Family Functioning and Child Behavior When a Sibling is Critically Ill

Study Overview
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Brief Summary
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The goal of this study is to determine if there is a correlation between an efficacious family environment and sibling behavior in families with children who are critically ill.

Detailed Description
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Families of critically ill children can face many emotional challenges during the course of a child's illness. While some research has looked at the impact on parents, there has been little focused on siblings. We want to better understand how social support may have a protective effect on siblings' quality of life. The goal of this study is to determine if there is a correlation between an efficacious family environment and sibling behavior in families with children who are critically ill. Our hypothesis is that a cohesive, emotionally rich and open family environment provides social support so that siblings can explore and express the difficult emotions that accompany illness, and is therefore a protective factor for a sibling's behavior.

Official Title
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Family Functioning and Child Behavior When a Sibling is Critically Ill

Conditions
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Child Behavior

Intervention / Treatment
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* Behavioral: One week follow up assessment results


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adult (age 18 and older) who has decision making authority for CHOP patient who has been referred to the Pediatric Advanced Care Team (PACT) for palliative care services, and with a child(ren) age 6-11 years who is a sibling of the patient any race/ethnicity Exclusion Criteria: Non-English speaking

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: FU-1 feedback<br> | Behavioral: One week follow up assessment results<br>* FU-1 feedback group will receive child behavior assessment results and interpretation,and a brief intervention to encourage support options.<br>|
| No Intervention: control group<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To compare behavioral assessment scores of siblings of children who are critically ill to scores of the general population |  | baseline and 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To assess if parents who receive results of sibling behavior scores and a brief intervention, compared to parents who do not receive this information or intervention, have a different perception of the sibling's strengths and difficulties. |  | baseline and 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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siblings, family, child behavior, critical illness, social support