Trial Outcomes & Findings for Effect of Nurse-led Education on Parent's Anxiety and Depression on Managing Side Effects of Chemotherapy (NCT NCT03753542)

NCT ID: NCT03753542

Last Updated: 2022-07-28

Results Overview

DASS-21 is comprised of questionnaires for three separate scales measuring Depression, Anxiety and Stress. The depression scale is scored by summing the responses of each question, multiplying by 2 and then scoring on a scale ranging from a minimum of 0 to a maximum of 28+, with higher scores indicating greater severity. The anxiety scale is scored by summing the responses of each question, multiplying by 2 and then scoring on a scale ranging from a minimum of 0 to a maximum of 20+, with higher scores indicating greater severity. The stress scale is scored by summing the responses of each question, multiplying by 2 and then scoring on a scale ranging from a minimum of 0 to a maximum of 37+, with higher scores indicating greater severity

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

100 participants

Primary outcome timeframe

up to 4 weeks

Results posted on

2022-07-28

Participant Flow

The parents along with children were recruited in the study from September 2018 to November 2018 and follow up were continued from October 2018 to December 2018. After the completion of follow up to 5th December 2018 the trail was ended due to the completion of target sample sized (N=100) of parents and follow up schedule.The age of children were taken as associated factor for parent as study evident that children age has impact on parents anxiety. Parent age was not taken due to guardian issue.

Total 100 parents were randomly divided into Intervention group (n=50) and Control Group (n=50). After excluding lost to follow up, the data was analyzed from 77 sample of parents (41 in intervention group and 36 in control group). The intervention group received multimedia education, booklet and weekly tele-nursing follow-up about chemotherapy and side effects management. The control group received routine care.

Participant milestones

Participant milestones
Measure
Intervention
The Intervention group received multimedia education, booklet and weekly tele-nursing follow-up about chemotherapy and side effects management
Control
The Control group receive routine care
Overall Study
STARTED
50
50
Overall Study
COMPLETED
41
36
Overall Study
NOT COMPLETED
9
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention
The Intervention group received multimedia education, booklet and weekly tele-nursing follow-up about chemotherapy and side effects management
Control
The Control group receive routine care
Overall Study
Lost to Follow-up
9
14

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=41 Participants
The Intervention group will received multimedia education, booklet and weekly tele-nursing follow-up about chemotherapy and side effects management Multimedia education, booklet Providence and tele-nursing follow-up: Multimedia education, booklet and weekly tele-nursing follow-up is about chemotherapy and side effects management
Control
n=36 Participants
The Control group will receive routine care
Total
n=77 Participants
Total of all reporting groups
Age, Customized
1. Child Age: · 2-4years
13 Participants
n=41 Participants
11 Participants
n=36 Participants
24 Participants
n=77 Participants
Age, Customized
1. Child Age: · 5-7years
10 Participants
n=41 Participants
8 Participants
n=36 Participants
18 Participants
n=77 Participants
Age, Customized
1. Child Age: · 8-12 years
12 Participants
n=41 Participants
12 Participants
n=36 Participants
24 Participants
n=77 Participants
Age, Customized
1. Child Age: · 13-18 years
6 Participants
n=41 Participants
5 Participants
n=36 Participants
11 Participants
n=77 Participants
Sex/Gender, Customized
2. Child Gender: · Male
24 Participants
n=41 Participants
26 Participants
n=36 Participants
50 Participants
n=77 Participants
Sex/Gender, Customized
2. Child Gender: · Female
17 Participants
n=41 Participants
10 Participants
n=36 Participants
27 Participants
n=77 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
3. Primary Care Giver:
Mother/Father
38 Participants
n=41 Participants
30 Participants
n=36 Participants
68 Participants
n=77 Participants
3. Primary Care Giver:
Others
3 Participants
n=41 Participants
6 Participants
n=36 Participants
9 Participants
n=77 Participants
4. Residency/Locality:
Local
17 Participants
n=41 Participants
11 Participants
n=36 Participants
28 Participants
n=77 Participants
4. Residency/Locality:
Non- Local
24 Participants
n=41 Participants
25 Participants
n=36 Participants
49 Participants
n=77 Participants
5. Occupation
Labor
24 Participants
n=41 Participants
18 Participants
n=36 Participants
42 Participants
n=77 Participants
5. Occupation
Shopkeeper
8 Participants
n=41 Participants
9 Participants
n=36 Participants
17 Participants
n=77 Participants
5. Occupation
Other
9 Participants
n=41 Participants
9 Participants
n=36 Participants
18 Participants
n=77 Participants
6. Level of education
Uneducated
11 Participants
n=41 Participants
11 Participants
n=36 Participants
22 Participants
n=77 Participants
6. Level of education
School Education
17 Participants
n=41 Participants
16 Participants
n=36 Participants
33 Participants
n=77 Participants
6. Level of education
Higher Education
13 Participants
n=41 Participants
9 Participants
n=36 Participants
22 Participants
n=77 Participants
7. Employment status
Daily Wages
28 Participants
n=41 Participants
21 Participants
n=36 Participants
49 Participants
n=77 Participants
7. Employment status
Monthly Salary
13 Participants
n=41 Participants
15 Participants
n=36 Participants
28 Participants
n=77 Participants
8. Income per month (Rupees)
less than 10,000
12 Participants
n=41 Participants
17 Participants
n=36 Participants
29 Participants
n=77 Participants
8. Income per month (Rupees)
More than 10,000
29 Participants
n=41 Participants
19 Participants
n=36 Participants
48 Participants
n=77 Participants
9 Child Diagnoses
Leukemia
28 Participants
n=41 Participants
23 Participants
n=36 Participants
51 Participants
n=77 Participants
9 Child Diagnoses
Other
13 Participants
n=41 Participants
13 Participants
n=36 Participants
26 Participants
n=77 Participants
10. Family History of cancer
No
34 Participants
n=41 Participants
33 Participants
n=36 Participants
67 Participants
n=77 Participants
10. Family History of cancer
Yes
7 Participants
n=41 Participants
3 Participants
n=36 Participants
10 Participants
n=77 Participants
11. Pain felt by the child
No
23 Participants
n=41 Participants
26 Participants
n=36 Participants
49 Participants
n=77 Participants
11. Pain felt by the child
yes
18 Participants
n=41 Participants
10 Participants
n=36 Participants
28 Participants
n=77 Participants
12. Do parent have smoking habits?
No
21 Participants
n=41 Participants
23 Participants
n=36 Participants
44 Participants
n=77 Participants
12. Do parent have smoking habits?
Yes
20 Participants
n=41 Participants
13 Participants
n=36 Participants
33 Participants
n=77 Participants
Depression
15.41 units on a scale
STANDARD_DEVIATION 5.97 • n=41 Participants
16.28 units on a scale
STANDARD_DEVIATION 7.32 • n=36 Participants
15.82 units on a scale
STANDARD_DEVIATION 6.6 • n=77 Participants
Anxiety
11.9 units on a scale
STANDARD_DEVIATION 6.51 • n=41 Participants
10.72 units on a scale
STANDARD_DEVIATION 7 • n=36 Participants
11.35 units on a scale
STANDARD_DEVIATION 6.72 • n=77 Participants
Stress
16.63 units on a scale
STANDARD_DEVIATION 5.96 • n=41 Participants
16.67 units on a scale
STANDARD_DEVIATION 6.45 • n=36 Participants
16.65 units on a scale
STANDARD_DEVIATION 6.15 • n=77 Participants

