Comparing Distress Screening + Consultation With Enhanced Usual Care for Caregivers of Cancer Patients

Memorial Sloan Kettering Cancer Center (MSK)

Status: Active, not recruiting

Conditions: Cancer Caregivers

Treatments: Behavioral: CSS-CG; Behavioral: FACT-GP; Behavioral: Baseline questionnaire; Behavioral: NCCN Problem List; Behavioral: HADS

Study type: Interventional

Funder types: Other

Identifiers

NCT03856086

18-539

Details and patient eligibility

About

This study will help the researchers find out whether the S+C approach is better, the same as, or worse than EUC.

Enrollment: 150 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Self-identified caregiver to a patient receiving surgery at JRSC OR self-identified caregiver to a patient at various inpatient surgical floors (i.e., M4, M7, M8) at the Main Hospital OR self-identified caregiver to a patient at the BMT clinic.
• English fluency: Self-report by subject identifying English as the preferred language for healthcare, and self-reported degree of fluency as speaking English "Very well."
• 18 years old or older as per self report
• Agree to fulfill responsibilities as an IC during the perioperative phases as per self report

Exclusion criteria

• Cognitive difficulties that preclude participation in the intervention or accurate assessment in the judgment of the PI
• Medical illness that is of sufficient severity to preclude further participation in the study.
• Presenting to JRSC as the IC for a patient undergoing a prophylactic procedure

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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150 participants in 2 patient groups

Enhanced usual care (EUC)

Active Comparator group

Description:

ICs randomized to EUC following baseline questionnaire completion will be given instructions (Appendix I) on how to access or create an account to access the myMSK online portal IC Resources page (https://my.mskcc.org/login). If the caregiver does not wish to enroll in MyMSK, the research study staff will send them an email with sample referral material ( Appendix D. The IC Resources page includes links to extant MSK educational materials for ICs (e.g., "A Guide for Caregivers" \[47\]), contact information for psychosocial services (e.g., Caregivers Clinic in the MSK Counseling Center), and external resources (e.g., educational materials and services through the CSC, American Cancer Society, and others) (Appendix D,).

Treatment:

Behavioral: HADS

Behavioral: NCCN Problem List

Behavioral: Baseline questionnaire

Behavioral: FACT-GP

CancerSupportSource-CG screening plus consultation (S+C)

Experimental group

Description:

ICs randomized to S+C will complete the web-based CSS-CG (Appendix C) using a tablet immediately following baseline study measures. In case of technical issues, ICs may complete Appendix C with the guidance of a member of the research study team. The CSS-CG asks ICs to rate their level of concern for 33 different possible problems: if a need is rated as low (i.e., "A little" or less concern), after each problem is rated ICs will be prompted to request pertinent educational materials if they are interested. If a need is endorsed (i.e., "Moderate" or greater concern), ICs are asked through the web-based electronic platform (https://mskcc.mycarereport.com) whether they would like educational materials and/or to speak with someone about that need (i.e., receive a referral).

Treatment:

Behavioral: HADS

Behavioral: NCCN Problem List

Behavioral: Baseline questionnaire

Behavioral: FACT-GP

Behavioral: CSS-CG