Impact of coping skills intervention with family caregivers of hospice patients with cancer: A randomized clinical trial
Open accessAbstract
BACKGROUND: Family caregivers for cancer patients experience high levels of stress and burden and diminished quality of life (QOL). Interventions to improve coping skills of caregivers have been shown to be effective with other populations, but their impact has not been assessed in the difficult context of hospice care. The purpose of this study was to determine whether hospice plus a coping skill training intervention improved family caregivers' QOL, burden, coping, and mastery, compared with hospice plus emotional support, and usual hospice care. METHODS: A three group randomized controlled trial was conducted including baseline, 16 day, and 30 day assessments conducted from March 1999 to May 2003. The sample consisted of 354 family caregivers of community dwelling hospice patients with advanced cancer. Patient/caregiver dyads were randomly divided into three groups, including a control group (n = 109) who received standard hospice care, a group (n = 109) who received standard hospice care plus three supportive visits, and a group (n = 111) who received standard care plus three visits to teach a coping skills intervention. Primary outcomes included caregiver QOL, caregiver burden due to patient symptoms, caregiver burden due to tasks, and caregiver mastery. RESULTS: At the 30‐day follow‐up, the coping skills intervention led to significantly greater improvement in caregiver QOL (estimate = −0.16, standard error [SE] = 0.07, P = 0.03), burden of patient symptoms (estimate = 0.28, SE = 0.07, P < 0.001), and caregiving task burden (estimate = −0.01, SE = 0.01, P = 0.038) than did the other two conditions. None of the groups showed significant change in overall caregiving mastery, caregiver mastery specific to caregiving tasks, problem‐focused or emotion‐focused coping. CONCLUSIONS: The coping skills intervention was effective in improving caregiver QOL, reducing burden related to patients' symptoms, and caregiving tasks compared with hospice care alone or hospice plus emotional support. Structured caregiver skill‐training interventions for caregivers are promising even in the difficult environment of end‐of‐life care and for families already receiving benefits of hospice care. Cancer 2006. © 2005 American Cancer Society.
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It is difficult to find enough participants to meet the previous calculated power in studies among informal caregivers of cancer patients.
“From other studies among informal caregivers of cancer patients it is known that it is difficult to find enough participants to meet the previous calculated power (e.g. [55-57]).”
From A web-based self-help intervention for partners of cancer patients based on Acceptance and Commitment Therapy: a protocol of a randomized controlled trial. (2015) · cites this paper as [55]
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- Authors
- McMillan, S. C., Small, B. J., Weitzner, M., Schonwetter, R., Tittle, M., Moody, L., & Haley, W. E.
- Affiliations
- University of South Florida (US)
- Corresponding author
- McMillan, Susan C.
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2005-12-23
- Volume
- 106
- Issue
- 1
- Pages
- 214-222
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W2053255488
- Cited by
- 305
- References
- 32
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 14 · 2023: 13 · 2022: 10 · 2021: 11 · 2020: 14 · 2019: 18 · 2018: 13 · 2017: 12 · 2016: 19 · 2015: 19 · 2014: 19 · 2013: 21 · 2012: 30
- FWCI
- 9.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of South Florida
- National Cancer Institute (R01CA077307, 1 R01 CA77307)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- family caregivers, hospice care, advanced cancer, caregiver burden, quality of life, emotional support, end-of-life care, symptom burden, caregiver stress
- MeSH terms
- Adaptation, Psychological, Family, Family Relations, Humans, Neoplasms, Quality of Life, Social Support, Caregivers, Hospice Care
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