Efficacy of a dyadic intervention to improve communication between patients with cancer and their caregivers: A randomized pilot trial |
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| Authors: | Julien Tiete Nicole Delvaux Aurore Liénard Darius Razavi |
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| Affiliation: | 1. Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l’Education, 50 Avenue Franklin Roosevelt, Brussels, Belgium;2. Hôpital Erasme, Service de Psychologie, 808 Route de Lennik, Brussels, Belgium;3. Institut Jules Bordet, Clinique de Psycho-oncologie, 121 Boulevard de Waterloo, Brussels, Belgium;1. School of Nursing, University of Minnesota, Minneapolis, USA;2. Pediatric Cardiology, University of Minnesota, Minneapolis, USA;3. College of Nursing, Chamberlain University, Downers Grove, USA;4. Department of Pediatrics and Bioethics, Children’s Wisconsin Clinics, Medical College of Wisconsin, Milwaukee, USA;1. Huntsman Cancer Institute, 2000 Circle of Hope Dr, Salt Lake City, UT, USA;2. New York University School of Global Public Health, 715 Broadway, New York, NY, USA;3. Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, USA;4. Department of Communication, University of Utah, 255 Central Campus Dr, Salt Lake City, UT, USA;1. Johns Hopkins University School of Medicine, Baltimore MD – 733 N Broadway, Baltimore, MD, 21205, USA;2. University of Maryland School of Medicine, Baltimore MD – 655 W Baltimore St S, Baltimore, MD, 21201, USA;3. Children’s National Medical Center, Washington DC – 110 Irving St NW, Washington, DC, 20010, USA;1. Science in the Public Sphere Program, RTI International, Research Triangle Park, NC, USA;2. School of Public Health, University of Minnesota, Minneapolis, MN, USA;3. Russell Herder, Minneapolis, MN, USA;1. Murdoch Children’s Research Institute, Parkville, Australia;2. Melbourne Genomics Health Alliance, c/o Walter and Eliza Hall Institute, Parkville, Australia;3. Department of Paediatrics, University of Melbourne, Parkville, Australia;4. Victorian Clinical Genetics Services, The Royal Children''s Hospital, Parkville, Australia;5. Monash Genetics, Monash Health, Clayton, Australia;1. The Univeristy of Alabama, Tuscaloosa, AL 35487;2. HudsonAlpha Institute for Biotechnology, 800 Hudson Way, Huntsville, AL, 35806, United States |
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| Abstract: | ObjectiveCancer-related communication is critical for patients’ and caregivers’ adaptation to illness. This randomized pilot study was conducted to test the feasibility, acceptability, and efficacy of a specific dyadic intervention to improve communication.MethodsA four weekly-session intervention was developed to reinforce cancer-related patient-caregiver communication. Patients receiving treatment for any diagnosed cancer, and their caregivers, were recruited from two oncology clinics in Belgium. Sixty-four patient-caregiver dyads were assigned randomly to intervention and waitlist groups. Cancer-related dyadic communication, dyadic coping and emotional distress were assessed at baseline and post-intervention.ResultsThe intervention attrition rate was 6 %. Linear mixed models were performed on 60 dyads. Significant two-way group × time interaction indicated improvement in participants’ cancer-related dyadic communication frequency (β = ?1.30; SE = 0.31; p = .004), self-efficacy (β = ?10.03; SE = 3.90; p = .011) and dyadic coping (β = ?5.93; SE = 2.73; p = .046) after the intervention.ConclusionThese results indicate that the brief dyadic communication intervention is feasible and acceptable, and show preliminary evidence of efficacy.Practice implicationsEncouraging patients and caregivers to discuss personal cancer-related concerns may improve their ability to cope with the illness together. |
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| Keywords: | Communication Caregivers Patient-caregiver dyad Psychological intervention Support |
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