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| Name | Class |
|---|---|
| The Duke Endowment | OTHER |
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This study explores the feasibility, acceptability, and preliminary efficacy of a social support intervention in cancer caregivers who live in rural communities. Cancer caregivers need support, especially when they live at a distance from healthcare centers. enCompass Carolina is a social support intervention, that supports caregivers by helping them find and use new sources of support. The purpose of this study is to test and receive feedback about the program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Caregiver of subject with cancer | Other | Adults who identify as a primary unpaid caregiver for a rural-dwelling adult with cancer. |
|
| Subject with Cancer | No Intervention | Subjects is with cancer and receive care from caregivers. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eco-mapping tool | Behavioral | The web application allows caregivers to visually identify and organize their existing social network (family, friends, community of worship, and others) to assist with their support needs, tailored to their context. For each of the six support social support domains (in-home, informational, communication, financial, emotional and spiritual, transportation (e.g., emotional, informational, practical), the enCompass web application prompts the individual to identify members of their network. After completing each domain, caregivers are presented with a visual social support |
| Measure | Description | Time Frame |
|---|---|---|
| Study feasibility - caregiver enrollment | Study feasibility will be measured by caregiver enrollment rates, defined as the proportion of eligible caregivers approached about the study who consent to participate. | 8 weeks |
| Study feasibility - Caregiver intervention engagement | Study feasibility will be measured by caregiver intervention engagement, defined as the proportion of enrolled caregiver subjects who receive at least one intervention visit. | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Intervention acceptability-qualitative | Intervention acceptability will be measured using the Acceptability of the Intervention Measure (AIM) survey scores. AIM is a survey questionnaire that includes 4 questions. Response Scale: 1 = Completely disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5 = Completely agree. Scoring Instructions: Scales can be created for each measure by averaging responses. Scale values range from 1 to 5. No items need to be reverse-coded. |
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Inclusion Criteria
Inclusion criteria for caregivers In order to participate in this study a subject must meet all of the eligibility criteria outlined below.
Inclusion criteria for subjects with cancer In order to participate in this study a subject must meet all of the eligibility criteria outlined below.
7. Live in a rural area according to the USDA's Rural/Urban Commuting Area (RUCA) score of >4.
Exclusion Criteria
Exclusion criteria for caregivers
Exclusion criteria for subjects with cancer
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| Name | Affiliation | Role |
|---|---|---|
| Erin E Kent, PhD, MS | Department of Health Policy and Management Gillings School of Global Public Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UNC Lineberger | Chapel Hill | North Carolina | 27514 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39234997 | Derived | Kent EE, Tan KR, Nakamura ZM, Kovacs J, Gellin M, Deal A, Park EM, Reblin M. Building on and tailoring to: Adapting a cancer caregiver psychoeducational intervention for rural settings. Cancer Med. 2024 Sep;13(17):e70187. doi: 10.1002/cam4.70187. |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| Caregiver-coach study visits | Behavioral | Caregivers engage in up to 8 manualized, telephone/videoconference visits with a trained caregiver coach. The caregiver coach uses the study manual and interview guide to provide support for caregiver support-seeking and problem-solving. |
|
| 4 weeks, 8 weeks |
| Intervention acceptability-quantitative | Intervention acceptability will be evaluated using thematic analysis of post-intervention semi-structured interviews. | 4 weeks, 8 weeks |
| Caregiver self-efficacy | Caregiver self-efficacy will be measured using the Coping Self-Efficacy Scale (CSES). The CSES is a 26-item measure of one's confidence in performing coping behaviour when facing life challenges. It measures the use of problem-focused coping, receiving of social support and stopping unpleasant emotions and thoughts. Scores range from not at all confident=0 to very confident=100. A score of 0 means 'extremely low self efficacy' and a score of 100 means 'extremely high self efficacy'. | Baseline, 4 weeks, 8 weeks |