Breast Cancer Clinical Trial
Official title:
Web-based Support for Informal Caregivers in Cancer
Web-Based Support for Informal Caregivers in Cancer Brief Summary (including hypothesis):
Informal caregivers need information, skills and emotional support to address physical,
spiritual, and emotional needs associated with chronic illnesses including late stage
cancer. Unfortunately, current conditions force clinicians to reduce their interaction time
with patients and informal caregivers. Complimentary methods must be developed to provide
needed information and support to caregivers. The proposed research will measure and explain
the impact of two computer-based support systems that meet caregiver needs and facilitate
information exchange with clinicians. The system, CHESS (Comprehensive Health Enhancement
Support System) is a non-commercial computer system that provides patients with disease
specific information, emotional support and skill building tools. In the expanded form to be
tested in this study, CHESS with Caregiver Support (CGCHESS) will also provide the caregiver
with more information, support and skills training related to palliative care. CGCHESS will
be further enhanced to communicate essential patient and caregiver information to clinicians
prior to a scheduled clinic visit and when patient symptoms exceed a threshold.
The investigators' primary hypothesis is that CGCHESS + Clinician Report (CR) will reduce
caregiver burden more than CGCHESS because of the additional support caregivers and patients
receive from clinicians who have access to the CHESS clinician report. Secondary analyses
will study the mechanisms of the CHESS effect. Specifically the investigators anticipate
that the CHESS effect on caregivers will be mediated by the CHESS effect on interaction
patterns with clinicians, satisfaction with clinical visits and by the CHESS effect on four
patient outcomes (quality of life, negative affect, average severity of nine common
late-stage cancers).
n/a
Allocation: Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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