An Acceptance and Commitment Therapy - Caregiver Support Program (ACT-CSP) for Family Caregivers of Patients Receiving Palliative Care: A Feasibility Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Caregiver Burden
- Sponsor
- The Hong Kong Polytechnic University
- Primary Endpoint
- The Chinese version of the 13-item Caregiver Strain Index
- Status
- Withdrawn
- Last Updated
- last year
Overview
Brief Summary
The goal of the study is to test the feasibility, acceptability and preliminary efficacy of an acceptance and commitment therapy for supporting caregiver programme (ACT-CSP) on reduction of caregiver burden, anxiety and depressive symptoms and enhancement of caregiving self-efficacy, resilience and quality of life by ACT when compared to usual care, for caregivers of palliative care patients.
Detailed Description
This study will employ a pilot randomized controlled trial recruiting caregivers of palliative care patients to receive either a 3-week acceptance and commitment therapy for supporting caregiver programme (ACT-CSP) plus usual care (n = 15) or usual care only (n = 15). The components of acceptance and commitment therapy process will be emphasized in the intervention programme, which include perspective taking, self-as-context and defusion (i.e. recognizing worry thoughts as thoughts only), identifying values and acceptance of present-moment experience with respect to the values, and committed action. The ACT-CSP will be delivered by a trained ACT facilitator. Participants will be followed up at Week 6 and Week 8 after recruitment to collect data for assessing the study objectives.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Aged ≥ 18;
- •Self- or patient-identified as a family caregiver of an adult patient receiving palliative care at the study site
- •Have been taking care of the patient in the past 3 months;
- •Able to communicate in Cantonese at the time of recruitment;
- •Have access to internet and videoconferencing device such as mobile phone;
- •Have caregiver burden as measured by Caregiver Strain Index (CSI) ≥ 7.
Exclusion Criteria
- •Mentally incompetent (Mini-Mental State Examination (MMSE) \< 23),
- •Participating in regular psychosocial interventions.
Outcomes
Primary Outcomes
The Chinese version of the 13-item Caregiver Strain Index
Time Frame: Baseline, Week 6 and Week 8
Items are rated on a yes (1) or no (0) response, with the total score ranges from 0-13 and higher scores indicating higher caregiver burden
Secondary Outcomes
- The 10-item Chinese version of the Connor-Davidson Resilience Scale(Baseline, Week 6 and Week 8)
- The Chinese version of the 18-item modified Caregiver Inventory(Baseline, Week 6 and Week 8)
- The Patient Health Questionnaire-4 (PHQ-4)(Baseline, Week 6 and Week 8)
- The 10-item version of the Singapore caregiver quality of life(Baseline, Week 6 and Week 8)