Efficacy of a telephone outcall program to reduce caregiver burden among caregivers of cancer patients [PROTECT]: a randomised controlled trial View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Leila Heckel, Kate M. Fennell, John Reynolds, Anna Boltong, Mari Botti, Richard H. Osborne, Cathrine Mihalopoulos, Jacquie Chirgwin, Melinda Williams, Cadeyrn J. Gaskin, David M. Ashley, Patricia M. Livingston

ABSTRACT

BACKGROUND: Informal caregivers provide extended support to people with cancer but they receive little support from the health care system to assist them in their caring role. The aim of this single-blind, multi-centre, randomised controlled trial was to test the efficacy of a telephone outcall program to reduce caregiver burden and unmet needs, and improve psychological well-being among cancer caregivers, as well as evaluating the potential impact on patient outcomes. METHODS: Cancer patient/caregiver dyads (N = 216) were randomised to a telephone outcall program (n = 108) or attention control group (n = 108). The primary outcome was self-reported caregiver burden. Secondary endpoints included depressive symptoms, unmet needs, self-esteem, self-empowerment, and health literacy. Data were collected at baseline and at both 1 and 6 months post-intervention. An intention to treat analysis was performed. RESULTS: The intervention had no effect on the primary outcome (caregiver burden), but reduced the number of caregiver unmet needs (intervention group baseline, mean = 2.66, 95% confidence interval (CI) [1.91-3.54]; intervention group 1 month post intervention, mean = 0.85, 95%CI [0.42-1.44]; control group baseline, mean = 1.30 95%CI [0.80-1.94], control group 1 month post intervention, mean = 1.02 95%CI [0.52-1.69]; p = 0.023). For caregivers at risk for depression, the intervention had a significant effect on caregivers' confidence in having sufficient information to manage their health (p = 0.040). No effects were found for patients' depressive symptoms, unmet needs, self-empowerment, and other health literacy domains. CONCLUSIONS: While caregiver burden was not reduced, the outcall program was effective in reducing unmet needs in caregivers. Provision of cancer information and support via a telephone service may represent a feasible approach to reducing unmet needs among cancer caregiver populations. TRIAL REGISTRATION: ACTRN12613000731796 ; prospectively registered on 02/07/2013. More... »

PAGES

59

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12885-017-3961-6

DOI

http://dx.doi.org/10.1186/s12885-017-3961-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1100258703

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29310613


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    "description": "BACKGROUND: Informal caregivers provide extended support to people with cancer but they receive little support from the health care system to assist them in their caring role. The aim of this single-blind, multi-centre, randomised controlled trial was to test the efficacy of a telephone outcall program to reduce caregiver burden and unmet needs, and improve psychological well-being among cancer caregivers, as well as evaluating the potential impact on patient outcomes.\nMETHODS: Cancer patient/caregiver dyads (N\u2009=\u2009216) were randomised to a telephone outcall program (n\u2009=\u2009108) or attention control group (n\u2009=\u2009108). The primary outcome was self-reported caregiver burden. Secondary endpoints included depressive symptoms, unmet needs, self-esteem, self-empowerment, and health literacy. Data were collected at baseline and at both 1 and 6 months post-intervention. An intention to treat analysis was performed.\nRESULTS: The intervention had no effect on the primary outcome (caregiver burden), but reduced the number of caregiver unmet needs (intervention group baseline, mean\u2009=\u20092.66, 95% confidence interval (CI) [1.91-3.54]; intervention group 1\u00a0month post intervention, mean\u2009=\u20090.85, 95%CI [0.42-1.44]; control group baseline, mean\u2009=\u20091.30 95%CI [0.80-1.94], control group 1\u00a0month post intervention, mean\u2009=\u20091.02 95%CI [0.52-1.69]; p\u2009=\u20090.023). For caregivers at risk for depression, the intervention had a significant effect on caregivers' confidence in having sufficient information to manage their health (p\u2009=\u20090.040). No effects were found for patients' depressive symptoms, unmet needs, self-empowerment, and other health literacy domains.\nCONCLUSIONS: While caregiver burden was not reduced, the outcall program was effective in reducing unmet needs in caregivers. Provision of cancer information and support via a telephone service may represent a feasible approach to reducing unmet needs among cancer caregiver populations.\nTRIAL REGISTRATION: ACTRN12613000731796 ; prospectively registered on 02/07/2013.", 
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291 https://www.grid.ac/institutes/grid.1008.9 schema:alternateName University of Melbourne
292 schema:name Cancer Council Victoria, 615 St Kilda Road, 3004, Melbourne, VIC, Australia
293 The University of Melbourne, Grattan Street, 3052, Parkville, VIC, Australia
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296 schema:name Deakin University, Faculty of Health, Biostatistics Unit, 3220, Geelong, VIC, Australia
297 Deakin University, Faculty of Health, School of Health and Social Development, 3220, Geelong, VIC, Australia
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299 The Andrew Love Cancer Centre, 3220, Geelong, VIC, Australia
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302 schema:name Cancer Council SA, 202 Greenhill Road, 5063, East wood, South Australia, Australia
303 Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Sturt Road, 5042, Bedford Park, South Australia, Australia
304 Sansom Institute for Health Research, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia, Australia
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306 https://www.grid.ac/institutes/grid.266842.c schema:alternateName University of Newcastle Australia
307 schema:name Eastern Health, Department of Oncology, 3128, Box Hill, VIC, Australia
308 University of Newcastle, Faculty of Health and Medicine, 2308, Callaghan, NSW, Australia
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310 https://www.grid.ac/institutes/grid.414539.e schema:alternateName Epworth Hospital
311 schema:name Deakin University, Faculty of Health, School of Nursing and Midwifery, 3220, Geelong, VIC, Australia
312 Epworth HealthCare, 3121, Richmond, VIC, Australia
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