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A randomized clinical trial assessing a pragmatic intervention to improve supportive care for family caregivers of patients with lung cancer

Published online by Cambridge University Press:  14 September 2020

Michèle Aubin Open the ORCID record for Michèle Aubin [Opens in a new window] ,
Lucie Vézina ,
René Verreault ,
Sébastien Simard ,
Jean-François Desbiens ,
Lise Tremblay ,
Serge Dumont ,
Maman Joyce Dogba  and
Pierre Gagnon
Michèle Aubin*
Affiliation:
Department of Family Medicine and Emergency Medicine, Université Laval Research Centre of the Institut Universitaire de Cardiologie et de Pneumologie de Quebec (IUCPQ) VITAM-Centre de recherche en Santé Durable, Université Laval
Lucie Vézina
Affiliation:
Department of Family Medicine and Emergency Medicine, Université Laval
René Verreault
Affiliation:
VITAM-Centre de recherche en Santé Durable, Université Laval
Sébastien Simard
Affiliation:
Research Centre of the Institut Universitaire de Cardiologie et de Pneumologie de Quebec (IUCPQ) Department of Health Sciences, Centre Intersectoriel en Santé Durable (CISD), UQAC
Jean-François Desbiens
Affiliation:
VITAM-Centre de recherche en Santé Durable, Université Laval Faculty of Nursing, Université Laval Research Centre of CHU de Quebec-Université Laval
Lise Tremblay
Affiliation:
Research Centre of the Institut Universitaire de Cardiologie et de Pneumologie de Quebec (IUCPQ) Department of Medicine, Université Laval Pulmonology Oncology Centre, IUCPQ
Serge Dumont
Affiliation:
VITAM-Centre de recherche en Santé Durable, Université Laval Research Centre of CHU de Quebec-Université Laval Faculty of Social Sciences, Université Laval
Maman Joyce Dogba
Affiliation:
Department of Family Medicine and Emergency Medicine, Université Laval VITAM-Centre de recherche en Santé Durable, Université Laval
Pierre Gagnon
Affiliation:
VITAM-Centre de recherche en Santé Durable, Université Laval Research Centre of CHU de Quebec-Université Laval Department of Psychiatry and Neurosciences, Université Laval
*
Author for correspondence: Michèle Aubin, Université Laval, 1050 Ave de la Médecine, Quebec (QC) G1V 0A6, Canada. E-mail: michele.aubin@mfa.ulaval.ca
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Abstract

Objective

Family caregivers (FCs) of cancer patients often experience high distress. This randomized clinical trial assessed the feasibility and preliminary effects of an intervention to improve FC supportive care.

Method

A pragmatic and minimal intervention to improve FC supportive care was developed and pretested with FCs, oncology team, and family physicians to assess its relevance and acceptability. Then, FCs of lung cancer patients were randomized to the intervention or the control group. The intervention included (1) systematic FC distress screening and problem assessment in the first months after their relative cancer diagnosis, and every 2 months after; (2) privileged contact with an oncology nurse to address FC problems, provide emotional support and skills to play their caregiving role; (3) liaison with the family physician of FCs reporting high distress (distress thermometer score ≥4/10) to involve them in the provision of supportive care. Distress, the primary outcome, was measured every 3 months, for 9 months. Secondary outcomes included quality of life, caregiving preparedness, and perceived burden. At the end of their participation, a purposive sample of FC from the experimental group was individually interviewed to assess the intervention usefulness. Content analysis was performed.

Results

A total of 109 FCs participated in the trial. FC distress decreased over time, but this reduction was observed in both groups. Similar results were found for secondary outcomes. However, FCs who received the intervention felt better prepared in caregiving than controls (p = 0.05). All 10 interviewed FCs valued the intervention, even though they clearly underused it. Knowing they could contact the oncology nurse served as a security net.

Significance of results

Although the intervention was not found effective, some of its aspects were positively perceived by FCs. As many of them experience high distress, an improved intervention should be developed to better support them.

Keywords

CancerDistressFamily caregiverRandomized controlled trialSupportive care
Type
Original Article
Information
Palliative & Supportive Care , Volume 19 , Issue 2 , April 2021 , pp. 146 - 153
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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