Touch, Caring, and Cancer: randomized controlled trial of a multimedia caregiver education program
Identifieur interne : 005451 ( Ncbi/Curation ); précédent : 005450; suivant : 005452Touch, Caring, and Cancer: randomized controlled trial of a multimedia caregiver education program
Auteurs : William Collinge [États-Unis] ; Janet Kahn [États-Unis] ; Tracy Walton [États-Unis] ; Leila Kozak ; Susan Bauer-Wu [États-Unis] ; Kenneth Fletcher [États-Unis] ; Paul Yarnold [États-Unis] ; Robert Soltysik [États-Unis]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2012.
Abstract
A randomized controlled trial was conducted to evaluate outcomes of a multimedia instructional program for family caregivers in simple touch-based techniques to provide comfort to cancer patients at home.
A multilingual 78-min DVD and 66-page manual were produced for homebased instruction. Content addresses attitudes and communication about touch in cancer, psychological preparation for giving and receiving touch, safety precautions, massage techniques for comfort and relaxation, acupressure for specific cancer-related symptoms, and practice in the home setting. Materials were produced in English, Spanish, and Chinese versions. A community-based multiethnic sample of 97 adult patient/caregiver dyads was randomized to experimental (massage) or attention control (reading) groups for 4 weeks. Massage dyads received the program and instructions to practice at least three times per week, while control caregivers read to their patients for the same frequency. Self-report instruments assessed change in symptom severity, quality of life, perceived stress, and caregiver attitudes.
Significant reductions in all symptoms occurred for patients after both activities: 12–28 % reductions after reading vs. 29–44 % after massage. Massage caregivers showed significant gains in confidence, comfort, and self-efficacy using touch and massage as forms of caregiving.
Multimedia instruction in touch and massage methods may offer family members a viable means of enhancing self-efficacy and satisfaction in caregiving while decreasing patient pain, depression, and other symptoms. Family members may be able to learn and apply safe and simple methods that increase patient comfort and reduce distress.
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DOI: 10.1007/s00520-012-1682-6
PubMed: 23262808
PubMed Central: 3612588
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Leila Kozak<affiliation><nlm:aff id="Aff4">Center of Excellence in Outcomes Research in Older Adults, VA Puget Sound Health Care System HSR&D, VAPSHCS, 1100 Olive Way, Suite 1400 (S-152), Seattle, WA 9810 USA</nlm:aff><wicri:noCountry code="subfield">WA 9810 USA</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Touch, Caring, and Cancer: randomized controlled trial of a multimedia caregiver education program</title><author><name sortKey="Collinge, William" sort="Collinge, William" uniqKey="Collinge W" first="William" last="Collinge">William Collinge</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Collinge and Associates, 3986 N Shasta Loop, Eugene, 79405 OR USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Oregon</region></placeName><wicri:regionArea>Collinge and Associates, 3986 N Shasta Loop, Eugene</wicri:regionArea><wicri:noRegion>Eugene</wicri:noRegion></affiliation></author><author><name sortKey="Kahn, Janet" sort="Kahn, Janet" uniqKey="Kahn J" first="Janet" last="Kahn">Janet Kahn</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Integrative Consulting, 240 Maple St., Burlington, VT 05401 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Vermont</region></placeName><wicri:cityArea>Integrative Consulting, 240 Maple St., Burlington</wicri:cityArea></affiliation></author><author><name sortKey="Walton, Tracy" sort="Walton, Tracy" uniqKey="Walton T" first="Tracy" last="Walton">Tracy Walton</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Tracy Walton & Associates, LLC 10 Sargent Street, Cambridge, MA 02140 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Tracy Walton & Associates, LLC 10 Sargent Street, Cambridge</wicri:cityArea></affiliation></author><author><name sortKey="Kozak, Leila" sort="Kozak, Leila" uniqKey="Kozak L" first="Leila" last="Kozak">Leila Kozak</name><affiliation><nlm:aff id="Aff4">Center of Excellence in Outcomes Research in Older Adults, VA Puget Sound Health Care System HSR&D, VAPSHCS, 1100 Olive Way, Suite 1400 (S-152), Seattle, WA 9810 USA</nlm:aff><wicri:noCountry code="subfield">WA 9810 USA</wicri:noCountry></affiliation></author><author><name sortKey="Bauer Wu, Susan" sort="Bauer Wu, Susan" uniqKey="Bauer Wu S" first="Susan" last="Bauer-Wu">Susan Bauer-Wu</name><affiliation wicri:level="2"><nlm:aff id="Aff5">Woodruff School of Nursing, Emory University, 1386 Normandy Dr., #4, Atlanta, GA 30306 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Woodruff School of Nursing, Emory University, 1386 Normandy Dr., #4, Atlanta</wicri:cityArea></affiliation></author><author><name sortKey="Fletcher, Kenneth" sort="Fletcher, Kenneth" uniqKey="Fletcher K" first="Kenneth" last="Fletcher">Kenneth Fletcher</name><affiliation wicri:level="2"><nlm:aff id="Aff6">Department of Psychiatry, University of Massachusetts School of Medicine, 65 Darnell Road, Worcester, MA 01606-3406 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Psychiatry, University of Massachusetts School of Medicine, 65 Darnell Road, Worcester</wicri:cityArea></affiliation></author><author><name sortKey="Yarnold, Paul" sort="Yarnold, Paul" uniqKey="Yarnold P" first="Paul" last="Yarnold">Paul Yarnold</name><affiliation wicri:level="2"><nlm:aff id="Aff7">Optimal Data Analysis, LLC 1220 Rosecrans St., #330, San Diego, CA 92106 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Optimal Data Analysis, LLC 1220 Rosecrans St., #330, San Diego</wicri:cityArea></affiliation></author><author><name sortKey="Soltysik, Robert" sort="Soltysik, Robert" uniqKey="Soltysik R" first="Robert" last="Soltysik">Robert Soltysik</name><affiliation wicri:level="2"><nlm:aff id="Aff8">Independent Consultant, 213 N St. SE, Glen Burnie, MD 21061 USA</nlm:aff><country 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type="wicri:Area/Ncbi/Curation">005451</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Touch, Caring, and Cancer: randomized controlled trial of a multimedia caregiver education program</title><author><name sortKey="Collinge, William" sort="Collinge, William" uniqKey="Collinge W" first="William" last="Collinge">William Collinge</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Collinge and Associates, 3986 N Shasta Loop, Eugene, 79405 OR USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Oregon</region></placeName><wicri:regionArea>Collinge and Associates, 3986 N Shasta Loop, Eugene</wicri:regionArea><wicri:noRegion>Eugene</wicri:noRegion></affiliation></author><author><name sortKey="Kahn, Janet" sort="Kahn, Janet" uniqKey="Kahn J" first="Janet" last="Kahn">Janet Kahn</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Integrative Consulting, 240 Maple St., Burlington, VT 05401 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Vermont</region></placeName><wicri:cityArea>Integrative Consulting, 240 Maple St., Burlington</wicri:cityArea></affiliation></author><author><name sortKey="Walton, Tracy" sort="Walton, Tracy" uniqKey="Walton T" first="Tracy" last="Walton">Tracy Walton</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Tracy Walton & Associates, LLC 10 Sargent Street, Cambridge, MA 02140 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Tracy Walton & Associates, LLC 10 Sargent Street, Cambridge</wicri:cityArea></affiliation></author><author><name sortKey="Kozak, Leila" sort="Kozak, Leila" uniqKey="Kozak L" first="Leila" last="Kozak">Leila Kozak</name><affiliation><nlm:aff id="Aff4">Center of Excellence in Outcomes Research in Older Adults, VA Puget Sound Health Care System HSR&D, VAPSHCS, 1100 Olive Way, Suite 1400 (S-152), Seattle, WA 9810 USA</nlm:aff><wicri:noCountry code="subfield">WA 9810 USA</wicri:noCountry></affiliation></author><author><name sortKey="Bauer Wu, Susan" sort="Bauer Wu, Susan" uniqKey="Bauer Wu S" first="Susan" last="Bauer-Wu">Susan Bauer-Wu</name><affiliation wicri:level="2"><nlm:aff id="Aff5">Woodruff School of Nursing, Emory University, 1386 