Brain Cancer
Conditions
Keywords
Neuro Oncology
Brief summary
The purpose of the study is to determine if family caregivers of neuro-oncology patients feel less burdened by utilizing the Electronic Social Network Assessment Program (eSNAP) + the Caregiver Navigator.
Interventions
eSNAP is a web based tool that quickly collects and organizes social support information entered by Family Caregivers (FCGs) into visualizations of the size, quality, and function of support networks. Visualizations can help FCGs catalogue support resources and present them in a new way, which may make them more salient and remind FCGs of their availability.
The Caregiver Navigator will have social work training and will help Family Caregivers (FCGs) identify and leverage informal and formal social support, including enrolling or directing FCGs to services.
Sponsors
Study design
Eligibility
Inclusion criteria
* English-speaking/reading/writing * Able to complete questionnaires (including by proxy) * Family Caregivers (FCGs) must self-identify as being a primary FCG of a patient with a primary brain tumor, secondary (metastatic) brain tumor, or leptomeningeal disease diagnosis. A primary caregiver is a family member, friend, or other unpaid person who provides at least some care for a patient at home. * Patients must be diagnosed with new or recurrent primary brain tumor, a secondary (metastatic) brain tumor or leptomeningeal disease within the last 9 months, receiving at least some evaluation and/or care at Moffitt (i.e. at least one appointment), have a prognosis of at least 9 months
Exclusion criteria
* Patients may not participate without a consenting FCG, but FCGs may participate without a consenting patient * Patients and FCGs who are experiencing acute distress will be excluded from enrollment and referred directly to social work, per Moffitt policy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Family Caregiver Well-Being Using GAD-7 Scale | 8 weeks per participant | Caregiver well being will be measured using the Generalized Anxiety Disorder 7 Item Scale (GAD-7). The GAD-7 measures anxiety scoring 0-3 points per item, with a total score range 0-21,with a higher score meaning more anxiety. |
| Family Caregiver Well-Being Using PHQ-8 Scale | 8 weeks per participant | Caregiver well being will be measured using the Personal Health Questionnaire Depression 8 Item Scale Scale (PHQ 8). The PHQ 8 measures depression scoring 0-3 points per item, with a total score range of 0-24, with the higher score meaning more depression. |
| Family Caregiver Well-Being Using Zarit Burden Interview | 8 weeks per participant | Caregiver well being will be measured using the Zarit Burden Interview. The Zarit Burden Interview measures burden scoring 0-4 points per item, with a total score range of 0-48, with the higher score meaning more burden. |
| Neuro Patients Well-Being Using GAD-7 Scale | 8 weeks per participant | Neuro patients well being will be measured using the Generalized Anxiety Disorder 7 Item Scale (GAD-7). The GAD-7 measures anxiety scoring 0-3 points per item, with a total score range 0-21,with a higher score meaning more anxiety. |
| Neuro Patients Well-Being Using PHQ-8 Scale | 8 weeks per participant | Neuro patients well being will be measured using the Personal Health Questionnaire Depression 8 Item Scale Scale (PHQ 8). The PHQ 8 measures depression scoring 0-3 points per item, with a total score range of 0-24, with the higher score meaning more depression. |
| Neuro Patients Well-Being Using NeuroQol | 8 weeks per participant | Neuro patients well being will be measured using Neuro-Qol (Neuro Quality of Life) which will be using T scores where the lower values represent worse outcomes. 50 indicates the population mean with a standard deviation of 10. |
Countries
United States
Contacts
Moffitt Cancer Center
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Family Caregivers Family caregivers (FCGs) of patients with a primary brain tumor, secondary (metastatic) brain tumor, or leptomeningeal disease. | 148 |
| Neuro Patients Patients diagnosed with a new or recurrent primary brain tumor, a secondary (metastatic) brain tumor, or leptomeningeal disease within the last 9 months, and receiving at least some evaluation and/or care at Moffitt. | 148 |
| Total | 296 |
Baseline characteristics
| Characteristic | Family Caregivers | Total | Neuro Patients |
|---|---|---|---|
| Age, Continuous | 57.1 years | 57.7 years | 58.2 years |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 2 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 4 Participants | 10 Participants | 6 Participants |
| Race (NIH/OMB) More than one race | 5 Participants | 5 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 26 Participants | 35 Participants | 9 Participants |
| Race (NIH/OMB) White | 113 Participants | 244 Participants | 131 Participants |
| Region of Enrollment United States | 148 participants | 296 participants | 148 participants |
| Sex: Female, Male Female | 87 Participants | 155 Participants | 68 Participants |
| Sex: Female, Male Male | 37 Participants | 117 Participants | 80 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 0 | 0 / 0 |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
Family Caregiver Well-Being Using GAD-7 Scale
Caregiver well being will be measured using the Generalized Anxiety Disorder 7 Item Scale (GAD-7). The GAD-7 measures anxiety scoring 0-3 points per item, with a total score range 0-21,with a higher score meaning more anxiety.
Time frame: 8 weeks per participant
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Family Caregivers | Family Caregiver Well-Being Using GAD-7 Scale | 8.95 score on a scale | Standard Deviation 6.08 |
Family Caregiver Well-Being Using PHQ-8 Scale
Caregiver well being will be measured using the Personal Health Questionnaire Depression 8 Item Scale Scale (PHQ 8). The PHQ 8 measures depression scoring 0-3 points per item, with a total score range of 0-24, with the higher score meaning more depression.
Time frame: 8 weeks per participant
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Family Caregivers | Family Caregiver Well-Being Using PHQ-8 Scale | 7.11 score on a scale | Standard Deviation 5.45 |
Family Caregiver Well-Being Using Zarit Burden Interview
Caregiver well being will be measured using the Zarit Burden Interview. The Zarit Burden Interview measures burden scoring 0-4 points per item, with a total score range of 0-48, with the higher score meaning more burden.
Time frame: 8 weeks per participant
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Family Caregivers | Family Caregiver Well-Being Using Zarit Burden Interview | 13.77 score on a scale | Standard Deviation 9.15 |
Neuro Patients Well-Being Using GAD-7 Scale
Neuro patients well being will be measured using the Generalized Anxiety Disorder 7 Item Scale (GAD-7). The GAD-7 measures anxiety scoring 0-3 points per item, with a total score range 0-21,with a higher score meaning more anxiety.
Time frame: 8 weeks per participant
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Family Caregivers | Neuro Patients Well-Being Using GAD-7 Scale | 5.66 score on a scale | Standard Deviation 5.4 |
Neuro Patients Well-Being Using NeuroQol
Neuro patients well being will be measured using Neuro-Qol (Neuro Quality of Life) which will be using T scores where the lower values represent worse outcomes. 50 indicates the population mean with a standard deviation of 10.
Time frame: 8 weeks per participant
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Family Caregivers | Neuro Patients Well-Being Using NeuroQol | 40.9 T-Score | Standard Error 2.6 |
Neuro Patients Well-Being Using PHQ-8 Scale
Neuro patients well being will be measured using the Personal Health Questionnaire Depression 8 Item Scale Scale (PHQ 8). The PHQ 8 measures depression scoring 0-3 points per item, with a total score range of 0-24, with the higher score meaning more depression.
Time frame: 8 weeks per participant
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Family Caregivers | Neuro Patients Well-Being Using PHQ-8 Scale | 7.91 score on a scale | Standard Deviation 5.77 |