Acceptability and feasibility of an e-mental health intervention for parents of childhood cancer survivors:“Cascade”

Wakefield, Claire E.; Sansom-Daly, Ursula M.; McGill, Brittany C.; Ellis, Sarah J.; Doolan, Emma L.; Robertson, Eden G.; Mathur, Sanaa; Cohn, Richard J.

doi:10.1007/s00520-016-3077-6

Cited by 61Digital Mental Health InterventionsChildhood Cancer Survivors' Quality of LifeCancer survivorship and care

Acceptability and feasibility of an e-mental health intervention for parents of childhood cancer survivors:“Cascade”

Wakefield, Claire E., Sansom-Daly, Ursula M., McGill, Brittany C., Ellis, Sarah J., Doolan, Emma L., Robertson, Eden G., Mathur, Sanaa, Cohn, Richard J.·2016·Supportive Care in Cancer

DOI 10.1007/s00520-016-3077-6

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Abstract

Purpose The aim of this study was to evaluate the feasibility and acceptability of "Cascade": an online, group-based, cognitive behavioral therapy intervention, delivered "live" by a psychologist, to assist parents of children who have completed cancer treatment.Methods Forty-seven parents were randomized to Cascade (n = 25) or a 6-month waitlist (n = 22). Parents completed questionnaires at baseline, 1-2 weeks and 6 months post-intervention. Thirty parents completed full evaluations of the Cascade program (n = 21 randomized to Cascade, n = 9 completed Cascade post-waitlist).Results Ninety-six percent of Cascade participants completed the intervention (n = 24/25). Eighty percent of parents completed every questionnaire (mean completion time 25 min (SD = 12)). Cascade was described as at least "somewhat" helpful by all parents. None rated Cascade as "very/quite" burdensome. Parents reported that the "online format was easy to use" (n = 28, 93.3 %), "I learnt new skills" (n = 28, 93.3 %), and "I enjoyed talking to others" (n = 29, 96.7 %). Peer-to-peer benefits were highlighted by good group cohesion scores.Conclusions Cascade is highly acceptable and feasible. Its online delivery mechanism may address inequities in post-treatment support for parents, a particularly acute concern for rural/remote families. Future research needs to establish the efficacy of the intervention.Trial registration ACTRN12613000270718, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12613000270718.

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The Cascade pilot indicated that the program was feasible and acceptable to parents whose children were treated at one metropolitan hospital.
“The Cascade pilot indicated that the program was feasible and acceptable to parents whose children were treated at one metropolitan hospital [34].”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [34]
Cascade did not significantly improve parents' HRQL or other measured psychosocial outcomes.
“Despite parents desiring post-treatment support [4] and our extensive pilot-testing [34], Cascade did not significantly improve parents’ HRQL or other measured psychosocial outcomes.”
From Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future (2021) · cites this paper as [34]

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Providing psychological support to parents of childhood cancer survivors: ‘cascade’ intervention trial results and lessons for the future
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A community‐based trial of a psychosocial eHealth intervention for parents of children with cancer
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Authors: Wakefield, C. E., Sansom-Daly, U. M., McGill, B. C., Ellis, S. J., Doolan, E. L., Robertson, E. G., Mathur, S., & Cohn, R. J.
Affiliations: UNSW Sydney (AU)
Corresponding author: Wakefield, Claire E.
ORCID: Wakefield, Claire E.
McGill, Brittany C.
Ellis, Sarah J.
Robertson, Eden G.
Cohn, Richard J.
Venue: Supportive Care in Cancer
Publisher: Springer Science and Business Media LLC
Published: 2016-01-19
Volume: 24
Issue: 6
Pages: 2685-2694
ISSN: 0941-4355 (ISSN-L)
1433-7339
DOI: 10.1007/s00520-016-3077-6
OpenAlex: W2293616046
Cited by: 61
References: 46
Citations by year: 2026: 1 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 12 · 2021: 11 · 2020: 10 · 2019: 7 · 2018: 6 · 2017: 4
FWCI: 8.71
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Supportive Care in Cancer (publishedVersion)
PubMed (publishedVersion)
Funders: Cancer Australia (AU) (APP1065428)
National Health and Medical Research Council (AU) (APP1067501)
Cancer Institute of New South Wales (11/ECF/3-43)
Cancer Institute NSW (AU) (11/ECF/3-43, 14/ECF/1-11)
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: childhood cancer survivors, parents of cancer survivors, digital mental health interventions, cognitive behavioral therapy, online group intervention, treatment acceptability, intervention feasibility, peer support, post-treatment support
MeSH terms: Adaptation, Psychological, Adolescent, Adult, Child, Child, Preschool, Feasibility Studies, Female, Humans, Male, Middle Aged, Neoplasms, Parents, Patient Acceptance of Health Care, Psychotherapy, Group, Cognitive Behavioral Therapy, Telemedicine, Survivors

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Acceptability and feasibility of an e-mental health intervention for parents of childhood cancer survivors:“Cascade”

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