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RecruitingNCT07805096Updated Sep 4, 2026

Efficacy of a Smart Holistic Health Care Platform Intervention on Cancer Children and Parents' Bio-Psycho-Social and Spiritual Health

An interventional study of Parent Smart Holistic Health Care Platform (P-SHHCP) and Child Smart Holistic Health Care Platform (C-SHHCP) in Leukemia (Both ALL and AML) and Brain Tumors, sponsored by National Defense Medical University, Taiwan. Recruiting at 1 site in Taiwan. Open to participants aged 7 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by National Defense Medical University, Taiwan · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Dec 2025, registered Sep 2026).
  • Started Dec 2025; still recruiting 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
7 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 26 studies in Leukemia with a site in Taiwan — 4 open to participants now, 9 under way, 4 of them phase 3. Leukemia · Taiwan.

Planned enrollment
18th of 23
120 · median 307
Started
2025
with 1 other
No phase
Only one
of the 26
Registered
26th of 26
by date

Among the 26 studies in Leukemia with a site in Taiwan, this one is the 18th largest by planned enrollment of the 23 interventional ones, is one of 2 that started in 2025, is the only one with no phase, and was the 26th registered.

By phase

26 studies; the count open now beside each. This study's row is marked.

Phase 313 · 1 open
Phase 24 · 0 open
Observational3 · 0 open
Phase 1/23 · 2 open
No phasethis study1 · 1 open
Phase 11 · 0 open
Phase 41 · 0 open

By the year they started

First in 2000; this study’s year is marked. 2 started in 2025.

Size and results

Median enrollment 307 across the 23 interventional studies, 1,456 across the 3 observational. Of the 15 that completed or were terminated, 13 (87%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 26 studies in Leukemia with a site in Taiwan, or all of them as a file.
02

Study summary

This multicenter randomized controlled trial aims to develop and evaluate two Smart Holistic Health Care Platforms (SHHCPs) for families of children with cancer in Taiwan: the Parent Smart Holistic Health Care Platform (P-SHHCP) for parents and the Child Smart Holistic Health Care Platform (C-SHHCP) for children. Children diagnosed with leukemia or brain tumors and their primary caregivers (parents) will be recruited from pediatric oncology and hematology units at four medical centers in northern Taiwan. The SHHCPs are designed to strengthen communication and connection between families and health care providers and to provide holistic support for physical, psychological, social, and spiritual needs during cancer treatment.The study will evaluate the effects of the P-SHHCP and C-SHHCP on the physical, psychological, social, and spiritual well-being of children with cancer and their parents during treatment.

Read the detailed description

This study is a multicenter randomized controlled trial conducted at four medical centers in northern Taiwan: Tri-Service General Hospital, National Taiwan University Hospital, Taipei Veterans General Hospital, and Mackay Memorial Hospital. Children diagnosed with leukemia or brain tumors and their primary caregivers (parents) will be recruited from pediatric oncology and hematology units using convenience sampling.

The study aims to develop and evaluate two Smart Holistic Health Care Platforms (SHHCPs): the Parent Smart Holistic Health Care Platform (P-SHHCP) and the Child Smart Holistic Health Care Platform (C-SHHCP). The platforms are designed to strengthen communication between families and health care providers and to provide holistic support addressing physical, psychological, social, and spiritual needs throughout cancer treatment.

Eligible parent and child participants will complete baseline assessments before the intervention. Participants assigned to the intervention group will receive the SHHCP intervention, while participants assigned to the control group will receive usual care. Outcome measures will be assessed at four time points: baseline (T0), 2 months (T1), 5 months (T2), and 8 months (T3).

For parents, the study will evaluate fatigue, quality of life, anxiety, resilience, post-traumatic growth, parenting self-efficacy, and spiritual well-being. For children, outcomes will include cancer-related fatigue, pediatric quality of life, physical and psychological health, behavioral and emotional outcomes, and spiritual well-being. The primary objective is to determine whether the P-SHHCP and C-SHHCP improve the physical, psychological, social, and spiritual health and well-being of parents and children during cancer treatment compared with usual care.

03

Conditions studied

  • Leukemia (Both ALL and AML)
  • Brain Tumors

Keywords

  • Pediatric Cancer
  • Holistic Care
  • Quality of Life
  • Smart Holistic Health Care
  • Family-Centered Care
  • Psychosocial Support
  • Spiritual Well-Being
04

Who can participate

Ages eligible
7 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

Parents:

Parent of a child diagnosed with leukemia or a brain tumor. The child is between 2 and 18 years of age. The parent is the primary caregiver of the child, agrees to participate in the study, and is willing to complete self-administered questionnaires.

Able to speak, understand, read, and write Chinese. Has access to the Internet. Has no cognitive impairment. Has not previously participated in another study involving a smart health care platform.

Is not taking medications that may affect fatigue, anxiety, mood, or behavior.

