Primary Brain Neoplasms
Conditions
Keywords
primary brain tumors, structed education, patients caregiver
Brief summary
This study was designed to evaluate the impact of education programs for patients with primary brain tumors and their caregivers on quality of life and the burden of care experienced by caregivers.
Detailed description
Patients with brain tumors often face physical, cognitive, emotional, and behavioral challenges that negatively impact their quality of life (Townsley, 2014). A review of the literature indicates that, unlike patients with other types of cancer, brain tumor patients' greater dependence on others for daily activities causes stress for caregivers, increases the burden of care, and reduces caregivers' quality of life (Özdingiş, 2020; Maşalacı, 2017; Schubart et al., 2007; Olver et al., 2020; Cashman et al., 2019). Previous studies have noted that nursing interventions for patients with primary brain tumors are limited; however, it has been observed that such interventions improve patients' cognitive and emotional well-being and reduce the care burden on caregivers (Halkett et al. 2018; Langbecker and Janda, 2015; Tokunaga et al., 2024). A review of the national literature on education and counseling provided by nurses to patients revealed a limited number of studies, which emphasized the need to also provide education to family members during the disease adaptation process (Baksi Şimşek, 2013). It is anticipated that the results of this study will contribute to nursing practices and research. Hypotheses: H1: The quality of life of patients with primary brain tumors who receive structured education is higher than that of patients who receive routine/standard education. H2: The severity of symptoms in patients with primary brain tumors who receive structured education is lower than that of patients who receive routine/standard education. H3: The quality of life of caregivers for patients with primary brain tumors who receive structured education is higher than that of caregivers for patients who receive routine/standard education. H4: The burden of care for caregivers of patients with primary brain tumors who receive structured education is lower than that of caregivers for patients who receive routine/standard education.
Interventions
OTHERstructured training based on the Life Model in Nursing
Patients and caregivers in the experimental group will receive preoperative education structured according to the Nursing Life Model, which was developed based on the literature.The Roper-Logan-Tierney Nursing Model of Living is one of the most widely utilized frameworks in nursing practice. The primary aim of the model is to guide nurses in providing care through the assessment of an individual's activities of living.
Sponsors
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
Participants will be randomly assigned to either the experimental group or the control group. While patients and caregivers in the experimental group will receive structured training based on the Life Model in Nursing, the control group will receive routine hospital care without any additional educational intervention. The results will be compared between these two parallel groups.
Intervention model description
Participants will be randomly assigned to either the experimental group or the control group. While patients and caregivers in the experimental group will receive structured training based on the Life Model in Nursing, the control group will receive routine hospital care without any additional educational intervention. The results will be compared between these two parallel groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
For Patients * Aged \>18 years * Undergoing primary brain tumor surgery for the first time * Glasgow Coma Scale score of 15 * Able to assess and express symptoms * Literate in Turkish * No psychiatric history * Not using psychiatric medication * Willing to participate and provide consent For Caregivers * Aged \>18 years * Primary caregiver providing care for at least 3 months * Open to communication and cooperation * No psychiatric history * Not using psychiatric medication * Willing to participate and provide consent
Exclusion criteria
* Not meeting the inclusion criteria * Intubated patients * Patients with metastatic brain tumors * Patients with pituitary tumors
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient's and caregiver quality of life | before surgery, on the day 1 of discharge and 1 month after discharge | Quality of life will be assessed using the validated quality of life scales SF-12 and EQ-5D-5L. Assessments will be conducted preoperatively with SF-12 and EQ-5D-5L; on the day of discharge with EQ-5D-5L; and one month after discharge with SF-12 and EQ-5D-5L. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Caregivers caregiver Burden | The patient will be evaluated before surgery, on the day 1 of discharge, and one month after discharge. | To assess changes following the training intervention, the caregiver's burden will be evaluated using the validated Caregiver Burden Scale.The scale, which can be completed either by the caregiver themselves or through an interviewer, consists of 22 items that determine the impact of caregiving on the caregiver's life. It uses a Likert-type response format ranging from 0 to 4, with options including never, rarely, sometimes, often, and nearly always. Studies have reported internal consistency reliability coefficients between 0.87 and 0.94, and test-retest reliability of 0.71. Scores on the scale range from 0 to 88, with higher scores indicating a greater level of burden experienced. The Turkish validity and reliability study was conducted by Erdem and İnci in 2008, with reliability coefficients between 0.71 and 0.86, demonstrating high reliability. |
| Symptom burden | Measurements will be taken before surgery, on the day 1 of discharge, and one month after discharge. | Symptom burden will be assessed using the MD Anderson Symptom Inventory - Brain Tumor Module. This validated tool measures the severity of brain tumor-related symptoms and their interference with daily activities. The inventory was developed by Armstrong et al., and all validity and reliability analyses were completed in 2006, with a total internal consistency reliability coefficient (Cronbach's alpha) of .91. The MDA-BT consists of two sections, seven subscales, and a total of 28 items, each rated individually on a Likert-type scale ranging from 0 to 10. The validity and reliability of the inventory for the Turkish population were established by Baksi and Dicle, yielding a Cronbach's alpha coefficient of .90. |
Countries
Turkey (Türkiye)
Contacts
CONTACTMerve Nur Demiryürek, MSc Student
CONTACTAylin Özakgül, Mrs.
PRINCIPAL_INVESTIGATORMerve Nur N Demiryürek
Istanbul University- Cerrahpasa Institute of Graduate Studies
Outcome results
None listed