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

Study Description

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Brief Summary:

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 or disease	Intervention/treatment	Phase
Support of the Family as a Caregiving System	Behavioral: Working with the Caregiving Family (WCF) training; Behavioral: questionnaires	Not Applicable

Study Design

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Study Type :	Interventional (Clinical Trial)
Estimated Enrollment :	80 participants
Intervention Model:	Single Group Assignment
Masking:	None (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
Actual Study Start Date :	February 2013
Estimated Primary Completion Date :	February 2019
Estimated Study Completion Date :	February 2019

Arms and Interventions

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Arm

Intervention/treatment

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.; Behavioral: questionnaires

Outcome Measures

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Primary Outcome Measures :

1. Provider outcomes [ Time Frame: 2 years ]
   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 :

1. patient and/or family members'outcomes [ Time Frame: 2 years ]
   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)

Eligibility Criteria

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Ages Eligible for Study:	12 Years and older (Child, Adult, Older Adult)
Sexes Eligible for Study:	All
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

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Locations

United States, New York
Memorial Sloan Kettering Cancer Center
New York, New York, United States, 10065

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

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Additional Information:

Memorial Sloan Kettering Cancer Center 

Responsible Party:	Memorial Sloan Kettering Cancer Center
ClinicalTrials.gov Identifier:	NCT01805609 History of Changes
Other Study ID Numbers:	13-030
First Posted:	March 6, 2013
Last Update Posted:	February 26, 2018
Last Verified:	February 2018

Keywords provided by Memorial Sloan Kettering Cancer Center:

practice nurse; clinical Nurse; inpatient staff	inpatient social worker; didactic training sessions; 13-030