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Effectiveness of an intervention to improve supportive care for family caregivers of patients with lung cancer : study protocol for a randomized controlled trial

Aubin Michèle, Vézina Lucie, Verreault René, Simard Sébastien, Desbiens Jean-François, Tremblay Lise, Dumont Serge, Fillion Lise, Dogba Maman J. et Gagnon Pierre. (2017). Effectiveness of an intervention to improve supportive care for family caregivers of patients with lung cancer : study protocol for a randomized controlled trial. Trials, 18, p. 304.

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Background : Family caregivers (FC) often experience higher distress levels than their relative with cancer. Many cancer centers have implemented distress screening programs, but most of them concentrate their efforts on patients, with little attention to their FC. To fill this gap, a pragmatic intervention has been designed to improve supportive care for FC of patients with lung cancer. This article describes the study protocol of a single-center randomized controlled trial to assess its effectiveness.

Methods/design : A total of 120 lung cancer patients and their FC are randomly assigned to the experimental group (exposed to intervention, N = 60) or to the control group (usual care, N = 60). The intervention includes: (1) systematic FC distress screening and problem assessment near their relative’s cancer diagnosis, and every 2 months, (2) privileged contact with an oncology nurse (ON) away from the patient to address FC problems and (3) liaison by the ON with the family physician of FC reporting high distress (thermometer score ≥5/10), or problems relying on FP expertise. In both groups, FC, patient and process-of-care outcomes are measured at baseline and every 3 months, up to 9 months. The primary endpoint is FC distress measured by the Hospital Anxiety and Depression Scale (HADS) and the Psychological Distress Index used in the Quebec Health Survey (PDQHS). Individual interviews with 10 FC and a focus group with the oncology team will be conducted at the study end to further document the effectiveness of the intervention and its impact on quality of life (for FC) and practice organization (for the oncology team).

Discussion : This trial will assess the effectiveness of an innovative intervention based on interprofessional collaboration between primary care and oncology care. It targets a population in great need, yet often neglected, and has the potential to clearly improve patient and caregiver experience of cancer care, and reduce the burden of disease.

Trial registration :, ID: NCT02531464. Registered on 15 July 2015.

Type de document:Article publié dans une revue avec comité d'évaluation
Pages:p. 304
Version évaluée par les pairs:Oui
Sujets:Sciences sociales et humaines > Sciences sociales > Psychologie
Sciences de la santé
Sciences de la santé > Sciences médicales
Sciences de la santé > Sciences médicales > Oncologie
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module de psychologie
Mots-clés:Randomized controlled trial, lung cancer, family caregivers, supportive care, essai contrôlé randomisé, cancer du poumon, proches-aidants, famille, soins, accompagnement
Déposé le:15 déc. 2017 01:37
Dernière modification:15 déc. 2017 01:37
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Creative Commons LicenseSauf indication contraire, les documents archivés dans Constellation sont rendus disponibles selon les termes de la licence Creative Commons "Paternité, pas d'utilisation commerciale, pas de modification" 2.5 Canada.

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