Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Jul 29:14:e73304.
doi: 10.2196/73304.

Effect of a Family-Centered Empowerment Model-Based Intervention on the Caregiving Capacity and Preparedness of Caregivers of Children With Malignant Neoplasms: Protocol for a Quasi-Experimental Study

Affiliations

Effect of a Family-Centered Empowerment Model-Based Intervention on the Caregiving Capacity and Preparedness of Caregivers of Children With Malignant Neoplasms: Protocol for a Quasi-Experimental Study

Xiaowan Li et al. JMIR Res Protoc. .

Abstract

Background: Malignant neoplasms are among the most common causes of disease-related death in children. Long-term chemotherapy often requires a high degree of parental involvement. Family caregivers' preparedness and capacity are critical in reducing the burden of care and improving quality of life. This study looks to examine the impact of a family-centered empowerment model (FCEM)-based intervention on the caregiving capacity and preparedness of family caregivers.

Objective: This study aims to develop and evaluate an FCEM-based intervention to improve caregiving preparedness and capacity among family caregivers of children with malignant neoplasms. It also examines the potential effects of the intervention on self-efficacy and psychological outcomes, including depression, anxiety, and stress.

Methods: This quasi-experimental study focuses on caregivers of children with malignant neoplasms attending our hospital for the first time, implementing a 4-phase FCEM-based intervention program evaluated through questionnaires administered 3 days after admission and 3 days before discharge. Differences in caregiving preparedness, caregiving capacity, self-efficacy, and depression, anxiety, and stress scores will be assessed using independent and paired t tests, Mann-Whitney tests, and paired rank-sum tests for both within-group and between-group comparisons preintervention and postintervention.

Results: Recruitment will be conducted in 2 waves (control group: July to December 2025; intervention group: July to December 2026). It is expected that the intervention group will show significantly greater improvements in caregiving preparedness, caregiving capacity, and psychological well-being compared to the control group.

Conclusions: The findings of this study are expected to provide evidence for the development of structured family empowerment in pediatric oncology. In the future, expanding to multiple centers and conducting targeted surveys among caregivers of children with different cancer types would help validate and promote the effectiveness of family empowerment interventions.

Trial registration: ClinicalTrials.gov NCT06810388; https://clinicaltrials.gov/study/NCT06810388.

International registered report identifier (irrid): PRR1-10.2196/73304.

Keywords: anxiety; caregiving preparedness; childhood cancer; depression; educational program; family-centered empowerment model; malignant neoplasms; stress.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Participant timeline.

Similar articles

References

    1. Atun R, Bhakta N, Denburg A, Frazier AL, Friedrich P, Gupta S, Lam CG, Ward ZJ, Yeh JM, Allemani C, Coleman MP, Di Carlo V, Loucaides E, Fitchett E, Girardi F, Horton SE, Bray F, Steliarova-Foucher E, Sullivan R, Aitken JF, Banavali S, Binagwaho A, Alcasabas P, Antillon F, Arora RS, Barr RD, Bouffet E, Challinor J, Fuentes-Alabi S, Gross T, Hagander L, Hoffman RI, Herrera C, Kutluk T, Marcus KJ, Moreira C, Pritchard-Jones K, Ramirez O, Renner L, Robison LL, Shalkow J, Sung L, Yeoh A, Rodriguez-Galindo C. Sustainable care for children with cancer: a Lancet Oncology Commission. Lancet Oncol. 2020 Apr;21(4):e185–e224. doi: 10.1016/S1470-2045(20)30022-X.S1470-2045(20)30022-X - DOI - PubMed
    1. Fadel SA, Boschi-Pinto C, Yu S, Reynales-Shigematsu LM, Menon GR, Newcombe L, Strong KL, Wang Q, Jha P. Trends in cause-specific mortality among children aged 5-14 years from 2005 to 2016 in India, China, Brazil, and Mexico: an analysis of nationally representative mortality studies. Lancet. 2019 Mar 16;393(10176):1119–1127. doi: 10.1016/S0140-6736(19)30220-X. https://linkinghub.elsevier.com/retrieve/pii/S0140-6736(19)30220-X S0140-6736(19)30220-X - DOI - PMC - PubMed
    1. Hui T, Hong G, Fang C. Characteristics of cancer epidemiology among 0-14 years old Chinese children 2005-2015. Chin Gen Pract. 2022:984–9. doi: 10.12114/j.issn.1007-9572.2021.01.607. https://www.chinagp.net/EN/abstract/abstract6151.shtml - DOI
    1. Shuhua T, Sunyun W, Junyi Z, Ke L. Health-related quality of life among long-term survivors of childhood cancer. J Nurs Sci. 2021;36(2):77–80. doi: 10.3870/j.issn.1001-4152.2021.02.077. http://www.hlxzz.com.cn/hlxzz/article/abstract/20210224?st=article_issue - DOI
    1. Maheshwari P, Mahal R. Relationship of preparedness and burden among family caregivers of cancer patients in India. J Health Med Nurs. 2016:35–44. https://core.ac.uk/download/pdf/234691681.pdf

Publication types

Associated data