O n l i n e E x c lu s iv e A r t ic l e

A P ilot R an d o m ized , C o n tro lle d Trial o f th e Effectiveness of a Psychoeducational In te rv e n tio n on Fam ily Caregivers of Patients W ith A dvanced C ancer M abel Leow, BSc (Hons), Sally Chan, PhD, MSc, BSc, RN, FAAN, and M oon Fai Chan, PhD, CStat

amily members are expected to take on the Purpose/O bjectives: To evaluate th e effectiveness o f a psy­ responsibilities of caring for their sick rela­ c h o e d u c a tio n a l in te rv e n tio n , th e C a rin g fo r th e C aregiver tives in Asian societies, such as Singapore, P rogram m e (CCP). that highly value filial piety. However, car­ D e s ig n : A p ilo t ra n d o m iz e d , c o n tro lle d tria l (RCT), tw o ing for a person with advanced cancer is g ro u p pretest, a nd re peated post-tests. physically and emotionally challenging. Physically, the Setting: Four hom e hospice organizations and an o u tp a tie n t person with advanced cancer has complex needs and c lin ic in Singapore. requires extensive care from the caregiver. Emotionally, S am p le: 80 caregivers w e re ra n d o m ize d in to e xp e rim e n ta l the caregiver has to deal with the patient's impending and standard care groups. death. Caregivers may experience significant stress, and M e th o d s : O u tco m e s w e re m easured at baseline, w e e k 4, some suffer from depression and decreased quality of and w e e k 8 afte r th e in te rve n tio n . The standard care gro u p life (QOL). received ro u tin e h o m e hospice care, and th e in te rv e n tio n g ro u p received th e CCP in a d d itio n to ro u tin e care. Generally, the literature supports psychoeducational interventions for improving caregivers' QOL. However, M a in R esearch V a ria b le s : Q u a lity o f life (Q O L ), social s u p p o rt, stress a n d d e p re ssio n , s e lf-e ffic a c y in se lf-ca re , several knowledge gaps were identified, including the closeness w ith th e p a tie n t, rew ards, and kn o w le d g e . lack of rigorous design in many reviewed studies with Findings: C o m p a re d to th e sta n d a rd care g ro u p , th e in ­ small sample sizes. Despite an increase in the quality te rv e n tio n g ro u p re p o rte d sig n ifica n tly h ig h er Q O L , social and quantity of intervention studies, psychosocial sup­ s u p p o rt s a tis fa c tio n a n d n u m b e r o f s u p p o rte d p e o p le , port for caregivers in palliative care is still in its early closeness w ith th e p a tie n t, s e lf-e ffic a c y in s e lf-c a re , re ­ stages. In the Singapore context, to the best of the re­ w ards o f caregiving, and kn o w le d g e , a nd lo w e r stress and searchers' knowledge, no study on psychoeducational depression. interventions for caregivers of a person with advanced C o n c lu s io n s : T h e C C P h a d p o s itiv e e ffe c ts o n fa m ily cancer has been conducted. caregivers o f patients w ith advanced cancer. Prior to the current study, the researchers conducted Im p lic a tio n s fo r N u rs in g : A p s y c h o e d u c a tio n a l in te r ­ v e n tio n p o te n tia lly c o u ld h e lp ca re g ive rs c o p e w ith th e a study to understand the QOL and experiences of d e m a n d s o f caregiving. caregivers. Caregivers' QOL remained constant over Key W ords: fa m ily caregivers; h o m e hospice care; psycho­ a period of two months without any intervention, and e d u ca tio n a l in te rv e n tio n ; p a llia tive care social support satisfaction was essential in improving ONF, 42(2), E 63 -E 7 2 . d o i: 1 0 .1 1 8 8 /1 5 .O N F .E 6 3 -E 7 2 caregivers' QOL.

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The full text o f this article can be accessed at onf.ons.org. M a b e l Leow, BSc (H ons), is a research nurse a t th e N a tio n al Skin C e n tre in Singapore. This s tu d y w as su p p o rte d by a g ra n t fro m th e Lien C e n tre fo r Palliative C are (R -5 4 5 -0 0 0 -0 5 0 -7 2 0 ). Leow can be reached at m a b e l.le o w @ n u s .e d u .sg, w ith c o p y to e d ito r a t O N F E d ito r@ o n s .o rg . (S u b m itte d A u g u st 2 0 1 4 . A cce p te d fo r p u b lic a tio n O c to b e r 1 ,2 0 1 4 .)

O n c o lo g y N u r s in g F o r u m • V o l. 4 2 , N o . 2 , M a r c h 2 0 1 5

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A pilot randomized, controlled trial of the effectiveness of a psychoeducational intervention on family caregivers of patients with advanced cancer.

To evaluate the effectiveness of a psychoeducational intervention, the Caring for the Caregiver Programme (CCP).
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