Training Model to Advance Support of the Family as a Caregiving System in the Inpatient Oncology Setting
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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New York
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participating Providers:
- Provider is an MSKCC acute care advanced practice nurse and/or inpatient social worker as per self-report.
- Plans to attend at least 4/6 the didactic training sessions, and 3/6 consolidation sessions as per self-report.
A patient will be approached if:
- Patient has been admitted to an inpatient service at MSKCC.
- Patient is able to designate at least one close person who is involved in the patient's care and is willing to participate. In the case that the patient is a minor (age 7-17 yrs), s/he will need to designate at least one close, adult person who is involved in the patient's care and is willing to participate.
Family members will be approached if:
- They were identified as a close other (including a family friend) involved in the care of an admitted patient on a participating provider's floor
Exclusion Criteria:
- Evidence of cognitive impairment severe enough to preclude completing survey instruments as per clinical or research staff judgment or EMR.
- Determined to not be appropriate for this study as per clinical judgment. Anyone, patient or family member, who is younger than 12 years old.
- Anyone, patient or family member, who does not speak English.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Working with the Caregiving Family (WCF) training
This is a new training curriculum for inpatient oncology providers called Working with the Caregiving Family (WCF) training, a program designed to teach MSKCC inpatient staff to address family-level concerns during acute hospitalization.
The WCF training will teach staff to recognize and inquire about areas of family distress that are likely to impact the caregiving process; to provide brief, supportive interventions, and/or to transition families to specialized support services when needed.
We will provide staff with skills to address especially challenging family situations (e.g., noncompliance with medical care, conflict, poor communication) in collaborative and compassionate ways.
We will teach clinicians to intervene and respond more effectively when problematic relationships develop within families or between families and larger systems (e.g., medical team, institutional programs).
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Training curriculum will be comprised of 2 phases to be attended sequentially: (l) The Didactic Phase will consist of 6 twice a month seminars, administered over a 3 month period.
Each seminar includes a 1 hour lecture & discussion followed by 1 hour of role-play exercises; Lecture segments may include short training videos which Dr. Zaider uses in the nurses' training module she teaches through the Communication Skills Laboratory.
The teaching portion of the didactic sessions of the training may also be videotaped as a reference point for curriculum review.
Will explain to the providers that videotapes will only be available to study staff & that the role play portion will not be recorded; (2) Consolidation Phase will consist of 6 twice a month peer-group supervision meetings for ongoing consultation on family cases, also held across a 3 month period.
Length of these consolidations sessions will be up to 2 hours.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Provider outcomes
Time Frame: 2 years
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which include observed changes in skills (Family Skills Adherence Scale) and subjective confidence level (Confidence in Family Skills Questionnaire) in conducting a family-centered psychosocial consultation with a caregiving family
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2 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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patient and/or family members'outcomes
Time Frame: 2 years
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which include caregivers' satisfaction with aspects of psychosocial care (Satisfaction with Emotional Support Scale measure), perceived quality of communication about illness (Family Session Communication Measure) and perceived alliance with the participating nurse or social worker (Family Alliance Scale)
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2 years
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Talia Zaider, PhD, Memorial Sloan Kettering Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Professional Practice
- Organization and Administration
- Health Services Administration
- Health Care Quality, Access, and Evaluation
- Investigative Techniques
- Epidemiologic Methods
- Data Collection
- Health Care Evaluation Mechanisms
- Quality of Health Care
- Public Health
- Environment and Public Health
- Surveys and Questionnaires
- Referral and Consultation
Other Study ID Numbers
Other Study ID Numbers
- 13-030
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