Children:

Diagnosed with leukemia or a brain tumor. Between 7 and 18 years of age. Is not taking medications that may affect fatigue, anxiety, mood, or behavior. Able to communicate in Chinese. Has no cognitive impairment. Able to use a smartphone or tablet independently or with assistance from a caregiver.

Will not participate in another smart health care platform study during the study period.

Has a stable disease condition and emotional status.

Exclusion criteria

Exclusion Criteria:

Parents:

The child has not been diagnosed with leukemia or a brain tumor. The parent is not the primary caregiver of the child or is unwilling to participate in the study and complete the study questionnaires.

Unable to speak, understand, read, or write Chinese. Does not have access to the Internet. Has cognitive impairment. Has previously participated in another study involving a smart health care platform.

Is taking medications that may affect fatigue, anxiety, mood, or behavior.

Children:

Has a psychiatric disorder, such as schizophrenia, depression, or bipolar disorder, or has cognitive impairment or a sleep disorder.

Has a congenital disease or congenital anomaly. Has a severe medical condition requiring treatment, such as a severe infection. Has terminal-stage cancer with multiple complications.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    SHHCP Intervention Group

    Participants in the intervention group will receive the Smart Holistic Health Care Platform (SHHCP) in addition to usual care. Parents will receive the Parent Smart Holistic Health Care Platform (P-SHHCP), and children will receive the Child Smart Holistic Health Care Platform (C-SHHCP). The platforms are designed to strengthen communication and connection between families and health care providers and to provide physical, psychological, social, and spiritual support during cancer treatment. Outcomes will be assessed at baseline and at 2, 5, and 8 months.

    Behavioral: Parent Smart Holistic Health Care Platform (P-SHHCP) · Behavioral: Child Smart Holistic Health Care Platform (C-SHHCP)

  • No intervention
    Usual Care Control Group

    Participants in the control group will receive usual care without access to the SHHCP intervention during the study period. They will continue to receive routine clinical care and cancer treatment as provided by their health care team. Outcomes will be assessed at the same time points as the intervention group: baseline and at 2, 5, and 8 months.

Interventions

  • BehavioralParent Smart Holistic Health Care Platform (P-SHHCP)

    The Parent Smart Holistic Health Care Platform (P-SHHCP) is a digital supportive care intervention designed for parents who are the primary caregivers of children with cancer. The platform aims to strengthen communication and connection between parents and health care providers and to provide holistic support addressing physical, psychological, social, and spiritual needs during the child's cancer treatment.

  • BehavioralChild Smart Holistic Health Care Platform (C-SHHCP)

    The Child Smart Holistic Health Care Platform (C-SHHCP) is a digital supportive care intervention designed for children with leukemia or brain tumors undergoing cancer treatment. The platform aims to strengthen communication and connection between children, their families, and health care providers and to provide holistic support addressing physical, psychological, social, and spiritual needs during cancer treatment.

06

What researchers measure

Primary outcomes

  1. Change in Parent Caregiver Fatigue as Measured by the Fatigue Scale-14 (FS-14)

    Parent caregiver fatigue will be assessed using the 14-item Fatigue Scale-14 (FS-14). The scale consists of two dimensions: physical fatigue (8 items) and mental fatigue (6 items). Each item is scored as 0 or 1. The total score ranges from 0 to 14, with higher scores indicating greater fatigue.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  2. Change in Child Spiritual Well-Being as Measured by the Feeling Good, Living Life (FGLL) Questionnaire

    Child spiritual well-being will be assessed using the Feeling Good, Living Life (FGLL) questionnaire. The instrument assesses children's ideal spiritual well-being ("Feeling Good") and their lived experience of spiritual well-being ("Living Life"). Items are rated on a 5-point scale from 1 (no) to 5 (yes), with higher scores reflecting higher levels of spiritual well-being.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  3. Change in Child Behavioral and Emotional Problems as Measured by the Child Behavior Checklist (CBCL)

    Child behavioral and emotional problems will be assessed using the 113-item Child Behavior Checklist (CBCL), a parent-report measure designed for children and adolescents aged 6 to 18 years. Items are rated on a 3-point scale from 0 (absent) to 2 (occurs often), with higher scores indicating greater behavioral and emotional problems.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  4. Change in Parent Caregiver Anxiety as Measured by the Beck Anxiety Inventory (BAI)

    Parent caregiver anxiety will be assessed using the 21-item Beck Anxiety Inventory (BAI). Each item is rated on a 4-point scale from 0 to 3. Higher total scores indicate greater severity of anxiety symptoms.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  5. Change in Parent Spiritual Well-Being as Measured by the Spiritual Well-Being Scale (SWBS)

    Parent spiritual well-being will be assessed using the 20-item Spiritual Well-Being Scale (SWBS), consisting of religious well-being and existential well-being subscales. Items are rated on a 6-point Likert scale. Total scores range from 20 to 120, with higher scores indicating greater spiritual well-being.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  6. Change in Cancer-Related Fatigue in Children as Measured by the Cancer-Related Fatigue Questionnaire (CRFQ)

    Cancer-related fatigue in children will be assessed using the 25-item Cancer-Related Fatigue Questionnaire (CRFQ). The questionnaire assesses four domains: daily activities, general fatigue-related issues, sleep difficulties, and mental and emotional status. Each item is rated on a 4-point scale from 1 to 4. Total scores range from 25 to 100, with lower scores indicating greater cancer-related fatigue.

