Mobile CARE-App to Promote Coping for Caregivers of Patients Receiving Stem Cell Transplant
Study Details
Study Description
Brief Summary
The goal of this research study is to determine whether a self-administered, psychosocial mobile application (CARE app) is effective at improving the quality of life and experience of caregivers of patients receiving hematopoietic stem cell transplantation (HCT).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
This is a randomized clinical trial to determine whether a psychosocial mobile application (CARE app) is effective at improving the quality of life and experience of caregivers of patients receiving hematopoietic stem cell transplantation (HCT). The CARE app was developed with the goal of addressing the needs of caregivers of HCT recipients.
Participants will be randomized into one of two study groups: CARE app plus Usual Care versus Usual Care.
Participation in this study is expected to last up to 100 days after HCT.
It is expected that about 120 people will take part in this research study.
The Leukemia and Lymphoma Society is supporting this research by providing funding.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: CARE App Participants randomized to the CARE app + usual care will complete the following: Questionnaires at baseline, Day 10, Day 60, and Day 100 post-HCT use the CARE app from enrollment up to 60 days post-HCT: the CARE app includes 5 contains 5 modules and a 6th optional module receive usual care as per HCT practice which entails meeting with a transplant social worker prior to HCT and as needed for extra visits |
Behavioral: CARE Application
Self-administered, psychosocial mobile application comprised of 5 learning modules.
|
| Active Comparator: Usual Care Participants randomized to usual care will complete the following: Questionnaires at baseline, Day 10, Day 60, and Day 100. receive usual care as per HCT practice, which entails meeting with a transplant social worker prior to HCT and as needed for extra visits. |
Behavioral: Usual Care
Meeting with transplant social worker prior to HCT, consistent with standard-of-care.
|
Outcome Measures
Primary Outcome Measures
- Caregiver quality of life (QOL) as measured by the Caregiver Oncology Quality of Life (CARGOQOL) questionnaire [up to 60 days post-HCT]
Compare caregiver QOL as measured by the CARGOQOL between the two study groups. The CARGOQOL ranges from 0-100 with higher scores indicating better QOL
Secondary Outcome Measures
- Caregiver quality of life (QOL) as measured by the Caregiver Oncology Quality of Life (CARGOQOL) questionnaire [up to 100 days post HCT]
Compare caregiver QOL as measured by the CARGOQOL between the two study groups longitudinally. The CARGOQOL ranges from 0-100 with higher scores indicating better QOL
- Caregiving burden as measured by the Caregiver Reaction Assessment (CRA) [Up to 100 days post HCT]
Compare caregiving burden as measured by the CRA between the two study groups. The CRA ranges from 24-120 with higher scores indicating greater caregiving burden
- Anxiety symptoms as measured by the Hospital Anxiety and Depression scale (HADS-Anxiety) [Up to 100 days post HCT]
Compare anxiety symptoms as measured by the HADS-Anxiety between the study groups. The HADS-Anxiety ranges from 0-21 with higher scores indicating worse anxiety symptoms
- Depression symptoms as measured by the Hospital Anxiety and Depression Scale (HADS-Depression) [Up to 100 days post HCT]
Compare depression symptoms as measured by the HADS-Depression between the study groups. The HADS-Depression ranges from 0-21 with higher scores indicating worse depression symptoms
- Post-traumatic stress symptoms (PTSD) as measured by the PTSD Checklist [Up to 100 days post HCT]
Compare post-traumatic stress symptoms as measured by the Post-Traumatic Stress Checklist-Civilian Version between the two groups. The checklist ranges from 17-85 with higher scores indicating worse PTSD Symptoms
Other Outcome Measures
- Coping as measured by the Measure of Current Status (MOCS) [Up to 100 days post-HCT]
Comparing caregiver coping as measured by the MOCS between the two study groups. The scale ranges from 0-52 with higher scores indicating higher coping skills
- Self-efficacy as measured by the Cancer self-efficacy-transplant (CASE-t) scale [Up to 100 days post-HCT]
Compare caregiver self-efficacy as measured by the CASE-t between the two study groups. The scale ranges from 0-170 with higher scores indicating better self-efficacy
- Usability of the CARE app using the System Usability Scale [up to 60 days post-HCT]
Assess the usability of the care app (in those receiving the intervention) using the System Usability Scale, which ranges 0-100 with higher scores indicating better usability
Eligibility Criteria
Criteria
Caregiver Inclusion Criteria:
-
Adult caregivers (>18 years) who is a relative or friend who live with the patient or is a designated caregiver as indicated during the transplant process.
-
Caregiver of a patient receiving allogeneic or autologous HCT for the treatment of cancer
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Ability to comprehend and speak English as the CARE app is only available in English
Patient Exclusion Criteria:
-
Caregivers of patients undergoing HCT for benign hematologic conditions
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Caregivers with acute or unstable psychiatric or cognitive conditions which the treating clinicians believes prohibits informed consent or compliance with study procedures
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Massachusetts General Hospital Cancer Center | Boston | Massachusetts | United States | 02215 |
Sponsors and Collaborators
- Massachusetts General Hospital
- The Leukemia and Lymphoma Society
Investigators
- Principal Investigator: Areej El-Jawahri, MD, Massachusetts General Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 22-634