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CompletedNCT04342871FACTUpdated Aug 15, 2024Results posted

An Evaluation of the Families Addressing Cancer Together (FACT) Intervention

An interventional study of FACT in Neoplasms, Cancer and Parenting, sponsored by UNC Lineberger Comprehensive Cancer Center. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-15.

Sponsored by UNC Lineberger Comprehensive Cancer Center · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
53
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a pilot feasibility and acceptability study to inform the development and testing of a novel communication intervention to support parents in their communication with children about cancer. The research questions to be answered by this study are whether the intervention being tested can be feasible and acceptable, and provide preliminary estimates of improvement in parental psychological distress.

Read the detailed description

This is a single-arm, single center pilot study using a pretest-posttest design to evaluate the feasibility and acceptability of a psychosocial intervention, Families Addressing Cancer Together (FACT). The purpose of the intervention is to decrease parental anxiety by facilitating parental communication about cancer with their children. The primary hypothesis being tested is that an intervention that assists parents with their communication needs with their children can be feasible, acceptable, and reduce parental psychological distress. Findings from this study will inform a future grant application to further test this intervention in a randomized controlled trial.

02

Conditions studied

  • Neoplasms
  • Cancer
  • Parenting
  • Communication
  • Parents
  • Parent-Child Relations
03

In context

Neoplasms

9,616 studies on the registry are indexed under Neoplasms; 2,508 are open to participants now.

This study's enrollment of 53 is close to the median of 50 across 7,429 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

UNC Lineberger Comprehensive Cancer Center is the lead sponsor of 424 studies on the registry; 96 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 26 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Informed consent reviewed and signed;
  • Age equal to or above 18 years;
  • Ability to understand and comply with study procedures;
  • Be a parent, primary caregiver, or guardian of at least one child between the ages of 3-19 years old with whom the subject has regular contact. The child must have cognitive ability to understand verbal communication;
  • Have a new or recurrent diagnosis of invasive solid tumor malignancy within the past 6 months or have a solid tumor cancer diagnosis with disease that is either stage IV or equivalent;
  • Have a cancer diagnosis that is likely to require systemic anti-neoplastic therapy, non-office based surgical intervention, radiation therapy, or palliative care/hospice within the next three months.

Exclusion criteria

Exclusion Criteria:

  • Unable to complete self-report instruments due to illiteracy, neurologic illness, inability to speak or read English, or other causes.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
53 participants (actual)

Study arms

  • Experimental
    FACT

    Patients will receive access to intervention materials.

    Behavioral: FACT

Interventions

  • BehavioralFACT

    Customized communication guidance to help parents with cancer talk about their cancer with their children.

06

What researchers measure

Primary outcomes

  1. Acceptability of the Intervention Measured by the Study Visit Satisfaction Form FACT Was Helpful

    Acceptability of the intervention will be assessed through participants' satisfaction ratings used a study-specific satisfaction scale, "Families Addressing Cancer Together (FACT) satisfaction scale." Four-items (0=not at all, 3=very), higher scores indicate more satisfaction.

    Time frame: 14 days

  2. Acceptability of the Intervention Assessed Via Semi-structured Interviews

    Participants were interviewed about their experiences with the study intervention using semi-structured interviews. Parents' comments on the intervention "helped them feel more comfortable and prepared to talk with their children about their illness" were graded as participants overall intervention satisfaction.

    Time frame: 14 days

  3. Acceptability of the Intervention Measured by the Study Visit Satisfaction Form-FACT Was Useful

    Acceptability of the intervention will be assessed through participants' satisfaction ratings used a study-specific satisfaction scale, "Families Addressing Cancer Together (FACT) satisfaction scale." Four-items (0=not at all, 3=very), higher scores indicate more satisfaction.

    Time frame: 14 days

  4. Acceptability of the Intervention Measured by the Study Visit Satisfaction Form Content Was Important

    Acceptability of the intervention will be assessed through participants' satisfaction ratings used a study-specific satisfaction scale, "Families Addressing Cancer Together (FACT) satisfaction scale." Four-items (0=not at all, 3=very), higher scores indicate more satisfaction.

