Lung Cancer Clinical Trial
A Computer-Based Intervention for Distance Caregivers of Parents With Advanced Cancer
Summary
This pilot clinical trial studies the feasibility and effectiveness of a new computer-based communication intervention in supporting distance caregivers of patients with advanced lung or brain cancer. Unlike local caregivers, distance caregivers often receive little, if any, professional support and have limited communication with the oncology team. Using a computer-based communication intervention to allow distance caregivers the opportunity to participate in a physician visit, have questions and concerns addressed, and meet members of the oncology team may help reduce stress.
Full Description
PRIMARY OBJECTIVES:
I. What is the relationship of primary stressors (type and stage/grade of cancer, and patient quality of life [QOL]) and structural factors/stressors (age, gender, race, and education) with patient and caregiver psychological outcomes at baseline? II. What are the effects of the Communication with Long Distance Caregivers Offering a Supportive Electronic Resource (CLOSER) intervention on distance caregiver psychological outcomes (anxiety and distress), controlling for primary stressors (type and stage/grade of cancer, and patient quality of life), distance caregiver structural factors/stressors (caregiver age, gender, race, and employment), and baseline anxiety and distress? III. What are the effects of the CLOSER intervention on patient psychological outcomes (anxiety and distress), controlling for primary stressors (type and stage/grade of cancer, and patient quality of life), distance caregiver structural factors/stressors (caregiver age, gender, race, and employment), and baseline anxiety and distress? IV. What is the feasibility (time, cost, resources and acceptability to patients, caregivers and clinicians) of using Adobe Connect, a computer-based web communication system, with the distance caregiver, the parent with advanced cancer, and the health care providers together in a routine follow-up oncology office visit? V. What is the experience of being a distance caregiver participating in the CLOSER intervention?
OUTLINE: Participants are assigned to 1 of 2 arms.
ARM I: Participants receive usual care for 5 weeks. During the week 5 office visit, distance caregivers are not present.
ARM II: Participants receive usual care for 5 weeks. During the week 5 visit, distance caregivers virtually attend using the CLOSER intervention with computer video and audio connection.
After completion of study, participants are followed up within 48-96 hours.
Eligibility Criteria
Inclusion Criteria:
INCLUSION CRITERIA FOR PATIENTS:
Having a diagnosis of advanced lung cancer or malignant brain tumor for two to six months
Receiving on-going care from the medical oncologist at the Seidman Cancer Center
Having a primary and distance caregiver involved in their care, support, and/or care planning
English as a primary language
Capacity to provide informed consent, as validated by the oncologist
INCLUSION CRITERIA FOR DISTANCE CAREGIVERS:
Family caregiver of a patient with advanced lung cancer or malignant brain tumor
Patient and distance caregiver perception that this caregiver's geographic location is such that precludes routine participation in medical appointments
English as primary language
Capable of providing informed consent
Computer ownership with internet access
Exclusion Criteria:
EXCLUSION CRITERIA FOR PATIENTS:
No primary caregiver
Enrolled in hospice
EXCLUSION CRITERIA FOR DISTANCE CAREGIVERS:
Those who routinely participate in most of the patient's medical appointments (once or more per month)
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There is 1 Location for this study
Cleveland Ohio, 44106, United States
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