Journal Article

Research on the comprehensive child life intervention program (CCLIP) for adjusting medical fear in children with central nervous system (CNS) cancers: a randomized controlled trial study protocol

Du, Jin, Ke, Yao, Wang, An-Ni, Wu, Xiao-Hua, Shen, Ying, Wang, Min, Shi, Zhi-Hui, Wang, Ya-Lan, Zhang, Chun-Hua

2024

Overview

Background Medical fear is a common psychological reaction in hospitalized children, especially during radiotherapy for central nervous system (CNS) cancers. This fear not only causes negative emotions such as anxiety and depression but also affects children’s quality of life and treatment outcomes. It is exacerbated by factors such as unfamiliar environments during radiation therapy and separation from parents. Child Life, as a professional service, offers physical and mental support to children through medical understanding and psychological preparation, addressing their social and psychological needs, among other things. This study aims to construct a comprehensive Child Life intervention program (CCLIP), consisting of four key components: psychological adjustment and preparation, therapeutic play, pain management and coping strategies, and family support. The integration of effective intervention methods aims to reduce medical fear in children undergoing radiotherapy, promote psychological well-being, improve treatment compliance, and enhance quality of life. Methods This study is a protocol for a randomized controlled trial. Using a random number table method, we plan to recruit 38 eligible children who meet the inclusion criteria and then randomize them into two distinct groups: the intervention group and the control group. The intervention group will receive the CCLIP, and the control group will receive standardized care. Data will be collected through questionnaires and on-site assessments during the one-month intervention period at four distinct time points: the day of admission (T0), the first radiotherapy positioning (T1), mid-radiotherapy (T2), and postradiotherapy (T3). The primary outcome measure is the effectiveness of the CCLIP in reducing medical fear among children receiving radiation treatment for CNS cancers. Secondary outcomes include anxiety, depression, radiation adherence, quality of life among children, and parental satisfaction. Discussion This study aims to alleviate medical fear among children with CNS tumors undergoing radiotherapy through the implementation of the CCLIP while enhancing their mental health and quality of life. The expected outcomes of this research include providing effective intervention strategies for clinical practice, improving the treatment experience and long-term prognosis of children, and having positive impacts on children and their families. Trial registration This study is registered at the Chinese Clinical Trial Registry, ChiCTR2400082622. Registered 2 April, 2024.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adaptation, Psychological / Adolescent / Anesthesia / Anxiety / Anxiety - psychology / Behavioral Science and Psychology / Brain cancer / Cancer therapies / Cancers / Care and treatment / Central nervous system / Central Nervous System Neoplasms - psychology / Central Nervous System Neoplasms - radiotherapy / Central Nervous System Neoplasms - therapy / Child / Child life / Child, Preschool / Children / Children & youth / Clinical Psychology / Clinical trials / Cognitive Psychology / Diagnosis / Emotions / Families & family life / Fear & phobias / Fear - psychology / Female / Health aspects / Health education / Humans / Illnesses / Intervention / Male / Medical care / Medical fear / Nervous system cancer / Oncology / Pain / Pain Management - methods / Parents & parenting / Patient outcomes / Pediatric patients / Pediatrics / Picture books / Play Therapy - methods / Psychology / Psychology Research / Quality management / Quality of life / Quality of Life - psychology / Radiation therapy / Radiotherapy / Randomized Controlled Trials as Topic / Study Protocol