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10.06.2017

Examining the effect of peer helping in a coping skills intervention: a randomized controlled trial for advanced gastrointestinal cancer patients and their family caregivers

verfasst von: Catherine E. Mosher, Ekin Secinti, Shelley A. Johns, Bert H. O’Neil, Paul R. Helft, Safi Shahda, Shadia I. Jalal, Victoria L. Champion

Erschienen in: Quality of Life Research | Ausgabe 2/2018

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Abstract

Purpose

At the end of life, spiritual well-being is a central aspect of quality of life for many patients and their family caregivers. A prevalent spiritual value in advanced cancer patients is the need to actively give. To address this need, the current randomized trial examined whether adding a peer helping component to a coping skills intervention leads to improved meaning in life and peace for advanced gastrointestinal cancer patients and their caregivers. Feasibility and acceptability outcomes were also assessed.

Methods

Advanced gastrointestinal cancer patients and caregivers (n = 50 dyads) were randomly assigned to a 5-session, telephone-based coping skills intervention or a peer helping + coping skills intervention. One or both dyad members had moderate–severe distress. Peer helping involved contributing to handouts on coping skills for other families coping with cancer. Patients and caregivers completed measures of meaning in life/peace, fatigue, psychological symptoms, coping self-efficacy, and emotional support. Patient pain and caregiver burden were also assessed.

Results

Small effects in favor of the coping skills group were found regarding meaning in life/peace at 1 and 5 weeks post-intervention. Other outcomes did not vary as a function of group assignment, with both groups showing small decreases in patient and caregiver fatigue and caregiver distress and burden. High recruitment and retention rates supported feasibility, and high participant satisfaction ratings supported acceptability.

Conclusions

Although a telephone-based intervention is feasible and acceptable for this population, peer helping in the context of a coping skills intervention does not enhance spiritual well-being relative to coping skills alone.

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Titel: Examining the effect of peer helping in a coping skills intervention: a randomized controlled trial for advanced gastrointestinal cancer patients and their family caregivers
verfasst von: Catherine E. Mosher
Ekin Secinti
Shelley A. Johns
Bert H. O’Neil
Paul R. Helft
Safi Shahda
Shadia I. Jalal
Victoria L. Champion
Publikationsdatum: 10.06.2017
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 2/2018
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-017-1620-7

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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