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

1 Scopus citations

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 2019

Keywords

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

ASJC Scopus subject areas

  • Pharmacology (medical)

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