ACCESS (Access for Cancer Caregivers for Education and Support for Shared Decision)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 489
- 试验地点
- 6
- 主要终点
- Change in Generalized Anxiety Disorder- 7
研究概览
简要总结
The project will test the effect of educating and supporting family caregivers of hospice cancer patients on their active participation in shared decision making in the plan of care for their patients.
详细描述
This intervention will target education and emotional support to family caregivers of hospice cancer patients for a shared decision making process in the hospice care plan meetings The intervention ACCESS will consist of three components:
1: a Facebook group to provide the education and support; 2. web conferencing for family members into the hospice interdisciplinary care plan meeting 3, a structured shared decision making process to guide the team discussion.
Participants (family caregivers) will be randomly assigned to one of three groups, usual care, Facebook only, and Access.
The specific aims are to:
- Evaluate the effect of access on family caregiver anxiety, pain knowledge and patient pain.
- Evaluate the effect of Facebook groups as educational emotional support for family caregivers
- Assess staff and family caregiver satisfaction with the shared decision making process.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Is caregiving for a patient enrolled in the participating hospice
- •Over 18 years of age
- •Is caregiving for a patient with a diagnosis of cancer
- •Willing to have a Facebook account and post at least 1x per week if in intervention group
排除标准
- •No one under the age of 18
- •Is caregiving for a patient enrolled in hospice agencies other than those participating in the study
- •Unwilling to participate in social media
- •Is caregiving for a patient with a diagnosis other than cancer
- •Is caregiving for a patient with a life expectancy of less than 2 weeks
结局指标
主要结局
Change in Generalized Anxiety Disorder- 7
时间窗: Upon enrollment, 14 days, 28 days, 60 days and 90 days
A screening tool to quantify participant's anxiety. The scale ranges from 0-21. A higher score indicates a higher level of anxiety.
次要结局
- Perceived Involvement of Care Scale(Upon enrollment, 14 days, 28 days, and 90 days)
- Change in Family Pain Questionnaire - Experience(Upon enrollment and 28 days)
- Change in Family Pain Questionnaire - Knowledge(Upon enrollment and 28 days)
- Zarit Burden Scale(Upon enrollment and 28 days)
- Caregiver Communication Questionnaire (CCCQ)(14 days, 28 days, and 60 days)
- Change in Caregiver Quality of Life(Upon enrollment, 14 days, 28 days, 60 days and 90 days)
- Edmonton Symptom Assessment(Upon enrollment, 14 days, 28 days, 60 days, and 90 days)
- Public Health Questionnaire (PHQ 9)(Upon enrollment, 14 days, 28 days, 60 days, and 90 days)
研究者
Debra Parker Oliver
Professor
Washington University School of Medicine