Patient education and counseling · 2025
Impact of a psychoeducational intervention to improve caregiver knowledge and attitudes toward palliative cancer care.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Mossman Brenna, Molix Lisa, Murray Damian R, Perry Laura M, Kim Seowoo, Hoerger Michael
Аннотация
OBJECTIVES: To evaluate the efficacy of a psychoeducational intervention in improving palliative care knowledge and attitudes among caregivers, patients' close friends and families.
METHODS: A total of 150 adult cancer caregivers participated in an online U.S.-based randomized clinical trial (RCT) between December 2021 and March 2022. Participants self-reported their baseline knowledge of palliative care, then viewed a psychoeducational video on palliative care (intervention condition) or nutrition (control condition). Participants then completed outcome measures of palliative care knowledge (aim 1; Palliative Care Knowledge Scale, PaCKS) and attitudes (aim 2; Palliative Care Attitudes Scale-9-Caregiver, PCAS-9C). Regression analyses examined whether group assignment significantly predicted palliative care knowledge and attitudes while controlling for self-reported baseline knowledge and key demographic and clinical characteristics.
RESULTS: The PaCKS and PCAS-9C demonstrated excellent evidence of reliability, factor structure, and validity in this caregiver sample. The RCT succeeded on the primary outcome of increasing caregivers' palliative care knowledge (p < .001). Attitudes were favorable and did not differ between groups.
CONCLUSIONS: This study demonstrates that a single-session, psychoeducational video can improve understanding of palliative care among close friends and families of those with cancer.
PRACTICE IMPLICATIONS: This work suggests future pathways for helping families make informed decisions about initiating palliative care.
METHODS: A total of 150 adult cancer caregivers participated in an online U.S.-based randomized clinical trial (RCT) between December 2021 and March 2022. Participants self-reported their baseline knowledge of palliative care, then viewed a psychoeducational video on palliative care (intervention condition) or nutrition (control condition). Participants then completed outcome measures of palliative care knowledge (aim 1; Palliative Care Knowledge Scale, PaCKS) and attitudes (aim 2; Palliative Care Attitudes Scale-9-Caregiver, PCAS-9C). Regression analyses examined whether group assignment significantly predicted palliative care knowledge and attitudes while controlling for self-reported baseline knowledge and key demographic and clinical characteristics.
RESULTS: The PaCKS and PCAS-9C demonstrated excellent evidence of reliability, factor structure, and validity in this caregiver sample. The RCT succeeded on the primary outcome of increasing caregivers' palliative care knowledge (p < .001). Attitudes were favorable and did not differ between groups.
CONCLUSIONS: This study demonstrates that a single-session, psychoeducational video can improve understanding of palliative care among close friends and families of those with cancer.
PRACTICE IMPLICATIONS: This work suggests future pathways for helping families make informed decisions about initiating palliative care.