Palliative Care Clinical Trial
Official title:
A Family-Centered Intervention When a Parent is Cared for in Specialized Homecare
The overall purpose of this project is to evaluate a family-centered intervention (the Family Talk Intervention, by W. Beardslee) in families where a parent of children aged 6-19 years is seriously ill and cared for in specialized homecare. The aims of the intervention are to increase family communication, the families' awareness of the impending death and their knowledge about the cancer illness, and thereby reduce the family members' long-term psychological distress.
The death of a parent is one of the most traumatic events that can happen to a Child. In our
previous research, we have found that a lack of medical knowledge, communication and
awareness of impending death increased long-term psychological morbidity among bereaved
family members. Unfortunately, very few clinical interventions in palliative care have been
conducted in Sweden.There is therefore a need to develop and evaluate interventions that aim
to decrease the risk for psychological morbidity in families affected loss.
The overall purpose of this project is to evaluate a family-centered intervention (the Family
Talk Intervention, by W. Beardslee) in families where a parent of children aged 6-19 years is
seriously ill and cared for in specialized homecare. The aims of the intervention are to
increase family communication, the families' awareness of the impending death and their
knowledge about the cancer illness, and thereby reduce the family members' long-term
psychological distress.
This study is a family-based intervention study among families where a parent of young
children is seriously ill. It involves an intervention group and a comparison group. The two
groups will consist of families where the seriously ill parent has at least one child in the
age range 6-19 years. Around thirty families will be recruited by two interventionists
through two specialized homecare unit in Stockholm and this is expected to take about 18
months. Families in the comparison group (N=30) will be recruited by a research member at two
other specialized homecare units in the Stockholm area.
The effect of the intervention will be measured by questionnaires to both parents and
children. Questionnaire data collection will be conducted before the intervention is started
(baseline, for both intervention and control group). After two months there will be a
follow-up for both groups. The next follow-up for both groups will be performed one year
after the baseline.
In order to examine the meaning of the intervention for all family members and the
study-feasibility we are planning to conduct interviews after meeting 5. Interviews with the
whole family respectively each family members will be conducted.
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