eTRIO trial: study protocol of a randomised controlled trial of online education modules to facilitate effective family caregiver involvement in oncology

被引:8
|
作者
Juraskova, Ilona [1 ]
Laidsaar-Powell, R. [1 ]
Keast, Rachael [1 ]
Schofield, Penelope [2 ,3 ,4 ,5 ]
Costa, Daniel S. J. [6 ,7 ]
Kay, Judy [8 ]
Turner, Sandra [9 ,10 ]
Koczwara, Bogda [11 ]
Saunders, Christobel [12 ]
Jefford, Michael [13 ,14 ]
Yates, Patsy [15 ]
Boyle, Frances [10 ,16 ]
White, Kate [17 ]
Miller, Annie [18 ]
Morton, Rachael L. [19 ]
Butt, Zoe [1 ]
Butow, Phyllis [1 ]
机构
[1] Univ Sydney, Fac Sci, Ctr Med Psychol & Evidence Based Decis Making CeM, Sch Psychol, Camperdown, NSW, Australia
[2] Swinburne Univ, Dept Psychol, Melbourne, Vic, Australia
[3] Swinburne Univ, Iverson Hlth Innovat Res Inst, Melbourne, Vic, Australia
[4] Peter MacCallum Canc Ctr, Hlth Serv Res & Implementat Sci, Behav Sci Unit, Melbourne, Vic, Australia
[5] Univ Melbourne, Sir Peter MacCallum Dept Oncol, Parkville, Vic, Australia
[6] Royal North Shore Hosp, Pain Management Res Inst, St Leonards, NSW, Australia
[7] Univ Sydney, Sch Psychol, Camperdown, NSW, Australia
[8] Univ Sydney, Fac Engn, Sch Comp Sci, Sydney, NSW, Australia
[9] Westmead Hosp, Dept Radiat Oncol, Westmead, NSW, Australia
[10] Univ Sydney, Fac Med & Hlth, Sydney, NSW, Australia
[11] Flinders Univ S Australia, Sch Med, Adelaide, SA, Australia
[12] Univ Western Australia, Sch Med, Div Surg, Perth, WA, Australia
[13] Univ Melbourne, Sir Peter MacCallum Dept Oncol, Melbourne, Vic, Australia
[14] Peter MacCallum Canc Ctr, Dept Hlth Serv Res, Melbourne, Vic, Australia
[15] Queensland Univ Technol, Ctr Canc & Palliat Care Outcomes, Kelvin Grove, Qld, Australia
[16] Mater Hosp, Patricia Ritchie Ctr Canc Care & Res, Sydney, NSW, Australia
[17] Univ Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Canc Nursing Res Unit, Camperdown, NSW, Australia
[18] Canc Council New South Wales, Canc Informat & Support Serv Div, Woolloomooloo, NSW, Australia
[19] Univ Sydney, Fac Med & Hlth, NHMRC Clin Trials Ctr, Camperdown, NSW, Australia
来源
BMJ OPEN | 2021年 / 11卷 / 05期
关键词
world wide web technology; medical education & training; oncology; TREATMENT DECISION-MAKING; QUALITY-OF-LIFE; SELF-EFFICACY; CANCER-PATIENTS; HEALTH LITERACY; INFORMAL CAREGIVERS; PATIENT; CARE; COMMUNICATION; INTERVENTION;
D O I
10.1136/bmjopen-2020-043224
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
ObjectiveInformal family caregivers play a crucial role in cancer care. Effective caregiver involvement in cancer care can improve both patient and caregiver outcomes. Despite this, interventions improving the caregiver involvement are sparse. This protocol describes a randomised controlled trial evaluating the combined effectiveness of novel online caregiver communication education modules for: (1) oncology clinicians (eTRIO) and (2) patients with cancer and caregivers (eTRIO-pc).Methods and analysisThirty medical/radiation/surgical oncology or haematology doctors and nurses will be randomly allocated to either intervention (eTRIO) or control (an Australian State Government Health website on caregivers) education conditions. Following completion of education, each clinician will recruit nine patient-caregiver pairs, who will be allocated to the same condition as their recruiting clinician. Eligibility includes any new adult patient diagnosed with any type/stage cancer attending consultations with a caregiver. Approximately 270 patient-caregiver pairs will be recruited. The primary outcome is caregiver self-efficacy in triadic (clinician-patient-caregiver) communication. Patient and clinician self-efficacy in triadic communication are secondary outcomes. Additional secondary outcomes for clinicians include preferences for caregiver involvement, perceived module usability/acceptability, analysis of module use, satisfaction with the module, knowledge of strategies and feedback interviews. Secondary outcomes for caregivers and patients include preferences for caregiver involvement, satisfaction with clinician communication, distress, quality of life, healthcare expenditure, perceived module usability/acceptability and analysis of module use. A subset of patients and caregivers will complete feedback interviews. Secondary outcomes for caregivers include preparedness for caregiving, patient-caregiver communication and caring experience. Assessments will be conducted at baseline, and 1 week, 12 weeks and 26 weeks post-intervention.Ethics and disseminationEthical approval has been received by the Sydney Local Health District Human Research Ethics Committee (REGIS project ID number: 2019/PID09787), with site-specific approval from each recruitment site. Protocol V.7 (dated 1 September 2020) is currently approved and reported in this manuscript. Findings will be disseminated via presentations and peer-reviewed publications. Engagement with clinicians, media, government, consumers and peak cancer groups will facilitate widespread dissemination and long-term availability of the educational modules.Trial registration numberACTRN12619001507178.
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页数:16
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