    Time frame: 14 days

  5. Acceptability of the Intervention Measured by the Study Visit Satisfaction Form- Overall Satisfaction

    Acceptability of the intervention will be assessed through participants' satisfaction ratings used a study-specific satisfaction scale, "Families Addressing Cancer Together (FACT) satisfaction scale." Four-items (0=not at all, 3=very), higher scores indicate more satisfaction.

    Time frame: 14 days

Secondary outcomes

  1. Feasibility of Screening

    The number of subjects who were screened, recruited, and retained in the study were reported.

    Time frame: Baseline

  2. Feasibility of Recruitment

    Number of patients who enroll in the study

    Time frame: Baseline

  3. Communication Self-efficacy Measured by the Adapted Communication Self-Efficacy Scale

    Assess the change in patient's communication self-efficacy. The adapted Communication Self-Efficacy scale is a 9-item Visual Analogue Scale assessing parent's confidence in their ability to tell their child about parental medical illness. The score range is 0 to 100 with higher scores indicating higher confidence.

    Time frame: Baseline, 14 days, 84 days

07

Results

Posted Aug 15, 2024

Participant flow

Subjects were recruited from October 2020 to April 2021 in one center in North Carolina. Although 53 participants consented, 5 subjects did not complete the baseline assessment, and 2 subjects' clinical conditions did not allow them to complete the study requirements. Forty -six participants received the baseline intervention, 35 out of 46 participants completed the 2-week intervention, and 29 out of 35 participants completed the 12-week intervention.

Participant flow — Overall Study
MilestoneFACT
Started53
Completed29
Not completed24
Withdrew: Death4
Withdrew: Clinical deterioration/illness progression2
Withdrew: Did not complete baseline assessments5
Withdrew: Lost to follow-up13

Outcome measures

PrimaryAcceptability of the Intervention Measured by the Study Visit Satisfaction Form FACT Was Helpful

Acceptability of the intervention will be assessed through participants' satisfaction ratings used a study-specific satisfaction scale, "Families Addressing Cancer Together (FACT) satisfaction scale." Four-items (0=not at all, 3=very), higher scores indicate more satisfaction.

Time frame:
14 days
Reported as:
Count of participants · Participants
Acceptability of the Intervention Measured by the Study Visit Satisfaction Form FACT Was Helpful
ParticipantsFACT Was Helpful
Yes26
No3
PrimaryAcceptability of the Intervention Assessed Via Semi-structured Interviews

Participants were interviewed about their experiences with the study intervention using semi-structured interviews. Parents' comments on the intervention "helped them feel more comfortable and prepared to talk with their children about their illness" were graded as participants overall intervention satisfaction.

Time frame:
14 days
Reported as:
Count of participants · Participants
Acceptability of the Intervention Assessed Via Semi-structured Interviews
ParticipantsFACT
Intervention was satisfactory10
Intervention was not satisfactory0
PrimaryAcceptability of the Intervention Measured by the Study Visit Satisfaction Form-FACT Was Useful

Acceptability of the intervention will be assessed through participants' satisfaction ratings used a study-specific satisfaction scale, "Families Addressing Cancer Together (FACT) satisfaction scale." Four-items (0=not at all, 3=very), higher scores indicate more satisfaction.

Time frame:
14 days
Reported as:
Count of participants · Participants
Acceptability of the Intervention Measured by the Study Visit Satisfaction Form-FACT Was Useful
ParticipantsFACT Was Useful
Yes26
No3
PrimaryAcceptability of the Intervention Measured by the Study Visit Satisfaction Form Content Was Important

Acceptability of the intervention will be assessed through participants' satisfaction ratings used a study-specific satisfaction scale, "Families Addressing Cancer Together (FACT) satisfaction scale." Four-items (0=not at all, 3=very), higher scores indicate more satisfaction.

