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01.02.2016 | Original Article

Improving psychosocial outcomes for caregivers of people with poor prognosis gastrointestinal cancers: a randomized controlled trial (Family Connect)

verfasst von: Joanne M. Shaw, Jane M. Young, Phyllis N. Butow, Tim Badgery-Parker, Ivana Durcinoska, James D. Harrison, Patricia M. Davidson, David Martin, Charbel Sandroussi, Michael Hollands, David Joseph, Amitabha Das, Vincent Lam, Emma Johnston, Michael J. Solomon

Erschienen in: Supportive Care in Cancer | Ausgabe 2/2016

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Abstract

Purpose

This study investigated the effectiveness of a structured telephone intervention for caregivers of people diagnosed with poor prognosis gastrointestinal cancer to improve psychosocial outcomes for both caregivers and patients.

Methods

Caregivers of patients starting treatment for upper gastrointestinal or Dukes D colorectal cancer were randomly assigned (1:1) to the Family Connect telephone intervention or usual care. Caregivers in the intervention group received four standardized telephone calls in the 10 weeks following patient hospital discharge. Caregivers’ quality of life (QOL), caregiver burden, unmet supportive care needs and distress were assessed at 3 and 6 months. Patients’ QOL, unmet supportive care needs, distress and health service utilization were also assessed at these time points.

Results

Caregivers (128) were randomized to intervention or usual care groups. At 3 months, caregiver QOL scores and other caregiver-reported outcomes were similar in both groups. Intervention group participants experienced a greater sense of social support (p = .049) and reduced worry about finances (p = .014). Patients whose caregiver was randomized to the intervention also had fewer emergency department presentations and unplanned hospital readmissions at 3 months post-discharge (total 17 vs. 5, p = .01).

Conclusions

This standardized intervention did not demonstrate any significant improvements in caregiver well-being but did result in a decrease in patient emergency department presentations and unplanned hospital readmissions in the immediate post-discharge period. The trend towards improvements in a number of caregiver outcomes and the improvement in health service utilization support further development of telephone-based caregiver-focused supportive care interventions.

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Titel: Improving psychosocial outcomes for caregivers of people with poor prognosis gastrointestinal cancers: a randomized controlled trial (Family Connect)
verfasst von: Joanne M. Shaw
Jane M. Young
Phyllis N. Butow
Tim Badgery-Parker
Ivana Durcinoska
James D. Harrison
Patricia M. Davidson
David Martin
Charbel Sandroussi
Michael Hollands
David Joseph
Amitabha Das
Vincent Lam
Emma Johnston
Michael J. Solomon
Publikationsdatum: 01.02.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 2/2016
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-015-2817-3

Springer Medizin

Improving psychosocial outcomes for caregivers of people with poor prognosis gastrointestinal cancers: a randomized controlled trial (Family Connect)