Building Caregiver Skills Using a Simulation-based Intervention for Care of Head and Neck Cancer



Status:Completed
Conditions:Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:2/13/2019
Start Date:August 1, 2015
End Date:January 12, 2018

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Building Family Caregiver Skills Using a Simulation-based Intervention for Care of Patients With Head and Neck Cancer

Patients with head and neck cancer and their caregivers face many challenges. These include
learning about cancer and its treatment, coping with symptoms from illness and treatment side
effects, making adjustments to usual activities, and managing the emotional effects of having
a serious illness. This study tests whether different forms of education and support can help
family caregivers feel better prepared. To find out if education about caregiving and
different kinds of support are effective, this study wants to compare approaches.One group
includes caregivers who will receive an education and support program throughout radiation
treatment in addition to usual care by their doctors and nurses. The other group receives an
educational booklet about caregiving in addition to usual care by their doctors and nurses.
The caregiver also completes surveys about his or her emotions, distress, confidence as a
care giver, and quality of life. In addition, the study asks the caregiver questions about
his or her age, race, ethnicity, marital status, employment status, education, annual
household income, and current living arrangements. This pilot study will only be offered at
the Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive
Cancer Center Main Campus.

Aim 1: Conduct a pilot test of the effects of a novel caregiver intervention, as compared to
a control group, on family caregiver self-efficacy for caregiving, anxiety, depression, and
health-related quality of life.

Aim 2: Explore the acceptability of a caregiver intervention that utilizes simulation.

Aim 3: Assess the feasibility of the intervention. Aim 4: Describe the incidence of patient
events that may be impacted by caregiver self-efficacy, such as acute care visits, admissions
to the hospital, visits to the emergency department, need for fluids in the radiation
oncology department, and interrupted treatment course.

Inclusion Criteria:

- family member or friend of an adult patient with a new diagnosis of Stage III - IV
cancers of the tongue, gum, oral cavity, nasopharynx, oropharynx, hypopharynx, larynx,
or parotid who is receiving radiation therapy for curative intent

- identified by the patient as his/her primary caregiver who is providing daily
assistance and/or emotional support

- cognitively intact, as evidenced by orientation to person, place, and time

- ability to speak, read, and comprehend English

Exclusion Criteria:

- Caregivers of patients who are receiving hospice care will be excluded because of the
patient's poor prognosis and multiple issues associated with end-of-life care

- Caregivers who are themselves undergoing active cancer treatment will be excluded
(hormonal treatment allowed)
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