A Finding Balance Writing Intervention for Older Bereaved Caregivers

This study has been completed.
Sponsor:
Collaborator:
Saskatchewan Health Research Foundation
Information provided by (Responsible Party):
Lorraine Holtslander, University of Saskatchewan
ClinicalTrials.gov Identifier:
NCT01416779
First received: February 7, 2011
Last updated: July 15, 2012
Last verified: July 2012

February 7, 2011
July 15, 2012
February 2011
June 2012   (final data collection date for primary outcome measure)
Grief [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
Herth Hope Index, Hogan Grief Scale, Inventory of Daily Widowed Life, Finding Balance Scale
Same as current
Complete list of historical versions of study NCT01416779 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
A Finding Balance Writing Intervention for Older Bereaved Caregivers
Finding Balance: The Experience of Hope for Bereaved Caregivers of Palliative Cancer Patients

The overall purpose of this study is to develop and pilot-test a theory-based psychosocial supportive "finding balance" intervention for older, bereaved spousal caregivers of a palliative cancer patient.

Research devoted to determining the efficacy of bereavement interventions remains a top priority. The development of theory-based, acceptable and feasible psychosocial interventions would begin to address the needs of family caregivers. A prominent theory of coping with bereavement, Stroebe and Schut's Dual Process Model, describes oscillation between loss-oriented and restoration-oriented coping; having a balance between these processes predicted more positive outcomes for older bereaved spouses. Similarly, the process of "finding balance" emerged as a first step in the search for new hope in the PI's grounded theory research with older bereaved family caregivers. They described the importance and difficulty of "finding balance" as they recovered from caregiving and struggled to find a new meaning and purpose for their lives after the loss of a spouse to cancer. An intervention focused on "finding balance" provides an innovative and promising approach to guiding the development of a theory-based psychosocial intervention for family caregivers who become bereaved. In clinical work a highly focused writing intervention has shown important benefits (personal communication, Dr. Robert Neimeyer, March 4, 2009). A validated tool to measure the effectiveness of an intervention to find balance does not exist, however valid existing measures of hope, grief, and an inventory of balance based on the Dual Process Model will be used as proxies. Therefore, the overall purpose of this study is to develop and pilot-test a theory-based psychosocial supportive "finding balance" intervention for older, bereaved spousal caregivers of a palliative cancer patient.

Interventional
Not Provided
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Subject)
Primary Purpose: Supportive Care
Grief
Behavioral: Writing Intervention
Finding Balance Writing Intervention
  • Experimental: Writing Group
    This group will receive the writing intervention.
    Intervention: Behavioral: Writing Intervention
  • No Intervention: No Intervention
    Non Writing Group
Holtslander LF, Bally JM, Steeves ML. Walking a fine line: an exploration of the experience of finding balance for older persons bereaved after caregiving for a spouse with advanced cancer. Eur J Oncol Nurs. 2011 Jul;15(3):254-9. doi: 10.1016/j.ejon.2010.12.004. Epub 2011 Jan 17.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
23
June 2012
June 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • women and men, ages 60 and over, who previously resided with and provided care for a spouse with terminal cancer who died within the last year, English speaking, and freely consenting to be involved in the study.

Exclusion Criteria:

  • will be those cognitively impaired, non-autonomous, or not able to give a free and informed consent, as determined by the registered nurse research assistant on initial contact.
Both
60 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
Canada
 
NCT01416779
08-154
Yes
Lorraine Holtslander, University of Saskatchewan
University of Saskatchewan
Saskatchewan Health Research Foundation
Not Provided
University of Saskatchewan
July 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP