Nursing Intervention in Supporting Family Caregivers of Patients Undergoing Stem Cell Transplant

City of Hope Medical Center

Overview

This randomized clinical trial studies nursing intervention in supporting family caregivers (FCs) of patients undergoing stem cell transplant. A nursing intervention may help prepare FCs support the recovery of the patients

PRIMARY OBJECTIVES: I. Test the effects of an advanced practice nursing (APN) intervention for family caregivers (FCs) of hematopoietic cell transplant (HCT) patients in the experimental group on FC quality of life, psychological distress, caregiver burden, caregiver skills preparedness as compared to FCs in the control group. II. Describe self-care behaviors for FCs of HCT patients and compare them between the experimental and control groups. III. Describe resource use by FCs comparing the experimental and control groups. IV. Identify subgroups of FCs who benefit most from the family caregiver intervention (FCI) in relation to sociodemographic characteristics, caregiver health status, and patient characteristics. SECONDARY OBJECTIVES: I. Describe family caregivers' satisfaction with the FCI. OUTLINE: FCs are randomized to 1 of 2 groups. GROUP I: FCs receive 4 sessions of an APN FCI beginning during the admission for transplant and continuing for up to 100 days after transplant. GROUP II: FCs receive standard supportive care. After completion of study, FCs are followed up at 3, 6, and 12 months.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Conditions

Anxiety Disorder Depression Fatigue

Interventions

educational interventionOTHER

Undergo APN FCI

psychosocial support for caregiverOTHER

Undergo APN FCI

quality-of-life assessmentPROCEDURE

Ancillary studies

Eligibility

Sex: ALLMin age: 21 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * The primary family caregiver as identified by a hematologic cancer patient who is scheduled for a single allogeneic bone marrow or stem cell transplant; the definition of a family caregiver for the purposes of this proposal refers to either a family member or friend that is identified by the patient as being the primary caregiver * Living within a 50 mile radius of City of Hope Exclusion Criteria: * Caregivers who are unable to read English or Spanish consent forms * Caregivers who live more than 50 miles from City of Hope

Outcomes

Primary Outcomes

Test the effects of an advanced practice nursing (APN) intervention for family caregivers (FCs) in the experimental group using questionnaires measuring quality of life and psychological distress as compared to the FCs in the control group.