Effectiveness of Family and Caregiver Interventions on Patient Outcomes in Adults with Cancer: A Systematic Review

Griffin, Joan M.; Meis, Laura; MacDonald, Roderick; Greer, Nancy; Jensen, Agnes; Rutks, Indulis; Wilt, Timothy J

doi:10.1007/s11606-014-2873-2

Cited by 58 publications

(61 citation statements)

References 36 publications

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“…Existing interventions have typically demonstrated small to moderate effects on caregiver outcomes [36]. Further, there is little evidence that current caregiver- or family-interventions have a tangible impact on cancer survivor outcomes [37], possibly due in part to their limited effect on caregivers themselves. Targeting both cancer survivors and their spouses concurrently (e.g., by screening for and treating distress and depression in spouses as well as survivors) may be more effective at improving outcomes than either alone.…”

Section: Discussionmentioning

confidence: 99%

Cancer and quality of life in spousal dyads: spillover in couples with and without cancer-related health problems

Litzelman

Green

Yabroff

2015

Support Care Cancer

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Purpose Poor health of one spouse can adversely influence the partner’s health outcomes (“spillover”). This study aimed to estimate quality of life spillover among spouses, and to determine how presence of cancer influenced these effects. Methods We examined data on husband-wife dyads with cancer-related health problems, medical events, or disabilities (n=910) and matched comparison dyads from the 2004-2012 Medical Expenditures Panel Survey, a population-based survey of the U.S. Mental and physical health-related quality of life and depressed mood were reported at two time points (T1 and T2, 11 months apart on average). Dyadic multilevel models evaluated the cross-lagged impact of HRQoL and depressed mood at T1 on spouses’ HRQoL at T2, controlling for sociodemographics and health conditions. Results Small but statistically significant spillover was observed for mental and physical HRQoL among couples with cancer. Spillover occurred from both the spouse to the survivor, and from survivor to spouse. Depressed mood, in particular, showed stronger spillover effects from the spouse to the survivor than the inverse. Similar effects were not observed in dyads without cancer. Conclusions Screening for and treating poor HRQoL and depressed mood concurrently in both cancer survivors and their spouses may positively influence HRQoL outcomes. Future research is needed to further elucidate these findings and determine whether a concurrent approach to psychosocial care in survivors and their spouses may improve long-term outcomes.

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Section: Discussionmentioning

confidence: 99%

Cancer and quality of life in spousal dyads: spillover in couples with and without cancer-related health problems

Litzelman

Green

Yabroff

2015

Support Care Cancer

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“…Interpersonal relationships are important in helping one to reintegrate successfully in the society when living with a stoma (Simmons et al., ). Family members have been commonly involved to enhance the effectiveness of interventions on patient outcomes in cancer patients (Griffin et al., ). Patients with poor interpersonal relationships tend to have poor stoma acceptance and reduced self‐efficacy in stoma care (Bekkers, van Knippenberg, van den Borne, & van Berge‐Henegouwen, ; Simmons et al., ).…”

Section: Introductionmentioning

confidence: 99%

Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas

Lim

Chan

Chow

et al. 2019

Journal of Advanced Nursing

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Aims To evaluate preliminary effects of a newly developed STOMA psychosocial intervention programme that was delivered via a multi‐modal and multi‐dimensional approach on the improvement of outcomes of colorectal cancer patients with stoma. Background With a distorted body image and the loss of an essential body function, stoma patients face difficulties in everyday life in terms of physical, psychological, and social aspects. Few studies have explored effects of psychosocial interventions on improving stoma‐related health outcomes. Design This was a two‐group pre‐test‐post‐test pilot randomized controlled trial. Methods Fifty‐three participants were recruited from July 2015–November 2016 in a tertiary public hospital in Singapore. They were randomized into either intervention group (N = 29) or control group (N = 24). Stoma care self‐efficacy, acceptance of stoma, stoma proficiency, length of hospital stay, anxiety and depression and quality of life were measured. IBM SPSS 24.0 was used to analyse the data. Results There was an improvement in acceptance of stoma in the intervention group (p < 0.05). Significant effects on stoma care self‐efficacy, stoma proficiency, length of hospital stay, anxiety and depression level and quality of life were not shown. Conclusion This study developed a feasible and applicable psychosocial intervention programme and generated preliminary evidence in the positive outcomes of colorectal cancer patients with stoma. Future studies can explore technology‐based interventions to provide a more sustainable support for patients with stoma.

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“…Relatives might have more personal strength than patients, but new research has found a link between the level of anxiety in cancer patients and their relatives [41]. Moreover, a new systematic review did not find a convincing effect of family caregivers' supportive care in cancer [42]. Therefore, it is not recommended to rely fully on supportive care from relatives in the preoperative period.…”

Section: Discussionmentioning

confidence: 99%

Change in Preoperative Nervousness: A Randomized Controlled Trial in Gynecological Cancer Patients

Thygesen¹,

Christensen²,

Hedemand³

et al. 2016

Health

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Patients are often nervous prior to surgery and females might suffer the most. Increased nervousness needs attention as it can negatively affect postoperative recovery. Support from nurses, i.e. being present, attentive, empowering and helpful to the patient, and talking about what is on the patient's mind, might help to reduce nervousness. However, there is a lack of evidence as to the ideal level of attention and resources to reduce preoperative nervousness. The objective of the current study was to compare a range of care combinations with standard care to female patients prior to sedation and cancer surgery primarily on difference in change in nervousness from admission until sedation before cancer surgery, measured on a

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Effectiveness of Family and Caregiver Interventions on Patient Outcomes in Adults with Cancer: A Systematic Review

Cited by 58 publications

References 36 publications

Cancer and quality of life in spousal dyads: spillover in couples with and without cancer-related health problems

Cancer and quality of life in spousal dyads: spillover in couples with and without cancer-related health problems

Pilot trial of a STOMA psychosocial intervention programme for colorectal cancer patients with stomas

Change in Preoperative Nervousness: A Randomized Controlled Trial in Gynecological Cancer Patients

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