Improving psychosocial outcomes for caregivers of people with poor prognosis gastrointestinal cancers: a randomized controlled trial (Family Connect)
Abstract
Purpose This study investigated the effectiveness of a structured telephone intervention for caregivers of people diagnosed with poor prognosis gastrointestinal cancer to improve psychosocial outcomes for both caregivers and patients.Methods Caregivers of patients starting treatment for upper gastrointestinal or Dukes D colorectal cancer were randomly assigned (1:1) to the Family Connect telephone intervention or usual care. Caregivers in the intervention group received four standardized telephone calls in the 10 weeks following patient hospital discharge. Caregivers' quality of life (QOL), caregiver burden, unmet supportive care needs and distress were assessed at 3 and 6 months. Patients' QOL, unmet supportive care needs, distress and health service utilization were also assessed at these time points.Results Caregivers (128) were randomized to intervention or usual care groups. At 3 months, caregiver QOL scores and other caregiver-reported outcomes were similar in both groups. Intervention group participants experienced a greater sense of social support (p = .049) and reduced worry about finances (p = .014). Patients whose caregiver was randomized to the intervention also had fewer emergency department presentations and unplanned hospital readmissions at 3 months post-discharge (total 17 vs. 5, p = .01).Conclusions This standardized intervention did not demonstrate any significant improvements in caregiver well-being but did result in a decrease in patient emergency department presentations and unplanned hospital readmissions in the immediate post-discharge period. The trend towards improvements in a number of caregiver outcomes and the improvement in health service utilization support further development of telephone-based caregiver-focused supportive care interventions.
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Few studies focus on improving outcomes for caregivers.
“Family caregivers of cancer patients exhibit high levels of stress and depression, lower subjective well-being, worse physical health, and higher mortality compared to non-caregivers [2–8, 19–25], yet few studies focus on improving outcomes for caregivers [26].”
From Being present: A single-arm feasibility study of audio-based mindfulness meditation for colorectal cancer patients and caregivers (2018) · cites this paper as [26]
The study lacked extended follow-up.
“Limitations included a lack of extended follow-up, which is often complicated in the advanced cancer setting owing to poor patient prognosis and increased caregiving demands.41,42”
From Multisite Randomized Controlled Trial of CareSTEPS: A Supportive Care Intervention for the Family Caregivers of Patients With Advanced Lung Cancer (2024) · cites this paper as [41]
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- Authors
- Shaw, J. M., Young, J. M., Butow, P. N., Badgery-Parker, T., Durcinoska, I., Harrison, J. D., Davidson, P. M., Martin, D., Sandroussi, C., Hollands, M., Joseph, D., Das, A., Lam, V., Johnston, E., & Solomon, M. J.
- Affiliations
- The University of Sydney (AU)
- University of California, San Francisco (US)
- University of Technology Sydney (AU)
- Royal Prince Alfred Hospital (AU)
- Westmead Hospital (AU)
- Bankstown Lidcombe Hospital (AU)
- Corresponding author
- Shaw, Joanne M.
- ORCID
- Venue
- Supportive Care in Cancer
- Published
- 2015-06-26
- Volume
- 24
- Issue
- 2
- Pages
- 585-595
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W925770218
- Cited by
- 46
- References
- 38
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 6 · 2020: 8 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 1
- FWCI
- 5.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Cancer Institute NSW
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- caregiver burden, gastrointestinal cancer, colorectal cancer, upper gastrointestinal cancer, telephone-delivered intervention, psychosocial outcomes, caregiver quality of life, social support, financial worry, emergency department presentation, unplanned hospital readmission, health care utilization, supportive care needs, caregiver distress
- MeSH terms
- Adaptation, Psychological, Aged, Female, Gastrointestinal Neoplasms, Humans, Male, Middle Aged, Patient Readmission, Prognosis, Quality of Life, Social Support, Telephone, Caregivers
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