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Training Model to Advance Support of the Family as a Caregiving System in the Inpatient Oncology Setting

This study is currently recruiting participants. (see Contacts and Locations)
Verified October 2014 by Memorial Sloan-Kettering Cancer Center
Sponsor:
Collaborator:
Ackerman Institute for Family Therapy
Information provided by (Responsible Party):
Memorial Sloan-Kettering Cancer Center
ClinicalTrials.gov Identifier:
NCT01805609
First received: February 28, 2013
Last updated: October 21, 2014
Last verified: October 2014
  Purpose

The purpose of this study is to provide a communication training program to inpatient nurses and social workers at Memorial Sloan-Kettering Cancer Center in order to help them assist caregiving families. The importance of this training program is that it aims to teach nurses and social workers how and when to respond more effectively and compassionately to challenges faced by caregiving families. One of the goals of this program is to address family support needs during a patient's hospitalization.


Condition Intervention
Support of the Family as a Caregiving System
Behavioral: Working with the Caregiving Family (WCF) training

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Training Model to Advance Support of the Family as a Caregiving System in the Inpatient Oncology Setting

Further study details as provided by Memorial Sloan-Kettering Cancer Center:

Primary Outcome Measures:
  • Provider outcomes [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    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


Secondary Outcome Measures:
  • patient and/or family members'outcomes [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    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)


Estimated Enrollment: 80
Study Start Date: February 2013
Estimated Study Completion Date: February 2016
Estimated Primary Completion Date: February 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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).
Behavioral: Working with the Caregiving Family (WCF) training
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:
  • Participants will be asked to attend at least 3/6 supervision meetings, which will feature a case presentation with consultation in a peer group format.
  • Once they complete the sessions they will receive a Letter of Recognition as documentation that they participated in this training.

  Eligibility

Ages Eligible for Study:   12 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

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.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01805609

Contacts
Contact: Talia Zaider, PhD 646-888-0031
Contact: Smita Banerjee, PhD 646-888-0011

Locations
United States, New York
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10065
Contact: Talia Zaider, PhD    646-888-0031      
Contact: Smita Banerjee, PhD    646-888-0011      
Principal Investigator: Talia Zaider, PhD         
Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
Ackerman Institute for Family Therapy
Investigators
Principal Investigator: Talia Zaider, PhD Memorial Sloan-Kettering Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: Memorial Sloan-Kettering Cancer Center
ClinicalTrials.gov Identifier: NCT01805609     History of Changes
Other Study ID Numbers: 13-030
Study First Received: February 28, 2013
Last Updated: October 21, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by Memorial Sloan-Kettering Cancer Center:
practice nurse
clinical Nurse
inpatient staff
inpatient social worker
didactic training sessions
13-030

ClinicalTrials.gov processed this record on November 25, 2014