Normandy Dr., #4, Atlanta, GA 30306 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName><wicri:cityArea>Woodruff School of Nursing, Emory University, 1386 Normandy Dr., #4, Atlanta</wicri:cityArea></affiliation></author><author><name sortKey="Fletcher, Kenneth" sort="Fletcher, Kenneth" uniqKey="Fletcher K" first="Kenneth" last="Fletcher">Kenneth Fletcher</name><affiliation wicri:level="2"><nlm:aff id="Aff6">Department of Psychiatry, University of Massachusetts School of Medicine, 65 Darnell Road, Worcester, MA 01606-3406 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Psychiatry, University of Massachusetts School of Medicine, 65 Darnell Road, Worcester</wicri:cityArea></affiliation></author><author><name sortKey="Yarnold, Paul" sort="Yarnold, Paul" uniqKey="Yarnold P" first="Paul" last="Yarnold">Paul Yarnold</name><affiliation wicri:level="2"><nlm:aff id="Aff7">Optimal Data Analysis, LLC 1220 Rosecrans St., #330, San Diego, CA 92106 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Optimal Data Analysis, LLC 1220 Rosecrans St., #330, San Diego</wicri:cityArea></affiliation></author><author><name sortKey="Soltysik, Robert" sort="Soltysik, Robert" uniqKey="Soltysik R" first="Robert" last="Soltysik">Robert Soltysik</name><affiliation wicri:level="2"><nlm:aff id="Aff8">Independent Consultant, 213 N St. SE, Glen Burnie, MD 21061 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Independent Consultant, 213 N St. SE, Glen Burnie</wicri:cityArea></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>A randomized controlled trial was conducted to evaluate outcomes of a multimedia instructional program for family caregivers in simple touch-based techniques to provide comfort to cancer patients at home.</p></sec><sec><title>Methods</title><p>A multilingual 78-min DVD and 66-page manual were produced for homebased instruction. Content addresses attitudes and communication about touch in cancer, psychological preparation for giving and receiving touch, safety precautions, massage techniques for comfort and relaxation, acupressure for specific cancer-related symptoms, and practice in the home setting. Materials were produced in English, Spanish, and Chinese versions. A community-based multiethnic sample of 97 adult patient/caregiver dyads was randomized to experimental (massage) or attention control (reading) groups for 4 weeks. Massage dyads received the program and instructions to practice at least three times per week, while control caregivers read to their patients for the same frequency. Self-report instruments assessed change in symptom severity, quality of life, perceived stress, and caregiver attitudes.</p></sec><sec><title>Results</title><p>Significant reductions in all symptoms occurred for patients after both activities: 12–28 % reductions after reading vs. 29–44 % after massage. Massage caregivers showed significant gains in confidence, comfort, and self-efficacy using touch and massage as forms of caregiving.</p></sec><sec><title>Conclusions</title><p>Multimedia instruction in touch and massage methods may offer family members a viable means of enhancing self-efficacy and satisfaction in caregiving while decreasing patient pain, depression, and other symptoms. Family members may be able to learn and apply safe and simple methods that increase patient comfort and reduce distress.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Listing, M" uniqKey="Listing M">M Listing</name></author><author><name sortKey="Krohn, M" uniqKey="Krohn M">M Krohn</name></author><author><name sortKey="Liezmann, C" uniqKey="Liezmann C">C Liezmann</name></author><author><name sortKey="Kim, I" uniqKey="Kim I">I Kim</name></author><author><name sortKey="Reisshauer, A" uniqKey="Reisshauer A">A Reisshauer</name></author><author><name sortKey="Peters, E" uniqKey="Peters E">E Peters</name></author><author><name sortKey="Klapp, Bf" uniqKey="Klapp B">BF Klapp</name></author><author><name sortKey="Rauchfuss, M" uniqKey="Rauchfuss M">M Rauchfuss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stringer, J" uniqKey="Stringer J">J Stringer</name></author><author><name 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