Catherine E Mosher1, Ekin Secinti2, Shelley A Johns3, Bert H O'Neil4, Paul R Helft4, Safi Shahda4, Shadia I Jalal4, Victoria L Champion5. 1. Department of Psychology, Indiana University-Purdue University Indianapolis, 402 North Blackford Street, LD 124, Indianapolis, IN, 46202, USA. cemosher@iupui.edu. 2. Department of Psychology, Indiana University-Purdue University Indianapolis, 402 North Blackford Street, LD 124, Indianapolis, IN, 46202, USA. 3. Center for Health Services Research, Regenstrief Institute, Indiana University School of Medicine, 1101 W. 10th Street, RF-226, Indianapolis, IN, 46202, USA. 4. Department of Medicine, Indiana University School of Medicine, Indiana Cancer Pavilion, 535 Barnhill Drive, Room 473, Indianapolis, IN, 46202, USA. 5. Indiana University School of Nursing, 1111 Middle Drive, NU 340G, Indianapolis, IN, 46202, USA.
Abstract
PURPOSE: At the end of life, spiritual well-being is a central aspect of quality of life for many patients and their family caregivers. A prevalent spiritual value in advanced cancer patients is the need to actively give. To address this need, the current randomized trial examined whether adding a peer helping component to a coping skills intervention leads to improved meaning in life and peace for advanced gastrointestinal cancer patients and their caregivers. Feasibility and acceptability outcomes were also assessed. METHODS:Advanced gastrointestinal cancer patients and caregivers (n = 50 dyads) were randomly assigned to a 5-session, telephone-based coping skills intervention or a peer helping + coping skills intervention. One or both dyad members had moderate-severe distress. Peer helping involved contributing to handouts on coping skills for other families coping with cancer. Patients and caregivers completed measures of meaning in life/peace, fatigue, psychological symptoms, coping self-efficacy, and emotional support. Patient pain and caregiver burden were also assessed. RESULTS: Small effects in favor of the coping skills group were found regarding meaning in life/peace at 1 and 5 weeks post-intervention. Other outcomes did not vary as a function of group assignment, with both groups showing small decreases in patient and caregiver fatigue and caregiver distress and burden. High recruitment and retention rates supported feasibility, and high participant satisfaction ratings supported acceptability. CONCLUSIONS: Although a telephone-based intervention is feasible and acceptable for this population, peer helping in the context of a coping skills intervention does not enhance spiritual well-being relative to coping skills alone.
RCT Entities:
PURPOSE: At the end of life, spiritual well-being is a central aspect of quality of life for many patients and their family caregivers. A prevalent spiritual value in advanced cancerpatients is the need to actively give. To address this need, the current randomized trial examined whether adding a peer helping component to a coping skills intervention leads to improved meaning in life and peace for advanced gastrointestinal cancerpatients and their caregivers. Feasibility and acceptability outcomes were also assessed. METHODS:Advanced gastrointestinal cancerpatients and caregivers (n = 50 dyads) were randomly assigned to a 5-session, telephone-based coping skills intervention or a peer helping + coping skills intervention. One or both dyad members had moderate-severe distress. Peer helping involved contributing to handouts on coping skills for other families coping with cancer. Patients and caregivers completed measures of meaning in life/peace, fatigue, psychological symptoms, coping self-efficacy, and emotional support. Patientpain and caregiver burden were also assessed. RESULTS: Small effects in favor of the coping skills group were found regarding meaning in life/peace at 1 and 5 weeks post-intervention. Other outcomes did not vary as a function of group assignment, with both groups showing small decreases in patient and caregiver fatigue and caregiver distress and burden. High recruitment and retention rates supported feasibility, and high participant satisfaction ratings supported acceptability. CONCLUSIONS: Although a telephone-based intervention is feasible and acceptable for this population, peer helping in the context of a coping skills intervention does not enhance spiritual well-being relative to coping skills alone.
Authors: Katherine M Piderman; Mary E Johnson; Marlene H Frost; Pamela J Atherton; Daniel V Satele; Matthew M Clark; Maria I Lapid; Jeff A Sloan; Teresa A Rummans Journal: Psychooncology Date: 2013-09-09 Impact factor: 3.894
Authors: Elizabeth A Hahn; Darren A DeWalt; Rita K Bode; Sofia F Garcia; Robert F DeVellis; Helena Correia; David Cella Journal: Health Psychol Date: 2014-01-20 Impact factor: 4.267
Authors: Catherine E Mosher; Ekin Secinti; Wei Wu; Deborah A Kashy; Kurt Kroenke; Jonathan B Bricker; Paul R Helft; Anita A Turk; Patrick J Loehrer; Amikar Sehdev; Ahmad A Al-Hader; Victoria L Champion; Shelley A Johns Journal: Palliat Med Date: 2022-05-30 Impact factor: 5.713
Authors: Ekin Secinti; Kevin L Rand; Shelley A Johns; Bert H O'Neil; Paul R Helft; Safi Shahda; Shadia I Jalal; Catherine E Mosher Journal: Support Care Cancer Date: 2018-09-17 Impact factor: 3.603
Authors: Megan C Thomas Hebdon; Lorinda A Coombs; Pamela Reed; Tracy E Crane; Terry A Badger Journal: Eur J Oncol Nurs Date: 2021-03-10 Impact factor: 2.588
Authors: Danielle B Tometich; Kelly A Hyland; Hatem Soliman; Heather S L Jim; Laura Oswald Journal: Cancers (Basel) Date: 2020-12-08 Impact factor: 6.639