Family members and friends who act as informal caregivers of hospice patients are essential to the provision of palliative care services;however, this role is not without adverse effects on the caregivers themselves. Recent research has revealed that caregiver anxiety and burden can negatively impact morbidity and mortality among informal caregivers of hospice patients. Emotional needs of individuals caring for dying persons in their home are not well attended and the lack of interventions aiming to provide support to informal caregivers has public health implications. We are proposing the delivery of a proven coping skills intervention for informal caregivers of home hospice patients (COPE) based on the problem-solving framework of the prepared family caregiver model, using commercially available videophone technology. We propose a two year equivalence clinical trial. Our interdisciplinary research team will recruit 160 informal caregivers and their patients from a participating agency and will randomly assign them to either a group receiving standard hospice care with the addition of the COPE intervention delivered in person (Group 1), or a group receiving standard hospice care with the addition of the COPE intervention delivered via videophones (Group 2).
We aim to evaluate the effectiveness of the videophone-based intervention for informal caregivers of hospice patients (focusing on informal caregivers'quality of life, caregiver burden related to patient symptoms and caregiver anxiety) and to assess caregivers'perceptions of and satisfaction with the videophone use as a communication mode. Finally, we also aim to compare the cost of delivering the COPE intervention for caregivers of hospice patients for the two groups (in person vs. videophone). If proven successful, this intervention can become a feasible and sustainable tool that increases the amount of support received by informal hospice caregivers during their often brief hospice experience, without increasing travel stress and costs for hospice staff.
Family members and friends who act as informal caregivers are essential to the provision of hospice services. The caregiving experience is not without adverse effects on the caregivers themselves as caregiving stress and burden can negatively impact their morbidity and mortality. The proposed research study explores an intervention that will improve clinical outcomes for hospice caregivers;thus, the study is highly relevant to public health as it affects the health of a continuously growing segment of our population and aims to demonstrate the value of a feasible and sustainable hospice intervention.
| Kelley, Marjorie; Demiris, George; Nguyen, Huong et al. (2013) Informal hospice caregiver pain management concerns: a qualitative study. Palliat Med 27:673-82 |
| Parker Oliver, Debra; Washington, Karla; Demiris, George et al. (2012) Problem solving interventions: an opportunity for hospice social workers to better meet caregiver needs. J Soc Work End Life Palliat Care 8:3-9 |
| Wittenberg-Lyles, Elaine; Goldsmith, Joy; Demiris, George et al. (2012) The Impact of Family Communication Patterns on Hospice Family Caregivers: A New Typology. J Hosp Palliat Nurs 14:25-33 |
| Wittenberg-Lyles, Elaine; Demiris, George; Parker Oliver, Debra et al. (2012) Stress variances among informal hospice caregivers. Qual Health Res 22:1114-25 |
| Washington, Karla T; Demiris, George; Parker Oliver, Debra et al. (2012) Qualitative evaluation of a problem-solving intervention for informal hospice caregivers. Palliat Med 26:1018-24 |
| Demiris, George; Parker Oliver, Debra; Wittenberg-Lyles, Elaine et al. (2012) A noninferiority trial of a problem-solving intervention for hospice caregivers: in person versus videophone. J Palliat Med 15:653-60 |
| Demiris, George; Wittenberg-Lyles, Elaine; Oliver, Debra Parker et al. (2011) Delivering a psycho-educational intervention to Hispanic hospice informal caregivers. Palliat Med 25:185-6 |
| Demiris, George; Oliver, Debra Parker; Wittenberg-Lyles, Elaine et al. (2011) Use of videophones to deliver a cognitive-behavioural therapy to hospice caregivers. J Telemed Telecare 17:142-5 |
| Washington, Karla T; Parker Oliver, Debra; Demiris, George et al. (2011) Family perspectives on the hospice experience in adult family homes. J Gerontol Soc Work 54:159-74 |
| Boquet, Jaime R; Oliver, Debra Parker; Wittenberg-Lyles, Elaine et al. (2011) Taking care of a dying grandparent: case studies of grandchildren in the hospice caregiver role. Am J Hosp Palliat Care 28:564-8 |
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