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Trial Title: Integrative Health Interventions in Symptom Management of Pediatric Patients

NCT ID: NCT05594693

Condition: Cancer
Pediatric Cancer

Study type: Observational

Overall status: Active, not recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: Questionnaire
Description: Electronic self-report questionnaires before and after integrative interventions, and monthly.
Arm group label: Patients Referred by the Pain Service or Palliative Care Service

Intervention type: Other
Intervention name: Physical Exam
Description: Physical measures before and after integrative interventions, and monthly. Thoracic kyphosis will be measured with a non-invasive gravity dependent inclinometer (Isomed Inc.).
Arm group label: Patients Referred by the Pain Service or Palliative Care Service

Other name: Inclinometer

Summary: As healthcare demands high-quality cost-effective care and patients seek self-management strategies, integrative medicine has become more of an interest to patients, physicians, and administrators. The NIH has a dedicated center (National Center for Complementary and Integrative Health) for integrative therapies. Additionally, these treatments must meet evidence-based criteria for efficacy to be considered for reimbursement and in order for clinical settings to integrate them into the standard of care.

Detailed description: The care of children at the quaternary children's hospital is focused in traditional Western medicine modalities of diagnosis, surgery, and medical treatment with pharmacologic medications. However, integrative health modalities, such as acupuncture, massage, Reiki, nutritional supplements, or oral complementary therapies (such as cannabinoids) have been increasingly discussed by our patients, especially during Palliative Care Consults. As healthcare demands high-quality cost-effective care and patients seek self-management strategies, integrative medicine has become more of an interest to patients, physicians, and administrators. The NIH has a dedicated center (National Center for Complementary and Integrative Health) for integrative therapies. Additionally, these treatments must meet evidence-based criteria for efficacy to be considered for reimbursement and in order for clinical settings to integrate them into the standard of care. The objective of this project is to examine feasibility, timing, appropriate measures, and provide the basis for future in-depth study of the outcomes of individual integrative symptom management strategies. Hypotheses: Children, adolescents, and young adults will be able to complete electronic self-report questionnaires and physical measures before and after integrative interventions, and monthly. Caregivers will be able to complete electronic proxy questionnaires before and after integrative interventions, and monthly. Integrative interventions will be associated with changes on the questionnaires and physical measures such as a decrease in frequency, severity, or level of interference with symptoms. Participants will rate their satisfaction with integrative interventions positively.

Criteria for eligibility:

Study pop:
Patients at CHCO include premature infants through young adults. Any of these patients could benefit from integrative treatments. The treatments will only be offered after medical team approval and parental consent. All treatments will be provided by credentialed and licensed providers and will follow CHCO approved policies and procedures.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Any CHCO patient referred for integrative interventions by the Pain Service or the Palliative Care Service Exclusion Criteria: - Patients who have non-consenting providers or caregivers - Any patient the medical team feels is inappropriate for the study

Gender: All

Minimum age: 30 Days

Maximum age: 30 Years

Locations:

Facility:
Name: Childrens Hospital Colorado

Address:
City: Aurora
Zip: 80045
Country: United States

Facility:
Name: University of Colorado Hospital

Address:
City: Aurora
Zip: 80045
Country: United States

Facility:
Name: OHSU Knight Cancer Institute

Address:
City: Portland
Zip: 97239
Country: United States

Start date: June 16, 2022

Completion date: November 2026

Lead sponsor:
Agency: University of Colorado, Denver
Agency class: Other

Collaborator:
Agency: OHSU Knight Cancer Institute
Agency class: Other

Source: University of Colorado, Denver

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05594693

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