PRIMARY outcome

Timeframe: up to 4 weeks

Population: Total 100 parents were enrolled and randomly allocated to (i)intervention group and (ii)Control group with equal number of allocations in each group respectively. The data were analyzed after excluding lost to follow up variables.

DASS-21 is comprised of questionnaires for three separate scales measuring Depression, Anxiety and Stress. The depression scale is scored by summing the responses of each question, multiplying by 2 and then scoring on a scale ranging from a minimum of 0 to a maximum of 28+, with higher scores indicating greater severity. The anxiety scale is scored by summing the responses of each question, multiplying by 2 and then scoring on a scale ranging from a minimum of 0 to a maximum of 20+, with higher scores indicating greater severity. The stress scale is scored by summing the responses of each question, multiplying by 2 and then scoring on a scale ranging from a minimum of 0 to a maximum of 37+, with higher scores indicating greater severity

Outcome measures

Outcome measures
Measure
Intervention
n=41 Participants
The Intervention group received multimedia education, booklet and weekly tele-nursing follow-up about chemotherapy and side effects management
Control
n=36 Participants
The Control group will receive routine follow up.
Depression, Anxiety and Stress Scale - 21 (DASS-21)
Post-Depression (After 1 week)
6.44 score on a scale
Standard Deviation 3.94
9.72 score on a scale
Standard Deviation 5.82
Depression, Anxiety and Stress Scale - 21 (DASS-21)
Two- Week Post Depression (After 2 week)
2.63 score on a scale
Standard Deviation 2.98
6.11 score on a scale
Standard Deviation 4.94
Depression, Anxiety and Stress Scale - 21 (DASS-21)
Post-Anxiety (After 1 week)
4.2 score on a scale
Standard Deviation 3.43
6.61 score on a scale
Standard Deviation 5.23
Depression, Anxiety and Stress Scale - 21 (DASS-21)
Two- Week Post Anxiety (After 2 week)
1.75 score on a scale
Standard Deviation 2.33
4.27 score on a scale
Standard Deviation 3.61
Depression, Anxiety and Stress Scale - 21 (DASS-21)
Post-Stress (After 1 week)
7.02 score on a scale
Standard Deviation 4.59
11 score on a scale
Standard Deviation 6.3
Depression, Anxiety and Stress Scale - 21 (DASS-21)
Two- Week Post Stress (After 2 week)
2.88 score on a scale
Standard Deviation 3.1
6.83 score on a scale
Standard Deviation 5.22

Adverse Events

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Nomi Waqas Gul, Student MSN DUHS ION and Asst. Controller Sindh Nurses Examination Board, Karachi

Institute of Nursing Dow University of Health Sciences, Karachi/Sindh Nurses Examination Board, Karachi

Phone: 0345-2506790

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place