Ignite Creation Date:
2024-05-05 @ 7:55 PM
Last Modification Date:
2024-10-26 @ 9:56 AM
Study NCT ID:
NCT00766883
Status:
COMPLETED
Last Update Posted:
2019-12-17
First Post:
2008-10-03
Brief Title:
Problem-Solving Education for Caregivers and Patients During Stem Cell Transplant
Sponsor:
National Institutes of Health Clinical Center CC
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
A Phase II Clinical Trial to Determine the Effectiveness of Problem Solving Education in Caregivers and Patients During Allogeneic HSCT
Status:
COMPLETED
Status Verified Date:
2017-09-28
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will examine the effectiveness of problem-solving education for patients who are undergoing a stem cell transplant and their caregivers The emotional stress of transplant extends beyond patients to their caregivers this study will identify the type of education that will be most helpful to transplant caregivers
Adult patients undergoing stem cell transplant at the NIH s Clinical Center and their adult caregivers are eligible for this study The caregiver must be caring for the patient from before hospital admission for the procedure until 6 weeks following the transplant Both patient and caregiver must be able to read and speak English
Patients and caregivers have three education sessions in addition to the routine transplant education provided at the Clinical Center and complete three study questionnaires as follows
Questionnaires The questionnaires vary somewhat for patient and caregiver but include information on demographics eg sex race marital status education level distress lifestyle relationship with the caregiverpatient confidence level symptoms pain fatigue and sleep quality Questionnaires are completed before the patient undergoes the transplant and before attending any education sessions before the patient is discharged from the hospital and 6 weeks after hospital discharge
Education sessions The 60-minute sessions are designed to teach problem-solving strategies by looking at problems in a new way and learning effective communication skills The sessions are conducted before the patient is discharged from the hospital 1 week after discharge and 3 weeks after discharge
Adult patients undergoing stem cell transplant at the NIH s Clinical Center and their adult caregivers are eligible for this study The caregiver must be caring for the patient from before hospital admission for the procedure until 6 weeks following the transplant Both patient and caregiver must be able to read and speak English
Patients and caregivers have three education sessions in addition to the routine transplant education provided at the Clinical Center and complete three study questionnaires as follows
Questionnaires The questionnaires vary somewhat for patient and caregiver but include information on demographics eg sex race marital status education level distress lifestyle relationship with the caregiverpatient confidence level symptoms pain fatigue and sleep quality Questionnaires are completed before the patient undergoes the transplant and before attending any education sessions before the patient is discharged from the hospital and 6 weeks after hospital discharge
Education sessions The 60-minute sessions are designed to teach problem-solving strategies by looking at problems in a new way and learning effective communication skills The sessions are conducted before the patient is discharged from the hospital 1 week after discharge and 3 weeks after discharge
Detailed Description:
Allogeneic hematopoietic stem cell transplantation HSCT generates multiple symptoms and problems that can vary in complexity Although it seems evident that patients and caregivers experience clinically significant levels of psychological distress few intervention studies have been explored to address this concern in this population
Problem-solving is an essential skill for individuals to successfully cope Increased problem-solving skill has been shown to decrease psychological distress and may improve symptom distress and health related quality of life QOL The COPE Creativity Optimism Planning and Expert Information problem-solving education PSE intervention has demonstrated benefit and has been reported as a positive therapy by cancer patients and their families Only one study has reported the application of this intervention in the acute care setting and our previous pilot study has been the only one done with patients and caregivers undergoing allogeneic HSCT
Based on the findings from our pilot study and recent published reports this study is designed to determine preliminary efficacy of problem solving education by increasing self-efficacy in caregivers during allogeneic HSCT In addition this study will explore factors associated with change in caregiver self-efficacy and distress such as demographics clinical variables mutuality caregiver reaction sleep quality fatigue and health behaviors
This is a phase two clinical trial applying a prospective repeated measure design Subjects will be accrued to this protocol if they agree to participation in an allogeneic HSCT at the Clinical Center NIH are greater than 18 years old able to read English and able to comprehend the investigational nature of the study Patient volunteers must have at least one caregiver throughout the study period A sample of at least 71 caregivers is needed to adequately evaluate the effectiveness of the PSE intervention In order to achieve a sample of 71 caregivers 50 transplant patients will be recruited
Each caregiver and patient will be scheduled for three individualized PSE intervention sessions study intervention in addition to the usual care group education Three surveys will be administered to all study participants The baseline questionnaires will be administered twice once prior to allogeneic HSCT and again directly before the first PSE at the time of initial discharge from the hospital The post-intervention questionnaires will be administered 6 weeks post discharge There will be no long term follow-up after the intervention period Questionnaires include Distress Thermometer Family Caregiving Inventory Mutuality Scale Health-Promoting Lifestyle Profile II Cancer Self-Efficacy scale Brief Symptom Inventory Caregiver Reaction Assessment Pittsburgh Sleep Quality Index and the Multidimensional Fatigue Symptom Inventory-Short Form In addition the subjects will participate in a semi-structured interview at the end of the study and the interventionist will complete a log that tracks subject attendance session length and discrepancy between planned and actual session date and time Quantitative and qualitative analysis techniques will be used in this study
Problem-solving is an essential skill for individuals to successfully cope Increased problem-solving skill has been shown to decrease psychological distress and may improve symptom distress and health related quality of life QOL The COPE Creativity Optimism Planning and Expert Information problem-solving education PSE intervention has demonstrated benefit and has been reported as a positive therapy by cancer patients and their families Only one study has reported the application of this intervention in the acute care setting and our previous pilot study has been the only one done with patients and caregivers undergoing allogeneic HSCT
Based on the findings from our pilot study and recent published reports this study is designed to determine preliminary efficacy of problem solving education by increasing self-efficacy in caregivers during allogeneic HSCT In addition this study will explore factors associated with change in caregiver self-efficacy and distress such as demographics clinical variables mutuality caregiver reaction sleep quality fatigue and health behaviors
This is a phase two clinical trial applying a prospective repeated measure design Subjects will be accrued to this protocol if they agree to participation in an allogeneic HSCT at the Clinical Center NIH are greater than 18 years old able to read English and able to comprehend the investigational nature of the study Patient volunteers must have at least one caregiver throughout the study period A sample of at least 71 caregivers is needed to adequately evaluate the effectiveness of the PSE intervention In order to achieve a sample of 71 caregivers 50 transplant patients will be recruited
Each caregiver and patient will be scheduled for three individualized PSE intervention sessions study intervention in addition to the usual care group education Three surveys will be administered to all study participants The baseline questionnaires will be administered twice once prior to allogeneic HSCT and again directly before the first PSE at the time of initial discharge from the hospital The post-intervention questionnaires will be administered 6 weeks post discharge There will be no long term follow-up after the intervention period Questionnaires include Distress Thermometer Family Caregiving Inventory Mutuality Scale Health-Promoting Lifestyle Profile II Cancer Self-Efficacy scale Brief Symptom Inventory Caregiver Reaction Assessment Pittsburgh Sleep Quality Index and the Multidimensional Fatigue Symptom Inventory-Short Form In addition the subjects will participate in a semi-structured interview at the end of the study and the interventionist will complete a log that tracks subject attendance session length and discrepancy between planned and actual session date and time Quantitative and qualitative analysis techniques will be used in this study
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 08-CC-0220 | None | None | None |