Time frame:
14 days
Reported as:
Count of participants · Participants
Acceptability of the Intervention Measured by the Study Visit Satisfaction Form Content Was Important
ParticipantsFACT Was Helpful
Yes27
No2
PrimaryAcceptability of the Intervention Measured by the Study Visit Satisfaction Form- Overall Satisfaction

Acceptability of the intervention will be assessed through participants' satisfaction ratings used a study-specific satisfaction scale, "Families Addressing Cancer Together (FACT) satisfaction scale." Four-items (0=not at all, 3=very), higher scores indicate more satisfaction.

Time frame:
14 days
Reported as:
Count of participants · Participants
Acceptability of the Intervention Measured by the Study Visit Satisfaction Form- Overall Satisfaction
ParticipantsFACT Was Helpful
Yes27
No2
SecondaryFeasibility of Screening

The number of subjects who were screened, recruited, and retained in the study were reported.

Time frame:
Baseline
Reported as:
Count of participants · Participants
Feasibility of Screening
ParticipantsFACT
Screened69
Recruited/consented53
Completed baseline intervention46
Completed 2-week intervention35
Completed 12-week intervention29
SecondaryFeasibility of Recruitment

Number of patients who enroll in the study

Time frame:
Baseline
Reported as:
Count of participants · Participants
Feasibility of Recruitment
ParticipantsFACT
Number who consented for participation53
Number who completed baseline assessments to receive intervention46
SecondaryCommunication Self-efficacy Measured by the Adapted Communication Self-Efficacy Scale

Assess the change in patient's communication self-efficacy. The adapted Communication Self-Efficacy scale is a 9-item Visual Analogue Scale assessing parent's confidence in their ability to tell their child about parental medical illness. The score range is 0 to 100 with higher scores indicating higher confidence.

Time frame:
Baseline, 14 days, 84 days
Reported as:
Mean · score on a scale
Communication Self-efficacy Measured by the Adapted Communication Self-Efficacy Scale
score on a scaleBaseline14 Days84 Days
Communication Self-efficacy Measured by the Adapted Communication Self-Efficacy Scale78.8 ± 20.682.8 ± 20.282.8 ± 23.5
Statistical analysis
  • Baseline · t-test, 2 sided · p = 0.2

Adverse events

Collected over Through study completion, an average of six months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
FACT4/53 (7.5%)0/53 (0%)0/53 (0%)

Baseline characteristics

Includes participants who provided informed consent and completed baseline assessments

Age, Continuous
Age, Continuous(years)FACT
Mean45.87 ± 7.14
Sex: Female, Male
Sex: Female, Male(Participants)FACT
Female35
Male18
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)FACT
Hispanic or Latino2
Not Hispanic or Latino51
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)FACT
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American10
White39
More than one race2
Unknown or Not Reported1
08

Study locations

2 sites
  • Lineberger Comprehensive Cancer Center at University of North Carolina, Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • University of North Carolina Hospital
    Chapel Hill, North Carolina 27599, United States
09

References and documents

Publications

  • Park EM, Deal AM, Heiling HM, Jung A, Yopp JM, Bowers SM, Hanson LC, Song MK, Valle CG, Yi B, Cassidy A, Won H, Rosenstein DL. Families Addressing Cancer Together (FACT): feasibility and acceptability of a web-based psychosocial intervention for parents with cancer. Support Care Cancer. 2022 Oct;30(10):8301-8311. doi: 10.1007/s00520-022-07278-x. Epub 2022 Jul 13. PubMed 35831719 ↗

Study documents

  • Protocol and statistical analysis plan · Sep 9, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04342871
Responsible party
Sponsor
First posted
Apr 13, 2020
Start date
Oct 5, 2020
Primary completion
Jul 27, 2021
Completion
Jul 27, 2021
Results posted
Aug 15, 2024
Last update
Aug 15, 2024

Study contacts

Eliza Park, MD
principal investigator · University of North Carolina, Chapel Hill

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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