title: The Enhancing Connections-Telephone study: a pilot feasibility test of a cancer parenting program.
abstract: The purposes of the study were to (1) test the short-term impact of a telephone-delivered cancer parenting education program, the Enhancing Connections-Telephone (EC-T) Program, on maternal anxiety, depressed mood, parenting competencies, and child behavioral-emotional adjustment and (2) compare those outcomes with outcomes achieved from an in-person delivery of the same program (EC).
  
  
  
  Thirty-two mothers comprised the sample for the within-group design and 77 mothers for the between-group design. Mothers were eligible if they had one or more dependent children and were recently diagnosed with stages 0-III breast cancer. Mothers in both groups received five intervention sessions at 2-week intervals from a patient educator using a fully scripted intervention manual.
  
  
  
  Outcomes from the within-group analysis revealed significant improvements on maternal anxiety, parenting competencies, and the child's behavioral-emotional functioning. Outcomes from the between-group analysis showed the EC-T did as well or better than EC in positively affecting maternal anxiety, depressed mood, parenting competencies, and the child's behavioral-emotional adjustment. Furthermore, the EC-T had a significantly greater impact than the EC on maternal confidence in helping their family and themselves manage the cancer's impact and in staying calm during emotionally charged conversations about the breast cancer with their child.
  
  
  
  Regardless of the channel of delivery, the Enhancing Connections Program has the potential to positively affect parenting competencies and behavioral-emotional adjustment in mothers and dependent children in the first year of stages 0-III maternal breast cancer. Its positive impact from telephone delivery holds promise for sustainability.
authors: School of Nursing, University of Washington, Box 357262, Seattle, 98195, WA, USA. fmlewis@u.washington.edu.|Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA, 98109, USA. fmlewis@u.washington.edu.
authors: Frances Marcus
authors: FM
authors: Lewis
authors: School of Nursing, University of Washington, Box 357262, Seattle, 98195, WA, USA.
authors: Kristin A
authors: KA
authors: Griffith
authors: School of Nursing, University of Washington, Box 357262, Seattle, 98195, WA, USA.
authors: Amy
authors: A
authors: Walker
authors: College of Nursing, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
authors: Robin M
authors: RM
authors: Lally
authors: Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA.
authors: Elizabeth T
authors: ET
authors: Loggers
authors: School of Nursing, University of Washington, Box 357262, Seattle, 98195, WA, USA.
authors: Ellen H
authors: EH
authors: Zahlis
authors: School of Nursing, University of Washington, Box 357262, Seattle, 98195, WA, USA.
authors: Mary Ellen
authors: ME
authors: Shands
authors: School of Nursing, University of Washington, Box 357262, Seattle, 98195, WA, USA.
authors: Zainab
authors: Z
authors: Alzawad
authors: School of Nursing, University of Washington, Box 357262, Seattle, 98195, WA, USA.
authors: Hebah
authors: H
authors: Al Mulla
authors: School of Nursing, University of Washington, Box 357262, Seattle, 98195, WA, USA.
authors: Nai-Ching
authors: NC
authors: Chi
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D005260:Female; D006266:Health Education; D006801:Humans; D009034:Mother-Child Relations / Q000523:psychology*; D009369:Neoplasms / Q000628:therapy*; D016487:Parenting / Q000523:psychology*; D010865:Pilot Projects; D013689:Telephone
keywords: Cancer; Children; Oncology; Parenting education; Pilot feasibility test