Psychological Benefits of a Normalized Camping Experience for Children With Cancer

Background:

- Cancer has an enormous impact on the psychological and social well-being of the family
unit. The life-threatening connotations of cancer single out the ill child from his
peer/family group as one who is different, and often unable to maintain a normal
lifestyle. Physical sequelae of cancer and its treatment accentuate the differences
between these children and their normal peers/siblings.

- It is important that children with cancer be prepared to function outside of protected
situations and begin to develop skills of separation and independence. For healthy
children, some of these latter skills are acquired by a camping experience. Such an
experience for the patient with cancer is frequently precluded by their dependence on
medical facilities and the physical limitations of their activities.

- The goal of this study will be to assess the short and long term benefits of the
"normalized" camping experience, provided in conjunction with Special Love, Inc., on the
patients and staff. In particular, we will seek to determine whether such a
comprehensive experience is capable of influencing the attitudes and life experiences of
patients and staff in a positive manner.

Objectives:

- To evaluate the impact of an enriched normalized camping experience on the quality of
life of the pediatric cancer patient. In particular, attempts will be made to measure
the manner in which this experience influences the child's sense of well-being and
self-esteem as well as his or her relationship with parents, family, and peers.

- To provide the atmosphere of a camping experience to the professional and volunteer care
givers with the hope that they will utilize this experience in improving the quality of
their interrelations with the patient population.

Eligibility:

- Children 7-17 years of age who are currently being treated for cancer or are up to 5
years post therapy OR Young adults with cancer (YACers) who are acting as counselors at
Camp Fantastic

- All children/young adults will be selected for camp after careful screening by a
multidisciplinary committee consisting of medical and program directors.

- At the discretion of the multidisciplinary committee consisting of medical and program
directors, special exceptions may be made for children with extenuating circumstances.

Design:

- Assessment of benefit may include interviews with children and families before, during
and following camp. Observational data on the child's performance at camp will be noted.

- Medical and nursing personnel will consist of staff from the Pediatric Oncology Branch
at the NCI, other units within the NIH, and participating institutions.

- Special Love members, the Program Director at the 4-H Center camp (site of the camp) and
Pediatric Oncology Branch staff at the NCI will coordinate the camp program, taking into
account the medical needs of each camper.

- Every attempt will be made to provide a full agenda of age appropriate activities for
the patients.

- The length of the camping experience for children with cancer will be for 7 days
beginning on a Sunday and extending through the following Saturday morning. Patients
will be transported to the camp from the NIH Clinical Center and the Virginia hospitals
by bus.

- INCLUSION CRITERIA:

CHILDREN DIAGNOSED WITH CANCER.

-Children 7-17 years of age who are currently being treated for cancer or are up to 5 years
post therapy.

OR

Young adults with cancer (YACers) who are acting as counselors at Camp Fantastic.

- All children/young adults will be selected for camp after careful screening by a
multidisciplinary committee consisting of medical and program directors. While the
state of the child s health will certainly be considered there will be no exclusions
for:

- Patients who are receiving intramuscular, intrathecal, oral or intravenous medications
or blood products.

- Patients who have had amputations or have other physical defects.

- Patients who become febrile and neutropenic at the onset or during the week of camp
will stay at camp on antibiotic therapy providing their condition remains stable.

- At the discretion of the multidisciplinary committee consisting of medical and program
directors, special exceptions may be made for patients with extenuating circumstances.

- All children will be officially enrolled and will have an NIH Clinical Center Patient
Care Number. The enrollment of a child, signing of protocol consent, and completion of
admission paperwork is done in person but under extenuating circumstances it may be
done over the phone after the paperwork has been mailed to the parent/guardian.
Extenuating circumstances would include a last minute application to camp after the
trip for camp screenings in Norfolk or Richmond has been completed.

EXCLUSION CRITERIA:

-Children with a medical diagnosis other than cancer or their related disorders.