The effect of child-centred empowerment on the lifestyle of children with Leukemia: A randomized clinical trial.
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BACKGROUND: Leukemia and its treatment can significantly disrupt the lifestyle and well-being of children. This study evaluated the effect of a child-cantered empowerment model on the lifestyle of children with leukemia. METHODS: This double-blind randomized clinical trial was conducted on 46 school-aged children (7-13 years) diagnosed with leukemia and admitted to an inpatient pediatric oncology clinic. Participants were randomly assigned to intervention and control groups (n = 23). The experimental group received empowering interventions guided by the Family-Cantered Empowerment Model, consisting of four dimensions: perceived threat (severity and sensitivity), self-efficacy, educational participation, and evaluation, while the control group received routine care. Data were collected using demographic and lifestyle. The lifestyle questionnaire assessed five domains: nutrition, sleep, physical activity, physical health, and stress. Data were analyzed using SPSS version 25 with paired and independent t-tests and descriptive statistics. A p-value of <0.05 was considered statistically significant. RESULTS: Before the intervention, there was no significant difference in lifestyle scores between the experimental group (61.7 ± 4.7) and the control group (59.8 ± 4.2) (P = 0.159). After the intervention, a significant difference was observed, with the experimental group scoring higher (78.8 ± 8.1) compared with the control group (59.7 ± 4.2) (P ≤ 0.001). CONCLUSION: Implementing child-centred empowerment is feasible and effective for improving the lifestyle of children with leukemia. APPLICATION TO PRACTICE: Child-centred empowerment can be integrated into pediatric oncology care as a supportive, non-invasive strategy to enhance coping, promote healthier daily habits, and improve overall well-being in children with leukemia.