Exploring the cancer caregiver's journey through web-based Meaning-Centered Psychotherapy Journal Article

Authors: Applebaum, A. J.; Buda, K. L.; Schofield, E.; Farberov, M.; Teitelbaum, N. D.; Evans, K.; Cowens-Alvarado, R.; Cannady, R. S.
Article Title: Exploring the cancer caregiver's journey through web-based Meaning-Centered Psychotherapy
Abstract: Objective: Psychosocial interventions are historically underutilized by cancer caregivers, but support programs delivered flexibly over the Internet address multiple barriers to care. We adapted Meaning-Centered Psychotherapy for cancer caregivers, an in-person psychotherapeutic intervention intended to augment caregivers' sense of meaning and purpose and ameliorate burden, for delivery in a self-administered web-based program, the Care for the Cancer Caregiver (CCC) Workshop. The present study evaluated the feasibility, acceptability, and preliminary effects of this program. Methods: Eighty-four caregivers were randomized to the CCC Workshop or waitlist control arm. Quantitative assessments of meaning, burden, anxiety, depression, benefit finding, and spiritual well-being were conducted preintervention (T1), within 2-weeks postintervention (T2), and 2- to 3-month follow-up (T3). In-depth semistructured interviews were conducted with a subset of participants. Results: Forty-two caregivers were randomized to the CCC Workshop. Attrition was moderate at T2 and T3, with caregiver burden and bereavement as key causes of drop-out. At T2 and T3, some observed mean change scores and effect sizes were consistent with hypothesized trends (eg, meaning in caregiving, benefit finding, and depressive symptomatology), though no pre-post significant differences emerged between groups. However, a longitudinal mixed-effects model found significant differential increases in benefit finding in favor of the CCC arm. Conclusions: The CCC Workshop was feasible and acceptable. Based on effect sizes reported here, a larger study will likely establish the efficacy of the CCC Workshop, which has the potential to address unmet needs of caregivers who underutilize in-person supportive care services. Copyright © 2017 John Wiley & Sons, Ltd.
Keywords: adult; controlled study; drug efficacy; follow up; randomized controlled trial; cancer model; feasibility study; psycho-oncology; bereavement; anxiety; symptomatology; psychotherapy; wellbeing; semi structured interview; caregiver burden; supportive care; effect size; cancer caregivers; human; male; female; article; psychosocial oncology; meaning-centered psychotherapy
Journal Title: Psycho-Oncology
Volume: 27
Issue: 3
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2018-03-01
Start Page: 847
End Page: 856
Language: English
DOI: 10.1002/pon.4583
PROVIDER: scopus
PUBMED: 29136682
Notes: Article -- Export Date: 2 April 2018 -- Source: Scopus
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MSK Authors
  1. Katherine Lee Evans
    24 Evans
  2. Kara Lee Buda
    10 Buda