Problem-Solving Skills Training for Parents of Children Undergoing Hematopoietic Stem Cell Transplantation: A Mixed Methods Feasibility Study

Abstract

Caring for a child receiving hematopoietic stem cell transplantation (HSCT) can be stressful. This study tested Bright IDEAS®, a problem-solving skills program, to see if it is feasible and acceptable for caregivers in the HSCT setting. Caregivers were assigned by chance to receive Bright IDEAS® with usual care or usual care alone. Bright IDEAS® involved six-to-eight sessions to empower caregivers to manage challenges. IDEAS stands for I—identify problems, D—define options, E—evaluate pros and cons, A—act with a plan, and S—see if it worked. Most caregivers assigned to Bright IDEAS® completed the program and found it helpful. Interviews showed that caregivers appreciated the program’s flexibility and support. Overall, the study results suggest that Bright IDEAS® is a promising way to help caregivers during their child’s HSCT, and it may decrease symptoms of distress, but needs to be tested in a larger study.