Improving family caregiver and patient outcomes in lung cancer surgery: Study protocol for a randomized trial of the multimedia self-management (MSM) intervention

Virginia Sun, D. J. Raz, Loretta Erhunmwunsee, Nora Ruel, Jacqueline Carranza, Rosemary Prieto, B. Ferrell, Robert S Krouse, Ruth McCorkle, J. Y. Kim

Research output: Contribution to journalArticle

Abstract

Objective: To describe the study protocol of the Multimedia Self-Management (MSM) intervention to prepare patients and family caregivers (FCGs) for lung cancer surgery. Design: The study is a five-year, single site, randomized controlled trial of 160 lung cancer surgery FCG and patient dyads (320 total participants), comparing intervention and attention control arms. Setting: One National Cancer-Institute (NCI) designated comprehensive cancer center in Southern California. Participants: Patients who are scheduled to undergo lung cancer surgery and their FCGs are enrolled as dyads only. Intervention: Based on the Chronic Care Self-Management Model (CCM), the intervention is a nurse-led, caregiver-based, multimedia care program for lung cancer surgery. Its primary focus is to help FCGs develop self-management skills related to their caregiving role through goal setting, proactive planning, building problem-solving skills, and accessing family support services. The intervention also supports dyads to prepare for surgery and post-operative recovery at home. It includes videos, print, web-based, and post-discharge telephone support. Main outcome measures: FCG and patient psychological distress and QOL; FCG burden and preparedness for caregiving; FCG and patient healthcare resource use (in-home nursing care, urgent care/ER visits, readmissions). Analysis: Repeated measures ANCOVA statistical design will be used, removing variances prior to examining mean squares for the group by occasion interactions, and co-varying the baseline scores. In addition, structured equation modeling (SEM) will assess whether mediating and moderating factors are associated with outcomes. ClinicalTrials.gov Identifier: NCT03686007

Original languageEnglish (US)
Pages (from-to)88-96
Number of pages9
JournalContemporary Clinical Trials
Volume83
DOIs
StatePublished - Aug 1 2019

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Multimedia
Self Care
Caregivers
Lung Neoplasms
Home Nursing
National Cancer Institute (U.S.)
Home Care Services
Ambulatory Care
Nursing Care
Telephone
Randomized Controlled Trials
Nurses
Outcome Assessment (Health Care)
Psychology
Delivery of Health Care

Keywords

  • Family caregivers
  • Lung cancer
  • Quality of life
  • Self-efficacy
  • Self-management
  • Surgery

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

Improving family caregiver and patient outcomes in lung cancer surgery : Study protocol for a randomized trial of the multimedia self-management (MSM) intervention. / Sun, Virginia; Raz, D. J.; Erhunmwunsee, Loretta; Ruel, Nora; Carranza, Jacqueline; Prieto, Rosemary; Ferrell, B.; Krouse, Robert S; McCorkle, Ruth; Kim, J. Y.

In: Contemporary Clinical Trials, Vol. 83, 01.08.2019, p. 88-96.

Research output: Contribution to journalArticle

Sun, Virginia ; Raz, D. J. ; Erhunmwunsee, Loretta ; Ruel, Nora ; Carranza, Jacqueline ; Prieto, Rosemary ; Ferrell, B. ; Krouse, Robert S ; McCorkle, Ruth ; Kim, J. Y. / Improving family caregiver and patient outcomes in lung cancer surgery : Study protocol for a randomized trial of the multimedia self-management (MSM) intervention. In: Contemporary Clinical Trials. 2019 ; Vol. 83. pp. 88-96.
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