CLIMB® Program Evaluation of Quality of life, the Stress Response, Self Esteem in Children Whose Parent Has Cancer: Pilot Study
Bibliographic record
Abstract
Children with a parent who has cancer express fears about cancer contagion, parental death and security of their life. CLIMB® (Children’s Lives Include Moments of Bravery) is a support program to improve children’s ability to cope with their parent’s cancer. This pilot study aims to describe the emotional impact of CLIMB® on children with a parent who has cancer. The elementary school version of QOL (Quality of life), the SRS-C (Stress Response Scale for Children), Self Esteem, and satisfaction were evaluated. Participants were seven children (three girls, four boys). All participants were satisfied with CLIMB®. The QOL scores significantly increased from 79.9 (SD, 19.1; median, 86.7) points before the intervention to 85.1 (SD, 15.7; median, 90.0) points after the intervention, indicating an improvement in the QOL (p=0.046). Subscale was no significant difference according to sex. In the SRS-C scores no item showed significant differences in the pre- and post-intervention scores. The total score had decreased, indicating a decrease in the stress response. The boys showed a slight increase in the scores on the physical state subscale. The self-esteem scale scores were difference between the pre- and post-intervention scores increased significantly for the total score (p=0.028) and the subscales of “self in relationships” (p=0.042) and “self-assertion and self-determination” (p=0.038). During CLIMB®, children received accurate cancer knowledge; and valued sharing their feelings among others who are in the same situation. Children were highly satisfied with the program, although small changes were seen in QOL and stress.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".