
authors.lastname: Sansom-Daly
authors.affiliation: Kids Cancer Centre (KCC), Level 1, Sydney Children's Hospital, High Street, Randwick, NSW, 2031, Australia.|Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
authors.forename: Brittany C
authors.initials: BC
authors.lastname: McGill
authors.affiliation: Kids Cancer Centre (KCC), Level 1, Sydney Children's Hospital, High Street, Randwick, NSW, 2031, Australia.|Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Ellis
authors.affiliation: Kids Cancer Centre (KCC), Level 1, Sydney Children's Hospital, High Street, Randwick, NSW, 2031, Australia.|Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
authors.forename: Emma L
authors.initials: EL
authors.lastname: Doolan
authors.affiliation: Kids Cancer Centre (KCC), Level 1, Sydney Children's Hospital, High Street, Randwick, NSW, 2031, Australia.|Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
authors.forename: Eden G
authors.initials: EG
authors.lastname: Robertson
authors.affiliation: Kids Cancer Centre (KCC), Level 1, Sydney Children's Hospital, High Street, Randwick, NSW, 2031, Australia.|Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
authors.forename: Sanaa
authors.initials: S
authors.lastname: Mathur
authors.affiliation: Kids Cancer Centre (KCC), Level 1, Sydney Children's Hospital, High Street, Randwick, NSW, 2031, Australia.|Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Cohn
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000379:methods* / Q000592:standards; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011615:Psychotherapy, Group / Q000379:methods* / Q000592:standards; D017741:Survivors / Q000523:psychology*; D017216:Telemedicine / Q000379:methods* / Q000592:standards
keywords: Cancer and oncology; Computer applications/eHealth; Coping skills and adjustment; Parents