Advanced colorectal cancer Caregiver burden Psychological distress Colorectal neoplasms Caregivers Caregiver burden Stress psychological Coping behavior Digital health Mobile health Chatbot Randomized controlled trial Cortisol
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Primary family caregivers of adult patients diagnosed with stage III or IV colorectal cancer with an ECOG performance status of 0 to 2 2. Caregivers aged 18 years or older 3. Residing in Bangkok and surrounding metropolitan areas and living with the patient 4. Able to access and use a smartphone 5. Able to read speak and write Thai 6. Willing to participate and provide informed consent 7. Cognitively able to participate and complete questionnaires with a Mini-Cog score of 3 or higher
Exclusion criteria
Exclusion criteria: 1. Caregivers with cognitive impairment that limits their ability to understand or respond to study assessments 2. Caregivers with functional limitations that prevent participation in study activities 3. Caregivers who are unable to participate in all study procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Caregiver burden Baseline, immediately post intervention, 6 weeks post intervention Zarit Burden Interview total score | — |
Secondary
| Measure | Time frame |
|---|---|
| Coping strategies Baseline, immediately post intervention, 6 weeks post intervention Brief COPE total score,Psychological distress Baseline, immediately post intervention, 6 weeks post intervention Hospital Anxiety and Depression Scale total score,Cortisol level Baseline, immediately post intervention, 6 weeks post intervention Morning salivary cortisol level | — |
Countries
Thailand
Contacts
Mahidol University