Implementation of Family Psychosocial Risk Assessment in Pediatric Cancer

Running, not enrolling · Not applicable

Conditions studied: Pediatric Cancer

In brief

The diagnosis and treatment of pediatric cancer adversely affects multiple levels of the social ecology, including patient and caregiver physical and psychosocial health. It is the strong recommendation from the first Standard of the Psychosocial Standards of Care in Pediatric Cancer that cancer centers engage in universal, systematic, psychosocial risk screening for newly diagnosed patients and their families. Universal screening at diagnosis fosters early identification of psychosocial risks and provides the opportunity to match psychosocial care to the level of family need for more equitable, effective and integrated services. However, few programs offer such care in an efficient, comprehensive, and consistent manner, potentially resulting in insufficient care that magnifies inequities in outcomes. To support pediatric cancer centers in their goal of meeting the first Standard of Psychosocial Care, this study will compare two implementation strategies for the Psychosocial Assessment Tool (PAT), a validated parent report screener of family psychosocial risk in English and Spanish, in a cluster randomized trial across 18 pediatric cancer programs in the United States.

Key facts

Study ID

NCT04446728

Run by

Nemours Children's Clinic

People needed

18

Starts

2021-01-01

Expected to finish

2026-12-31

Last updated by the study team

2025-12-30

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Sites were selected in advance based on data collected in a previous study regarding psychosocial staffing in the pediatric cancer program.
• Sites that were at or above the median for size of their psychosocial staff were eligible. - --
• Site selection took into consideration number of new pediatric cancer patients annually, geographical representation and sites with significant proportions of Spanish speaking families and/or families of low socioeconomic status.

You may not qualify if…

• Sites with psychosocial staffing below the median in the prior study were not eligible.

Where it is running

• Nemours Children's Health — Wilmington, Delaware, United States

Full record on ClinicalTrials.gov

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