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Randomized Pilot Trial of a Telephone Symptom Management Intervention for Symptomatic Lung Cancer Patients and Their Family Caregivers.

Publication ,  Journal Article
Mosher, CE; Winger, JG; Hanna, N; Jalal, SI; Einhorn, LH; Birdas, TJ; Ceppa, DP; Kesler, KA; Schmitt, J; Kashy, DA; Champion, VL
Published in: J Pain Symptom Manage
October 2016

CONTEXT: Lung cancer is one of the most common cancers affecting both men and women and is associated with high symptom burden and psychological distress. Lung cancer patients' family caregivers also show high rates of distress. However, few interventions have been tested to alleviate significant problems of this population. OBJECTIVES: This study examined the preliminary efficacy of telephone-based symptom management (TSM) for symptomatic lung cancer patients and their family caregivers. METHODS: Symptomatic lung cancer patients and caregivers (n = 106 dyads) were randomly assigned to four sessions of TSM consisting of cognitive-behavioral and emotion-focused therapy or an education/support condition. Patients completed measures of physical and psychological symptoms, self-efficacy for managing symptoms, and perceived social constraints from the caregiver; caregivers completed measures of psychological symptoms, self-efficacy for helping the patient manage symptoms and managing their own emotions, perceived social constraints from the patient, and caregiving burden. RESULTS: No significant group differences were found for all patient outcomes and caregiver self-efficacy for helping the patient manage symptoms and caregiving burden at two- and six-weeks post-intervention. Small effects in favor of TSM were found regarding caregiver self-efficacy for managing their own emotions and perceived social constraints from the patient. Study outcomes did not significantly change over time in either group. CONCLUSION: Findings suggest that our brief telephone-based psychosocial intervention is not efficacious for symptomatic lung cancer patients and their family caregivers. Next steps include examining specific intervention components in relation to study outcomes, mechanisms of change, and differing intervention doses and modalities.

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Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

October 2016

Volume

52

Issue

4

Start / End Page

469 / 482

Location

United States

Related Subject Headings

  • Treatment Failure
  • Telemedicine
  • Self Report
  • Self Efficacy
  • Pilot Projects
  • Patient Education as Topic
  • Middle Aged
  • Male
  • Lung Neoplasms
  • Humans
 

Citation

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Mosher, C. E., Winger, J. G., Hanna, N., Jalal, S. I., Einhorn, L. H., Birdas, T. J., … Champion, V. L. (2016). Randomized Pilot Trial of a Telephone Symptom Management Intervention for Symptomatic Lung Cancer Patients and Their Family Caregivers. J Pain Symptom Manage, 52(4), 469–482. https://doi.org/10.1016/j.jpainsymman.2016.04.006
Mosher, Catherine E., Joseph G. Winger, Nasser Hanna, Shadia I. Jalal, Lawrence H. Einhorn, Thomas J. Birdas, DuyKhanh P. Ceppa, et al. “Randomized Pilot Trial of a Telephone Symptom Management Intervention for Symptomatic Lung Cancer Patients and Their Family Caregivers.J Pain Symptom Manage 52, no. 4 (October 2016): 469–82. https://doi.org/10.1016/j.jpainsymman.2016.04.006.
Mosher CE, Winger JG, Hanna N, Jalal SI, Einhorn LH, Birdas TJ, et al. Randomized Pilot Trial of a Telephone Symptom Management Intervention for Symptomatic Lung Cancer Patients and Their Family Caregivers. J Pain Symptom Manage. 2016 Oct;52(4):469–82.
Mosher, Catherine E., et al. “Randomized Pilot Trial of a Telephone Symptom Management Intervention for Symptomatic Lung Cancer Patients and Their Family Caregivers.J Pain Symptom Manage, vol. 52, no. 4, Oct. 2016, pp. 469–82. Pubmed, doi:10.1016/j.jpainsymman.2016.04.006.
Mosher CE, Winger JG, Hanna N, Jalal SI, Einhorn LH, Birdas TJ, Ceppa DP, Kesler KA, Schmitt J, Kashy DA, Champion VL. Randomized Pilot Trial of a Telephone Symptom Management Intervention for Symptomatic Lung Cancer Patients and Their Family Caregivers. J Pain Symptom Manage. 2016 Oct;52(4):469–482.
Journal cover image

Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

October 2016

Volume

52

Issue

4

Start / End Page

469 / 482

Location

United States

Related Subject Headings

  • Treatment Failure
  • Telemedicine
  • Self Report
  • Self Efficacy
  • Pilot Projects
  • Patient Education as Topic
  • Middle Aged
  • Male
  • Lung Neoplasms
  • Humans