To test the efficacy of a web-based stepped collaborative care intervention to reduce symptoms of depression, pain, and fatigue and improve health-related quality of life (HRQL) in advanced cancer patients and to reduce stress and depression, and fewer CVD risk factors in caregivers.
The intervention is designed to maintain quality of life for those in greatest need and least access to resources. This innovative and scalable web-based collaborative care intervention is expected not only to improve patients' quality of life, at the end of life, but also reduce caregiver stress and depression, and potentially health morbidity and mortality of patients and spousal and intimate partner caregivers from socioeconomically disadvantaged backgrounds. Study findings are expected to lead to research examining the dissemination and implementation of the intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
40
Using website that was specifically designed for advanced cancer patient, collaborative with treatment from health professional
Usual care from health providers
University of Pittsburgh Medical Center Montefiore Liver Cancer Center
Pittsburgh, Pennsylvania, United States
University of Pittsburgh's Medical Center Montefiore Hospital
Pittsburgh, Pennsylvania, United States
Sleep Quality
Pittsburgh Sleep Quality Index (PSQI)
Time frame: Change from baseline at 6 months
Pain Level
Brief Pain Inventory (BPI)
Time frame: Change from baseline at 6 months
Functioning
Functional Assessment for Cancer Therapy Hepatobiliary (FACT - Hep)
Time frame: Change from baseline at 6 months
Depression
Center for Epidemiological Studies -Depression (CESD)
Time frame: Change from baseline at 6 months
Stress
Perceived Stress Scale (PSS)
Time frame: Change from baseline at 6 months
Fatigue
Functional Assessment for Cancer Therapy Fatigue (FACT - Fatigue)
Time frame: Change from baseline at 6 months
Caregiver Quality of Life
Caregiver Quality of Life Questionnaire (CQOL)
Time frame: Change from baseline at 6 months
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