[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100592143":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":24,"centralContacts":25,"locations":34,"responsibleParty":51,"collaborators":55,"id":59,"slug":60,"hasResults":61,"nctId":62,"briefTitle":63,"officialTitle":63,"acronym":24,"eligibilityCriteria":64,"healthyVolunteers":65,"sex":66,"minAge":67,"maxAge":24,"enrollmentInfo":68,"targetDuration":24,"studyType":71,"phases":72,"briefSummary":74,"conditions":75,"keywords":78,"overallStatus":36,"whyStopped":24,"lastUpdateSubmitDate":102,"lastUpdatePostDateStruct":103,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":111},{"fullName":5,"class":6},"Boston Children's Hospital","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Narrative Medicine Journaling Intervention","EXPERIMENTAL","All participants in this single-arm pilot study will complete baseline GAD-7 anxiety assessments, participate in a guided journaling program, complete follow-up GAD-7 assessments, and take part in a qualitative interview. Parents of children with urogenital conditions (differences of sex development and hypospadias) will receive the narrative medicine intervention over a period of several weeks, with pre- and post-intervention anxiety measurements and interview assessments.",[13],"Behavioral: Narrative Medicine Journaling Intervention",[15],{"type":16,"name":9,"description":17,"armGroupLabels":18,"otherNames":19},"BEHAVIORAL","Participants will complete the GAD-7 anxiety assessment at baseline. They will then receive a physical journal containing 5 structured, therapeutic writing prompts designed to help process emotions related to their child's diagnosis. Prompts focus on processing experiences with diagnosis, addressing uncertainty, coping with stigma, and developing resilience. Parents will be instructed to complete the 5 journal entries, spending 15-20 minutes on each writing session at least once per week. Following completion of the journaling intervention, participants will complete a follow-up GAD-7 assessment and take part in a 30-45 minute qualitative interview to further assess perceived changes in anxiety, stress, and coping strategies, and to gather feedback on potential group-based writing programs.",[9],[20,21,22,23],"Therapeutic Writing","Reflective Journaling","Guided Narrative Intervention","Narrative Medicine",null,[26,31],{"name":27,"role":28,"phone":29,"phoneExt":24,"email":30},"Alex Wheelock","CONTACT","617-919-7031","Journaling@childrens.harvard.edu",{"name":32,"role":28,"phone":33,"phoneExt":24,"email":24},"Sarah Schlegel, MD, MS","617-355-3523",[35],{"facility":5,"status":36,"city":37,"state":38,"zip":39,"country":40,"countryCode":41,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"RECRUITING","Boston","Massachusetts","02115","United States","US",{"type":43,"coordinates":44},"Point",[45,46],-71.05977,42.35843,{"lat":46,"lon":45},[49],{"name":32,"role":50,"phone":24,"phoneExt":24,"email":24},"PRINCIPAL_INVESTIGATOR",{"type":52,"investigatorFullName":53,"investigatorTitle":54,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"SPONSOR_INVESTIGATOR","Sarah Schlegel","Attending Physician in Endocrinology, Instructor of Pediatrics",[56],{"name":57,"class":58},"Harvard Catalyst Pilot Grant","UNKNOWN","100592143","breaking-silence-through-story-a-narrative-medicine-intervention-for-parents-of-children-with-urogenital-conditions-100592143",false,"NCT06989593","Breaking Silence Through Story: A Narrative Medicine Intervention for Parents of Children With Urogenital Conditions","Inclusion Criteria:\n\n* Parent or legal guardian of a child (age 0-17 years) diagnosed with a urogenital condition (such as differences of sex development or hypospadias)\n* Able to read and understand English\n* Willing to complete a guided journaling intervention (through writing or dictation) over a period of approximately 5 weeks\n* Willing to participate in a 45 minute follow-up interview\n* Able to provide informed consent\n\nExclusion Criteria:\n\n* Parent\u002Fguardian with severe psychiatric disorder that would interfere with participation as determined by referring physician\n* Parent\u002Fguardian unable to complete either written journaling activities or dictation\n* Inability to provide informed consent",true,"ALL","18 Years",{"count":69,"type":70},20,"ESTIMATED","INTERVENTIONAL",[73],"NA","The goal of this clinical trial is to learn whether a journaling intervention can reduce stress and anxiety in parents of children with urogenital conditions (such as differences of sex development and hypospadias).\n\nThe main questions it aims to answer are:\n\n* Does guided journaling help to reduce anxiety levels in parents of children with urogenital conditions?\n* What are parents' perspectives on group-based writing interventions for future support programs?\n\nParticipants will:\n\n* Complete a short anxiety questionnaire (the General Anxiety Disorder-7 scale) at the beginning of the study\n* Receive a physical journal with 5 writing prompts designed to help process emotions related to their child's condition\n* Complete 5 journal entries over several weeks, writing about their experiences and feelings\n* Complete the same anxiety questionnaire again after finishing the journal entries\n* Participate in a 45-minute interview to discuss how the journaling affected their stress levels and gather feedback on potential group-based writing programs",[76,77],"DSD","Hypospadias",[79,77,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101],"Disorders of Sex Development","Anxiety","Stress, Psychological","Parents","Psychological Adaptation","Writing","Narrative Therapy","Qualitative Research","Patient Participation","Social Support","Mental Health","Interpersonal Relations","Parent-Child Relations","Urogenital Abnormalities","Female Urogenital Diseases","Urogenital Diseases","Penile Diseases","Genital Diseases, Male","Genital Diseases","Male Urogenital Diseases","Congenital Abnormalities","Gonadal Disorders","Endocrine System Diseases","2026-05-14",{"date":104,"type":105},"2026-05-18","ACTUAL",{"date":107,"type":105},"2025-10-10",{"date":109,"type":70},"2026-11",{"name":53,"class":6},1]