Multimedia Self-Management Intervention for Lung Cancer Surgery Family Caregivers and Patients

PRIMARY OBJECTIVES:

I. Test the effects of the multimedia self-management (MSM) intervention on family caregivers
(FCG) outcomes and cancer support services use at discharge and 3-month post-discharge,
comparing intervention and attention control groups.

II. Test the effects of the MSM intervention on patient outcomes and healthcare resource use
at discharge and 3-months post-discharge, comparing intervention and attention control
groups.

III. Test the effects of the MSM intervention on outcome mediators at discharge and 3-months
post-discharge, comparing intervention and attention control groups.

SECONDARY OBJECTIVES:

I. Explore moderators (age, sex, marital status, caregiver relationship to patient, caregiver
employment status, co-morbidities) of FCG and patient outcomes and reciprocal relationships.

II. Determine, through exit interviews, participant's experience with the MSM intervention.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP I: Patients and FCGs receive the MSM intervention consisting of videos, a handbook, and
research nurse coaching over 40-60 minutes, approximately 3-7 days before surgery and within
24 hours of planned discharge. Patients and FCGs also receive research nurse support by
telephone (separate sessions for FCGs and patients) over 20-30 minutes at 2 and 7 days, and 2
months post-discharge.

GROUP II: Patients and FCGs receive attention control intervention consisting of videos
(American Cancer Society video on "Clinical Trials"), American Cancer Society print
materials, and assistance from a clinical research associate (CRA) approximately 3-7 days
before surgery and within 24 hours of planned discharge. Patients and FCGs also receive
assistance from CRAs via telephone calls at 2 and 7 days, and 2 months post-discharge.

Family Caregiver Inclusion Criteria:

- A family member or friend identified by the patient as being the primary care provider
before and after surgery

- A patient/care recipient enrolled in the study

- Age 21 years or older

- Able to read or understand English

Patient Inclusion Criteria:

- Diagnosis of Stage I-III non-small cell lung cancer

- Scheduled to undergo surgery for treatment

- A family caregiver enrolled in the study

- Age 21 years or older

- Able to read or understand English.