Efficacy of a dyadic intervention to improve communication between patients with cancer and their caregivers: A randomized pilot trial

Tiete, Julien; Delvaux, Nicole; Liénard, Aurore; Razavi, Darius

doi:10.1016/j.pec.2020.08.024

Cited by 16 publications

(18 citation statements)

References 36 publications

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“…Studies evaluated 11 different interventions; two studies evaluated the same intervention [20,21]. Studies were mostly randomized trials ( n = 6) [22–24,25 ▪ ,26,27 ▪▪ ], but only three were efficacy trials [22,25 ▪ ,27 ▪▪ ]. Studies also included single-arm pilot studies ( n = 5) [20,21,28–30], and a nonrandomized two-arm pilot study ( n = 1) [31].…”

Section: Resultsmentioning

confidence: 99%

“…Studies also included single-arm pilot studies ( n = 5) [20,21,28–30], and a nonrandomized two-arm pilot study ( n = 1) [31]. Studies were conducted predominantly in the USA [22,24,26–30], three in Canada [20,21,25 ▪ ], one in Turkey [31] and one in Belgium [23].…”

Section: Resultsmentioning

confidence: 99%

“…Half of the included studies ( n = 6) evaluated interventions targeting dyadic outcomes as primary outcomes [23,25 ▪ ,26,28–30]. More precisely, three interventions were specifically focused on dyadic communication [23,26,29], one on dyadic adjustment [25 ▪ ], and two on various dyadic outcomes [28,30].…”

Section: Relationship Adjustmentmentioning

confidence: 99%

“…First, interventions targeting dyadic communication focused their content on providing guidelines on supportive communication, providing tailored-discussion with dyads about key cancer-related communication challenges, and in-session communication exercises to practice and received feedback on implementation of communication skills. They were evaluated through two pilot RCTs [23,26] and one single-arm pilot study [29]. In one of the RCTs, 64 patient-caregiver dyads were randomized to the intervention, which promoted patients’ and caregivers’ reciprocal disclosure of cancer-related concerns and requests for support through in-session exercises, or a waitlist control condition.…”

Section: Relationship Adjustmentmentioning

confidence: 99%

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Dyadic psychosocial interventions for patients with cancer and their caregivers: an update

Tiete

Porter

2022

Current Opinion in Oncology

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Purpose of reviewCancer causes significant impacts on patients and their caregivers. Cancer is also associated with multiple physical and emotional challenges for the patient-caregiver dyad. This patient-caregiver dyad should be considered as a unit of care by healthcare providers and supported through dedicated psychological interventions.Recent findingsTwelve studies that tested dyadic interventions aiming to support patient-caregiver dyads were identified from the period April 2020 to December 2021. Studies were predominantly randomized controlled trials (RCTs) and single-arm pilot studies. Half of the interventions were online. Interventions were mostly focused on dyadic adjustment and appeared to be acceptable, feasible and globally effective. However, effects were evident predominantly on individual rather than dyadic outcomes. The interventions targeted either individual psychological outcomes, such as depression and anxiety, and are reported to be effective or various individual outcomes and also appeared to be effective. However, there was a large heterogeneity in quality and sample sizes across all intervention types.SummaryDyadic psychological interventions may be an effective support for patient-caregiver dyads dealing with multiple physical and emotional challenges. Online interventions and the variability of intervention types may respond to dyads specific needs, but though need to be rigorously evaluated through powered RCTs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Relationship Adjustmentmentioning

confidence: 99%

Section: Relationship Adjustmentmentioning

confidence: 99%

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Dyadic psychosocial interventions for patients with cancer and their caregivers: an update

Tiete

Porter

2022

Current Opinion in Oncology

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“…Only two of the studies that were included had implemented a dyadic intervention to improve the CRC patient and spousal caregiver intimate relationship and couples' ability to cope with cancer together. In the literature screening, we noticed the literature has reported that cancer patients and caregivers can work together to better cope with the problems caused by cancer [51][52][53][54]. e advantages of dyadic intervention have been clarified.…”

Section: Study Gaps Identifiedmentioning

confidence: 99%

Interventions to Improve Self-Efficacy in Colorectal Cancer Patients and/or Caregivers: A Systematic Review and Meta-Analysis

Gong

Chen

et al. 2021

Journal of Oncology

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Objective. High levels of self-efficacy (SE) in colorectal cancer (CRC) patients and/or caregivers enable patients to cope with cancer, reduce caregiver burden, and promote quality of life (QOL) in patients and caregivers alike. This review aims to (a) identify the SE theory sources covered by SE interventions or interventions, including targeting improved SE for CRC patients and/or caregivers, to guide future development of SE interventions; and (b) explore intervention effects based on SE theory through meta-analysis. Methods. Using five electronic databases—CINAHL, Cochrane Library, Embase, PsycINFO, and PubMed—a systematic search was performed in April 2021 to identify English or Chinese literature that studied improving SE interventions for CRC patients and/or caregivers. Manual screening of the articles’ references list was also performed. Results. A total of 18 studies were found to be suitable and included in this review. Of the 18 studies that were included, 10 randomized controlled trials (RCTs) studies with 917 participants were eligible for meta-analysis. Interventions provide support for SE drawing on different sources of information. Performance accomplishment (PA) is the key source, with vicarious experience (VE) and verbal persuasion (VP) assisting in improving PA. Reducing negative emotional arousal (NEA) and improving positive emotional arousal (PEA) are also indispensable factors in improving SE. The meta-analysis results show that interventions based on the SE theory can bring about positive effects for CRC patients and/or caregivers. Conclusions. Different sources of information aimed at improving SE, covered by the interventions, including PA, VE, VP, NEA, and PEA, have been explored. Positive intervention outcomes that focused on improving SE for CRC patients and/or caregivers were identified and highlighted. For future SE interventions, we advocate choosing combination sources of SE information to design interventions. It is recommended that future SE improvement interventions should focus on improving PA, supplemented by increasing VE, while reducing NEA and providing useful VP.

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Communication with Patient and Family in ICU

Kumar

2022

Onco-Critical Care

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Efficacy of a dyadic intervention to improve communication between patients with cancer and their caregivers: A randomized pilot trial

Cited by 16 publications

References 36 publications

Dyadic psychosocial interventions for patients with cancer and their caregivers: an update

Dyadic psychosocial interventions for patients with cancer and their caregivers: an update

Interventions to Improve Self-Efficacy in Colorectal Cancer Patients and/or Caregivers: A Systematic Review and Meta-Analysis

Communication with Patient and Family in ICU

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