Lung Cancer
Conditions
Keywords
Lung cancer caregivers
Brief summary
The purpose of this research study is to evaluate a technology-based intervention, Caregiver Oncology Needs Evaluation Tool (CONNECT), which may increase lung cancer caregivers' knowledge about the benefits of supportive care resources, identify their unmet needs, and connect them with supportive care resources. The investigators will also determine their ability to recruit and keep patients and caregivers in the study.
Detailed description
The long-term goal of this program of research is to improve supportive care delivery and lung cancer caregiver and patient well-being through a caregiver delivered intervention, Caregiver Oncology Needs Evaluation Tool (CONNECT). The investigators propose to evaluate a novel technology-based intervention, CONNECT, informed by theory with input from an advisory panel including a lung cancer caregiver and stakeholders. The purpose of CONNECT is to empower and educate caregivers about the benefits of supportive care resources and to systematically identify unmet needs and connect lung cancer caregivers with tailored supportive care resources. CONNECT is designed to be low cost and to capture the various resources offered in different oncology environments to support future adaptation and dissemination for heterogeneous healthcare settings.
Interventions
BEHAVIORALCONNECT Intervention
Participants will be included in a multi-component e-tool with brief educational videos, an assessment of multidimensional supportive care needs, a tailored resource list and an optional automated referral to a caregiver navigator. Two weeks after baseline participants will receive re-education and an optional referral.
BEHAVIORALCONTROL Group
Participants will receive a generic printed list of hospital, community, and national supportive care resources.
Sponsors
Lung Cancer Research Foundation
Wake Forest University Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
For Caregivers: * Caregivers must be providing some capacity of informal (unpaid) care for a patient meeting patient eligibility criteria. If a patient unexpectedly becomes deceased during the study period, caregivers will be allowed to continue participation in the assigned study arm and complete study assessments if they wish to. * Caregivers must be \> 18 years of age, as this study is focused on the experience of adult patient-caregiver dyads. For Patients: * Patients must have a current diagnosis of limited stage small cell or stage 1-4 nonsmall cell lung cancer. * Patients must be currently receiving or planning to receive treatment for their cancer at the time of enrollment. For patients receiving surgery, the eligibility timeframe will include 6 weeks following the date of surgery to account for the acute recovery period. * Patients must be ambulatory and up more than 50% of waking hours, as measured by an ECOG Performance Status rating of level 0, 1, or 2. * Patients must be \> 18 years of age, as this study is focused on the experience of adult patient-caregiver dyads. * Patients must be receiving some capacity of informal care from a caregiver meeting the above criteria. If the caregiver unexpectedly becomes deceased during the study period, the patient will be un-enrolled from this study as we are evaluating a caregiver-only delivered intervention.
Exclusion criteria
For Caregivers: • Caregivers cannot read/ communicate in English. For Patients: * Patients who are post-treatment survivors at the time of study enrollment. For patients receiving surgery only, this includes the period beyond acute recovery (i.e. ≥ 7 weeks post-surgery). * Caregivers cannot read/ communicate in English. Eligibility to participate in the study is conditional on participation of both the caregiver and patient.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accrual | Approximately 3 months | Number of caregivers who agreed to participate divided by the number of months of recruitment. |
| Number of Eligible Participants | Approximately 3 months | The number of eligible participants who agreed to participate in this study |
| Retention of Participants | Approximately 3 months | Number of participants who completed the T2 assessment divided by the number who agreed to participate |
| Participants Acceptability of the CONNECT Program Survey | Approximately 3 months | A 10-item survey developed for study to assess how much caregivers liked different aspects of CONNECT. |
| Acceptability of CONNECT Program Interview | Approximately 3 months | A 20-minute qualitative interview to explore factors associated with acceptability. During interviews, CONNECT elements will be reviewed and open-ended questions will be used to elicit feedback on functionality, strengths, and weaknesses of the e-tool. Interview recordings will be transcribed verbatim. |
