Supporting Hematopoietic Stem Cell Transplant Family Caregivers: A Pilot Study of Nurse-Led Meaning-Centered Psychotherapy for Cancer Caregivers.

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-04-01 DOI:10.1002/pon.70142

Natalie S McAndrew, Lyndsey Wallace, Jill Guttormson, Colleen McCracken, Maria Olex, Anjishnu Banerjee, Alexis Visotcky, Jennifer Bartowitz, Jennifer B Seaman, Jennifer M Knight, Betty Ferrell, Areej El-Jawahri, Allison J Applebaum

{"title":"Supporting Hematopoietic Stem Cell Transplant Family Caregivers: A Pilot Study of Nurse-Led Meaning-Centered Psychotherapy for Cancer Caregivers.","authors":"Natalie S McAndrew, Lyndsey Wallace, Jill Guttormson, Colleen McCracken, Maria Olex, Anjishnu Banerjee, Alexis Visotcky, Jennifer Bartowitz, Jennifer B Seaman, Jennifer M Knight, Betty Ferrell, Areej El-Jawahri, Allison J Applebaum","doi":"10.1002/pon.70142","DOIUrl":null,"url":null,"abstract":"Background: Family caregivers of patients undergoing hematopoietic stem cell transplantation (HSCT) experience significant challenges (e.g., witnessing suffering and experiencing loss and uncertainty) that contribute to existential distress and poor psychosocial outcomes. Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) is a palliative-based intervention that targets existential distress by helping caregivers connect to sources of meaning in their lives.Aims: Test the feasibility and acceptability of nurse-delivered Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) for caregivers of hematopoietic stem cell transplantation (HSCT) recipients.Methods: Single-arm pilot trial of 7-session palliative-based intervention delivered via Zoom/telephone. We enrolled 32 caregivers of adult autologous/allogeneic HSCT recipients at a tertiary care academic center. Feasibility was assessed by (1) ability to recruit 32 caregivers within the 20-month study enrollment period, (2) percentage who consented, (3) completed 4 or more intervention sessions, and (4) percentage who remained on study. Acceptability of MCP-C was assessed with Likert scale items and through exit interviews.Findings: We approached 90 caregivers in 11 months to recruit target sample of 32; 90.6% (n = 29) completed all sessions/assessments; 96% (n = 31) met benchmark of 4 sessions. In exit interviews (n = 22), participants endorsed the (1) value of MCP-C, (2) nurse interventionist's knowledge of transplant care, and (3) convenience of telehealth delivery.Conclusions: Nurse-delivered MCP-C via telehealth is feasible and acceptable for caregivers of HSCT recipients. A future randomized controlled trial is needed to fully evaluate the intervention's effect on caregiver outcomes.","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 4","pages":"e70142"},"PeriodicalIF":3.3000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70142","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Family caregivers of patients undergoing hematopoietic stem cell transplantation (HSCT) experience significant challenges (e.g., witnessing suffering and experiencing loss and uncertainty) that contribute to existential distress and poor psychosocial outcomes. Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) is a palliative-based intervention that targets existential distress by helping caregivers connect to sources of meaning in their lives.

Aims: Test the feasibility and acceptability of nurse-delivered Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) for caregivers of hematopoietic stem cell transplantation (HSCT) recipients.

Methods: Single-arm pilot trial of 7-session palliative-based intervention delivered via Zoom/telephone. We enrolled 32 caregivers of adult autologous/allogeneic HSCT recipients at a tertiary care academic center. Feasibility was assessed by (1) ability to recruit 32 caregivers within the 20-month study enrollment period, (2) percentage who consented, (3) completed 4 or more intervention sessions, and (4) percentage who remained on study. Acceptability of MCP-C was assessed with Likert scale items and through exit interviews.

Findings: We approached 90 caregivers in 11 months to recruit target sample of 32; 90.6% (n = 29) completed all sessions/assessments; 96% (n = 31) met benchmark of 4 sessions. In exit interviews (n = 22), participants endorsed the (1) value of MCP-C, (2) nurse interventionist's knowledge of transplant care, and (3) convenience of telehealth delivery.

Conclusions: Nurse-delivered MCP-C via telehealth is feasible and acceptable for caregivers of HSCT recipients. A future randomized controlled trial is needed to fully evaluate the intervention's effect on caregiver outcomes.

查看原文本刊更多论文

支持造血干细胞移植家庭照顾者：护士主导的以意义为中心的癌症照顾者心理治疗的初步研究。

背景：接受造血干细胞移植（HSCT）患者的家庭照顾者经历了重大挑战（例如，目睹痛苦和经历损失和不确定性），这导致了存在的痛苦和不良的社会心理结果。以意义为中心的癌症照顾者心理治疗（MCP-C）是一种基于姑息疗法的干预措施，通过帮助照顾者与生活中意义的来源联系起来，针对存在的痛苦。目的：检验护士为造血干细胞移植（HSCT）受者提供的以意义为中心的癌症护理者心理治疗（MCP-C）的可行性和可接受性。方法：通过Zoom/电话进行7期姑息性干预的单臂先导试验。我们在一个三级医疗学术中心招募了32名成人自体/异体造血干细胞移植受者的护理人员。可行性通过以下几个方面进行评估：(1)在20个月的研究登记期内招募32名护理人员的能力，(2)同意的百分比，(3)完成4次或更多干预课程的百分比，以及(4)继续研究的百分比。MCP-C的可接受性通过李克特量表项目和离职面谈进行评估。结果：我们在11个月内接触了90名护理人员，招募了32名目标样本；90.6% （n = 29）完成了所有的疗程/评估；96% （n = 31）达到4个疗程的基准。在退出访谈中（n = 22），参与者认可了(1)MCP-C的价值，(2)护理干预师对移植护理的知识，以及(3)远程医疗服务的便利性。结论：护士通过远程医疗提供MCP-C对于移植受者的护理人员是可行和可接受的。未来需要一项随机对照试验来充分评估干预对护理者结果的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.