    Time frame: Baseline, 2 months, 5 months, and 8 months

Secondary outcomes

  1. Change in Parent Caregiver Quality of Life as Measured by the Caregiver Quality of Life Index-Cancer (CQOLC)

    Parent caregiver quality of life will be assessed using the 35-item Caregiver Quality of Life Index-Cancer (CQOLC). Items are rated on a 5-point Likert scale from 0 (not at all) to 4 (very much). The scale assesses burden, disruptiveness, positive adaptation, and financial concerns. Total scores range from 0 to 140, with higher scores indicating better quality of life.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  2. Change in Cancer-Related Parenting Self-Efficacy

    Cancer-related parenting self-efficacy will be assessed using a 24-item self-report scale designed to evaluate parents' confidence in performing parenting tasks relevant to caring for a child with cancer. Items are rated on a 6-point Likert scale from 1 (strongly disagree) to 6 (strongly agree), with higher scores indicating greater parenting self-efficacy.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  3. Change in Parent Caregiver Posttraumatic Growth as Measured by the Posttraumatic Growth Inventory (PTGI)

    Posttraumatic growth will be assessed using the 21-item Posttraumatic Growth Inventory (PTGI). Items are rated on a 6-point scale from 0 to 5. The scale assesses positive changes related to new possibilities, relationships with others, personal strength, spiritual growth, and appreciation of life. Higher scores indicate greater posttraumatic growth.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  4. Change in Pediatric Physical and Psychosocial Health as Measured by the PROMIS Pediatric-25

    Pediatric physical and psychosocial health will be assessed using the Patient-Reported Outcomes Measurement Information System Pediatric-25 (PROMIS Pediatric-25). The instrument assesses six domains: physical function, anxiety, depressive symptoms, fatigue, peer relationships, and pain interference. Each domain contains four items rated on a 5-point scale. The instrument also includes a single-item Numeric Pain Rating Scale ranging from 0 (no pain) to 10 (worst imaginable pain).

    Time frame: Baseline, 2 months, 5 months, and 8 months

  5. Change in Pediatric Health-Related Quality of Life as Measured by the PedsQL 4.0 Generic Core Scales

    Pediatric health-related quality of life will be assessed using the 23-item PedsQL 4.0 Generic Core Scales. The scale assesses four domains: physical functioning (8 items), emotional functioning (5 items), social functioning (5 items), and school functioning (5 items). Items are rated on a 5-point response scale from 0 (never a problem) to 4 (almost always a problem). Higher scores indicate better health-related quality of life.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  6. Change in Parent Caregiver Resilience as Measured by the Connor-Davidson Resilience Scale (CD-RISC-25)

    Parent caregiver resilience will be assessed using the 25-item Connor-Davidson Resilience Scale (CD-RISC-25). Each item is rated on a 5-point Likert scale from 0 to 4. Total scores range from 0 to 100, with higher scores indicating greater resilience.

    Time frame: Baseline, 2 months, 5 months, and 8 months

  7. Change in Cancer-Related Fatigue in Children as Measured by the Cancer-Related Fatigue Questionnaire (CRFQ)

    Cancer-related fatigue in children will be assessed using the 25-item Cancer-Related Fatigue Questionnaire (CRFQ). The questionnaire assesses daily activities, general fatigue-related issues, sleep difficulties, and mental and emotional status. Each item is rated on a 4-point scale from 1 to 4. Total scores range from 25 to 100, with lower scores indicating greater fatigue.

    Time frame: Baseline, 2 months, 5 months, and 8 months

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2025 (actual). Primary completion is estimated for Jul 2028, 31 months after the start.

Of 103 non-industry interventional studies with no phase under Leukemia, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 128. This study's planned 31 months is below that.

Counting every sponsor, half of 110 studies reached it within 38 months; a quarter within 22 and three quarters within 75.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 1, 2026
First posted
Sep 4, 2026
StartActual
Dec 30, 2025
Primary completionEst.
Jul 30, 2028
CompletionEst.
Aug 30, 2028
Last update
Sep 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07805096
Lead sponsor
National Defense Medical University, Taiwan
Responsible party
Jen-Jiuan Liaw (Professor, National Defense Medical University, Taiwan) — Principal investigator
First posted
Sep 4, 2026
Start date
Dec 30, 2025
Primary completion
Jul 30, 2028 (estimated)
Completion
Aug 30, 2028 (estimated)
Last update
Sep 4, 2026

Study contacts

Jen-Jiuan Liaw, PhD
Contact
jiuanliaw@gmail.com
+886-2-87923100

Oversight

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

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