An evidence-based stress management intervention for allogeneic hematopoietic stem cell transplant caregivers: development, feasibility and acceptability

Simoneau, Teresa L.; Kilbourn, Kristin; Spradley, Janet

doi:10.1007/s00520-017-3660-5

Cited by 15 publications

(44 citation statements)

References 44 publications

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“…Finally, it seems that most caregivers would appreciate an intervention that involved both in-person and mobile-based delivery. Indeed, Simoneau and colleagues [42] recommended that future work with this population should utilize mobile-based technology to better reach caregivers, which corroborates with what we heard from our sample. Potential ways to incorporate mobile-based delivery could be a phone application that includes mindfulness practices (e.g., meditation recordings), reminder notifications to practice being mindful throughout the day, or even videos with mindfulness content.…”

Section: Discussionsupporting

confidence: 86%

“…Indeed, taking time away from the patient was identified as a barrier to entering this type of program. To our knowledge, the only other intervention developed for this population was a cognitive-behavioral therapy (CBT) treatment [41,42]. In this study, the authors emphasized the need for flexibility in scheduling treatment sessions, as the caregivers often wanted to spend time with their patient.…”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, our findings here indicate that caregivers would have been interested in being offered a stress management program. Further, findings from Laudenslager and colleagues indicated that a CBT-based intervention was feasible with this population, despite the need for flexibility in scheduling sessions [41,42]. …”

Section: Discussionmentioning

confidence: 99%

“…Most services are available only at the hospital or clinic; logistically, these sessions can be difficult to attend, especially after patient discharge. To our knowledge, the only other study that has evaluated a caregiver-only behavioral intervention for this population [41,42] identified challenges and limitations of providing such a treatment, including participants not engaging in all aspects of the treatment and the need for flexibility in scheduling treatment sessions. Further, this study examined an intervention that was primarily rooted in a cognitive-behavioral approach.…”

Section: Introductionmentioning

confidence: 99%

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Understanding preferences for a mindfulness-based stress management program among caregivers of hematopoietic cell transplant patients

Vinci

Reblin

Jim

et al. 2018

Complementary Therapies in Clinical Practice

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Informal caregivers of allogeneic hematopoietic cell transplant patients experience significant levels of stress throughout the caregiving process. One strategy that has been shown to aid in stress management in other populations is mindfulness. The goal of this study was to understand caregivers’ experiences with mindfulness and evaluate their receptiveness to a mindfulness-based stress management program. Data were collected via in-depth phone interviews from 18 caregivers (55% female). Results indicated that about half the sample was familiar with mindfulness and/or had practiced meditation. The majority indicated that they believed a mindfulness program would have been useful for them and that they would have been willing to participate. Most indicated that a program delivered once-weekly for 60 minutes, during both inpatient and outpatient phases, would be preferable through a combination of in-person and mobile-based delivery. These data provide critical information for the development of future mindfulness-based interventions for this caregiving population.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Understanding preferences for a mindfulness-based stress management program among caregivers of hematopoietic cell transplant patients

Vinci

Reblin

Jim

et al. 2018

Complementary Therapies in Clinical Practice

View full text Add to dashboard Cite

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“…Almost half of the studies (n = 12, 46%) were conducted in the United States . Australia was the second largest contributor of studies (n = 4, 15%) …”

Section: Resultsmentioning

confidence: 99%

A systematic review of cancer caregiver interventions: Appraising the potential for implementation of evidence into practice

et al. 2019

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Objective nformal caregivers provide substantial support for people living with cancer. Previous systematic reviews report on the efficacy of cancer caregiver interventions but not their potential to be implemented. The aim of this systematic review was to explore the potential for cancer caregiver interventions to be implemented into practice. Methods We searched three electronic databases to identify cancer caregiver interventions on 5 January 2018. We operationalised six implementation outcomes (acceptability, adoption, appropriateness, feasibility, fidelity, and costs) into a tool to guide data extraction. Results The search yielded 33 papers (27 papers from electronic databases and six papers from other sources) reporting on 26 studies that met review criteria. Fewer than half the studies (46%) contained evidence about the acceptability of interventions from caregivers' perspectives; only two studies (8%) included interventions developed with input from caregivers. Two studies (8%) addressed potential adoption of interventions, and no studies discussed intentions, agreement, or action to implement interventions into practice. All studies reported on intervention appropriateness by providing a rationale for the interventions. For feasibility, on average less than one‐third of caregivers who were eligible to be involved consented to participate. On fidelity, whether interventions were conducted as intended was reported in 62% of studies. Cost data were reported in terms of intervention delivery, requiring a median time commitment of staff of 180 minutes to be delivered. Conclusions Caregiver intervention studies lack components of study design and reporting that could bridge the gap between research and practice. There is enormous potential for improvements in cancer caregiver intervention study design to plan for future implementation.

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A randomized control trial of stress management for caregivers of stem cell transplant patients: Effect on patient quality of life and caregiver distress

et al. 2019

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Background Psychological interventions reduce caregiver distress (CG‐distress). Less distress in caregivers may contribute to improved patient quality of life (QoL), but empirical evidence is lacking. Will a caregiver stress management intervention improve patient QoL? Methods In this replication study, we randomized 155 allogeneic hematopoietic stem cell transplant (Allo‐HSCT) patients and caregivers to PsychoEducation, Paced Respiration, and Relaxation (PEPRR) or enhanced treatment as usual (eTAU). We provided PEPRR over 3 months following transplant. Functional Assessment of Cancer Therapy–Bone Marrow Transplant (FACT‐BMT) evaluated patient QoL, and CG‐distress was based on depressive, anxious, and stress symptoms. Hierarchical linear models tested intervention, time, and interactions as fixed effects with participant as random effects. Results Patients whose caregivers received PEPRR did not differ on FACT‐BMT between baseline and 6 months (mean = +3.74; 95% CI, −3.54 to 11.02) compared with patients of caregivers in eTAU (mean = +3.16; 95% CI, −2.88 to 9.20) even though CG‐distress was decreased by PEPRR (mean = −0.23; 95% CI, −0.448 to −0.010) compared with those receiving eTAU (mean = +0.27; 95% CI, 0.033‐0.504) at 6 months. Conclusions PEPRR reduced CG‐distress without affecting their patient's FACT‐BMT score. The FACT‐BMT may not have distinguished unique psychological changes associated with their caregiver receiving PEPRR.

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An evidence-based stress management intervention for allogeneic hematopoietic stem cell transplant caregivers: development, feasibility and acceptability

Cited by 15 publications

References 44 publications

Understanding preferences for a mindfulness-based stress management program among caregivers of hematopoietic cell transplant patients

Understanding preferences for a mindfulness-based stress management program among caregivers of hematopoietic cell transplant patients

A systematic review of cancer caregiver interventions: Appraising the potential for implementation of evidence into practice

A randomized control trial of stress management for caregivers of stem cell transplant patients: Effect on patient quality of life and caregiver distress

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