Delivering problem‐solving therapy to family caregivers of people with cancer: A feasibility study in outpatient palliative care

Washington, Karla T.; Demiris, George; Oliver, Debra Parker; Albright, David L.; Craig, Kevin; Tatum, Paul

doi:10.1002/pon.4859

Cited by 35 publications

(63 citation statements)

References 27 publications

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“…Responders rate how often they have experienced each symptom in the past two weeks on a 4-point Likert scale, ranging from 0 ("not at all") to 3 ("nearly every day"). The GAD-7 has good internal reliability (e.g., Löwe et al, 2008) and is used to measure anxiety symptoms across many research and clinical contexts (e.g., Beard & Björgvinsson, 2014;Washington et al, 2018). Within this sample, internal reliability for the sum score of all items was good ( = .88).…”

Section: Methodsmentioning

confidence: 82%

Symptom-level network analysis distinguishes the unique associations of repetitive negative thinking and experiential avoidance on depression and anxiety in a transdiagnostic clinical sample

Kj¹,

Mc²,

Dobias³

et al. 2019

Preprint

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Repetitive negative thinking and experiential avoidance have been hypothesized to be related, transdiagnostic maintenance factors for depression and anxiety. Work to date has not examined these maintenance factors in a comorbid clinical sample using a symptom-level approach. Adults presenting for treatment to an intensive CBT program (n = 492) completed measures of depression and anxiety symptom severity, repetitive negative thinking, and experiential avoidance. Permutation testing indicates that repetitive negative thinking improved the predictability of excessive worrying and concentration, whereas experiential avoidance improved the predictability of feeling like a failure, difficulties relaxing, and being afraid something bad was going to happen. Applying network analysis helps to more precisely identify which symptoms of depression and anxiety are associated with transdiagnostic maintenance factors, thus providing insight into how these factors may contribute to the maintenance of co-occurring disorders.

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Section: Methodsmentioning

confidence: 82%

Symptom-level network analysis distinguishes the unique associations of repetitive negative thinking and experiential avoidance on depression and anxiety in a transdiagnostic clinical sample

Kj¹,

Mc²,

Dobias³

et al. 2019

Preprint

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show abstract

“…The physician must form a secure base as patients face lifethreatening illness. 32 Once the oncologist declares openness for attachment by affirming availability, attachment Problem-solving therapy [9][10][11] Focuses on the process of (learning how to) finding solutions; guides patient to be their own problem solver Teaching patients when to be concerned about symptoms and providing resources Supportive therapy 12 Encourages good coping skills while minimizing destructive behaviors…”

Section: Oncologist As Sherpa: Understanding the Relationshipmentioning

confidence: 99%

The Oncologist as Therapist

McFarland

Hlubocky

2019

JOP

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“…VOCALE incorporates elements of problem-solving therapy (PST), a cognitive-behavioral intervention focused on adaptive problem-solving attitudes and skills (Nezu et al, 2010). PST has been employed with different populations including adolescents (Eskin et al, 2008), family caregivers (Washington et al, 2018), and older adults (Kiosses & Alexopoulos, 2014); and with different conditions including depression (Kirkham et al, 2016), diabetes (Fitzpatrick et al, 2013), and frailty (Chan et al, 2012(Chan et al, , 2017.…”

Section: Introductionmentioning

confidence: 99%

Promoting Problem Solving About Health Management: A Mixed-Methods Pilot Evaluation of a Digital Health Intervention for Older Adults With Pre-Frailty and Frailty

Chen

Chu

Teng

et al. 2021

Gerontology and Geriatric Medicine

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Background: There is a need for interventions to promote health management of older adults with pre-frailty and frailty. Technology poses promising solutions, but questions exist about effective delivery. Objectives: We present the results of a mixed-methods pilot evaluation of Virtual Online Communities for Older Adults (VOCALE), an 8-week intervention conducted in the northwestern United States, in which participants shared health-related experiences and applied problem solving skills in a Facebook group. Methods: We performed a mixed-methods process evaluation, integrating quantitative and qualitative data, to characterize the intervention and its effects. We focus on four areas: health-related measures (health literacy and self-efficacy), participation, problem solving skills enacted, and subjective feedback. Results: Eight older adults with pre-frailty and frailty (age = 82.7 ± 6.6 years) completed the study. There was an upward trend in health literacy and health self-efficacy post-intervention. Participants posted at least two times per week. Content analysis of 210 posts showed participants were able to apply the problem solving skills taught, and exit interviews showed participants’ increased awareness of the need to manage health, and enjoyment in learning about others. Conclusion: This mixed-methods evaluation provides insight into feasibility and design considerations for online interventions to promote health management among vulnerable older adults.

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Delivering problem‐solving therapy to family caregivers of people with cancer: A feasibility study in outpatient palliative care

Abstract: Problem-solving therapy is a feasible and promising approach to reducing cancer family caregivers' anxiety in the outpatient palliative care setting. Further testing in multiple sites is recommended.

Cited by 35 publications

References 27 publications

Symptom-level network analysis distinguishes the unique associations of repetitive negative thinking and experiential avoidance on depression and anxiety in a transdiagnostic clinical sample

Symptom-level network analysis distinguishes the unique associations of repetitive negative thinking and experiential avoidance on depression and anxiety in a transdiagnostic clinical sample

The Oncologist as Therapist

Promoting Problem Solving About Health Management: A Mixed-Methods Pilot Evaluation of a Digital Health Intervention for Older Adults With Pre-Frailty and Frailty

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