Other
| Measure | Time frame | Description |
|---|---|---|
| FAMCARE (Perceived care quality) Questionnaire for Caregivers | Baseline to 3 months | A 20-item instrument to assess family caregiver satisfaction with information giving, availability of care, physical patient care, and symptom control. Rating scale options are very satisfied to very dissatisfied. |
| FAMCARE (Perceived care quality) Questionnaire for Participants | Baseline to 3 months | A 20-item instrument to assess participant satisfaction with information giving, availability of care, physical patient care, and symptom control. Rating scale options are very satisfied to very dissatisfied. |
| SF-1247 (Mental and physical well-being) Survey for Participants | Baseline to 3 months | A 12-item instrument measuring physical and mental well-being of the participants (particularly in the past four weeks). Participants will answer from a scale of 1 = excellent to 5 = poor. |
| Proportion of Unplanned Hospitalizations | Baseline to 3 months | Survey designed for the purpose of the study to capture patient self-reported unplanned healthcare utilization. Total score will reflect number of unplanned visits to the emergency room, urgent care, or healthcare provider. |
| Supportive Care Service Utilization Survey for Caregivers | Baseline to 3 months | Survey developed for the purpose of this study to query participants about utilization of supportive care services assessed as part of the CONNECT Preferences Survey. Survey instructions will reflect current assessment (T0, T1, T2 - T0 since your loved one's diagnosis and T1 and T2 since using the online CONNECT program). Caregivers will be asked to think about services or resources from any places they may have gone to for supportive care using the T0, T1, T2 timeframe. Rating scales consists of (Yes, I used this, No, I did not need this, No, I wish this had been available to me and I do not know what this is or if is was available). |
| MD Anderson Symptom Inventory for Lung Cancer Questionnaire | Baseline to 3 months | A 16-item instrument to assess lung cancer specific and general symptoms and the impact on daily functioning. Participants will rate the severity of their symptoms in the last 24 hours based on a scale of 0 = not present to 10 - as bad as you can imagine. |
| Caregiver Risk Scale | Baseline to 3 months | A 7-item measure to assess caregiver behaviors for managing self-care. This scale consists of questions that can be answered YES or NO. |
| Caregiver Barriers Survey | Baseline to 3 months | A 16-item survey developed for the purpose of this study to assess caregiver barriers to accessing supportive care. Response options: Always, very often, sometimes, rarely, never. |
| Snyder State Hope Scale for Participants | Baseline to 3 months. | 6-item instrument to assess hope of participants. Score on an 8-point Likert scale with anchor scores of 1 (definitely true) to 8 (definitely false). Higher scores reflect greater state of hope. |
| Interventionist Notes - E-Tool Preference Survey | Baseline to 3 months | A 17-item survey consisting of various resources that participants and their caregivers would like more information on and accessibility of these resources. Response options are YES or NO with the option to select multiple options for obtaining access. |
| PROMIS Emotional Distress-Anxiety-Short Form 8a for Caregivers | Baseline to 3 months | An 8-item instrument that assesses fear, anxious misery, hyperarousal, and somatic symptoms related to arousal; widely used in oncology populations. Response options range from NEVER to ALWAYS. |
| PROMIS Emotional Distress- Depression Short Form 8a for Caregivers | Baseline to 3 months | An 8-item instrument that assesses sadness, guilt, self-criticism, worthlessness, loneliness, interpersonal alienation, as well as loss of Interest, meaning, and purpose. Response options range from NEVER to ALWAYS |
| Caregiver Reaction Assessment (Burden) for Caregivers | Baseline to 3 months | A 24-item instrument assessing positive and negative aspects of caregiving (esteem, lack of family support, finances, schedule, and health). Rating scale is based on participants' responses that best describe how they currently feel (Strongly disagree to strongly agree). |
| Caregiver Quality of Life Index-Cancer (CqoL-Canc) for Caregivers | Baseline to 3 months | A 35-item instrument assessing dimensions of caregiver quality of life (burden, disruptiveness, positive adaptation, financial concerns). Response options are based on how true each statement has been for the caregiver during the PAST WEEK. Options (not at all, a little bit, somewhat, quite a bit or very much). |
Countries
United States
Outcome results
None listed