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The end of the funding to the project on 30 April 2024.
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| Name | Class |
|---|---|
| Shatin Hospital | OTHER |
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The goal of the study is to test the feasibility, acceptability and preliminary efficacy of an acceptance and commitment therapy for supporting caregiver programme (ACT-CSP) on reduction of caregiver burden, anxiety and depressive symptoms and enhancement of caregiving self-efficacy, resilience and quality of life by ACT when compared to usual care, for caregivers of palliative care patients.
This study will employ a pilot randomized controlled trial recruiting caregivers of palliative care patients to receive either a 3-week acceptance and commitment therapy for supporting caregiver programme (ACT-CSP) plus usual care (n = 15) or usual care only (n = 15). The components of acceptance and commitment therapy process will be emphasized in the intervention programme, which include perspective taking, self-as-context and defusion (i.e. recognizing worry thoughts as thoughts only), identifying values and acceptance of present-moment experience with respect to the values, and committed action. The ACT-CSP will be delivered by a trained ACT facilitator. Participants will be followed up at Week 6 and Week 8 after recruitment to collect data for assessing the study objectives.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ACT-CSP | Experimental | Three sessions of acceptance and commitment therapy. |
|
| Usual Care | No Intervention | Usual treatment provided at the participating site. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ACT-CSP | Behavioral | The ACT treatment will consist of three 45 to 60-min weekly sessions to be delivered to the caregiver in an individual format via online videoconferencing application e.g. ZOOM or WhatsApp within 3 weeks. The ACT-CSP can be delivered via face-to-face on request. Each session has a specific content with pre-planned materials and mindfulness exercises and metaphors. Psychological-based homework will be assigned at the end of each session. The components of ACT process will be emphasized in the intervention programme, which include perspective taking, self-as-context and defusion (i.e. recognizing worry thoughts as thoughts only), identifying values and acceptance of present-moment experience with respect to the values, and committed action. |
| Measure | Description | Time Frame |
|---|---|---|
| The Chinese version of the 13-item Caregiver Strain Index | Items are rated on a yes (1) or no (0) response, with the total score ranges from 0-13 and higher scores indicating higher caregiver burden | Baseline, Week 6 and Week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| The Patient Health Questionnaire-4 (PHQ-4) | The scale scores range from 0 to 12, with higher scores indicating higher levels of anxiety and depression. | Baseline, Week 6 and Week 8 |
| The Chinese version of the 18-item modified Caregiver Inventory |
| Measure | Description | Time Frame |
|---|---|---|
| The 15-item Brief Experiential Avoidance Questionnaire | The overall scores range 15-90, with higher scores indicating lower levels of psychological flexibility | Baseline, Week and Week 8 |
| Satisfaction to the treatment received |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Doris YP Leung | The Hong Kong Polytechnic University | Principal Investigator |
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Individual participant data are not readily shared because permission to use the data by other researchers has to seek approval from the ethical committee. Requests to access IPD should be directed to PI for further consideration and seeking approval from ethical committee.
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| ID | Term |
|---|---|
| D000084802 | Caregiver Burden |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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The scale covers 3 dimensions: Care of the Care Recipient (7 items), Managing information and Self-care (7 items), and Managing emotional interaction with care recipient (4 items). The first two dimensions have scores ranging from 7 to 63 while the last dimension has scores ranging from 4 to 36, with higher scores indicating higher levels of self-efficacy in that dimension.
| Baseline, Week 6 and Week 8 |
| The 10-item Chinese version of the Connor-Davidson Resilience Scale | The overall scores range 0-40, with higher scores indicating higher levels of resilience | Baseline, Week 6 and Week 8 |
| The 10-item version of the Singapore caregiver quality of life | The overall scores range 0-40, with higher scores indicating higher levels of quality of life | Baseline, Week 6 and Week 8 |
One item on a 0-10 VAS scale, with higher scores indicating higher levels of satisfaction.
| Week 6 |