Feasibility of implementing an electronic social support and resource visualization tool for caregivers in a neuro-oncology clinic

Reblin, Maija; Ketcher, Dana; Mendivil, Eduardo; Kane, Lauren; Pok, Justin; Meyer, Miriah; Wu, Yelena P.; Agutter, James

doi:10.1007/s00520-018-4293-z

Cited by 21 publications

(23 citation statements)

References 29 publications

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“…[19][20][21] Several studies have evaluated the use of telehealth platforms for symptom monitoring, education and rehabilitation of people with brain tumours in a supervised clinic-based setting. [23][24][25][26][27][28][29] For example, in a mixed brain tumour sample, Erharter and colleagues 23 evaluated the implementation of computer-based symptom monitoring in the waiting room to alert physicians to changes in health. Most patients found the tablets easy to use and that administration time was acceptable, although nearly one third (30%) were unable to independently use the tablets due to functional impairment.…”

Section: -17mentioning

confidence: 99%

“…Several studies have evaluated the use of telehealth platforms for symptom monitoring, education and rehabilitation of people with brain tumours in a supervised clinic‐based setting 23–29 . For example, in a mixed brain tumour sample, Erharter and colleagues 23 evaluated the implementation of computer‐based symptom monitoring in the waiting room to alert physicians to changes in health.…”

Section: Introductionmentioning

confidence: 99%

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Use of telehealth platforms for delivering supportive care to adults with primary brain tumors and their family caregivers: A systematic review

et al. 2020

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Objective Telehealth platforms have potential utility for providing remote access to supportive care to people with brain tumour. This systematic review aimed to evaluate the feasibility, acceptability and efficacy of delivering supportive care via telehealth platforms to adults with primary brain tumour and family caregivers. Methods A systematic search of PsycINFO, MEDLINE, CINAHL, Embase, Scopus and Cochrane Library was conducted from 1980 to 1st June 2020 to identify eligible studies. Methodological quality was assessed by two independent reviewers. Results Seventeen articles, reporting on 16 studies, evaluated telephone‐based support (5 studies), videoconferencing (3 studies), web‐based programs and resources (7 studies) or combined use of videoconferencing and web‐based modules (1 study) to deliver supportive care remotely. Caregivers were involved in 31% of interventions. Mean rates of accrual (68%) and adherence (74%) were moderate, whereas acceptability or satisfaction for those completing the interventions was typically high (M satisfied or very satisfied = 81%). Adherence rates were generally higher and clinical gains were more evident for interventions involving real‐time interaction as opposed to self‐guided interventions. Conclusions Telehealth delivery of supportive care is feasible and acceptable to a high proportion of individuals with primary brain tumour and their caregivers. It is recommended that future research focuses on implementation outcomes, including factors influencing the uptake and sustainability of telehealth platforms in practice.

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Section: -17mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of telehealth platforms for delivering supportive care to adults with primary brain tumors and their family caregivers: A systematic review

et al. 2020

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“…The reviewed articles consisted of titles, abstracts, and full-text articles in English from 2010 to 2020, resulting in 10,078 records. The key articles included in the review are listed in Multimedia Appendix 1 [ 19 , 27 , 31 - 34 , 45 , 64 - 101 ]. A total of 45 articles met the eligibility criteria ( Multimedia Appendix 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…It is important to note that, although the application of technology-based interventions is on the rise, the term is seldom defined when applied in cancer research or practice. A review of the literature [31][32][33][34] shows that alarmingly, much of the research on technology-based interventions for patients with cancer fails to provide a clear definition of the term to shed light on key questions: (1) [35][36][37]. As one scholar, the prominent British physicist and mathematician Lord William Thomson Kelvin, succinctly put it, "What is not defined cannot be measured.…”

Section: The Importance Of Conceptual Claritymentioning

confidence: 99%

Technology-Based Interventions for Cancer Caregivers: Concept Analysis

Su¹,

Li²,

McDonnell³

et al. 2021

JMIR Cancer

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Background Cancer is a taxing chronic disease that demands substantial care, most of which is shouldered by informal caregivers. As a result, cancer caregivers often have to manage considerable challenges that could result in severe physical and psychological health consequences. Technology-based interventions have the potential to address many, if not all, of the obstacles caregivers encounter while caring for patients with cancer. However, although the application of technology-based interventions is on the rise, the term is seldom defined in research or practice. Considering that the lack of conceptual clarity of the term could compromise the effectiveness of technology-based interventions for cancer caregivers, timely research is needed to bridge this gap. Objective This study aims to clarify the meaning of technology-based interventions in the context of cancer caregiving and provide a definition that can be used by cancer caregivers, patients, clinicians, and researchers to facilitate evidence-based research and practice. Methods The 8-step concept analysis method by Walker and Avant was used to analyze the concept of technology-based interventions in the context of cancer caregiving. PubMed, PsycINFO, CINAHL, and Scopus were searched for studies that examined technology-based interventions for cancer caregivers. Results The defining attributes of technology-based interventions were recognized as being accessible, affordable, convenient, and user-friendly. On the basis of insights gained on the defining attributes, antecedents to, and consequences of technology-based interventions through the concept analysis process, technology-based interventions were defined as the use of technology to design, develop, and deliver health promotion contents and strategies aimed at inducing or improving positive physical or psychological health outcomes in cancer caregivers. Conclusions This study clarified the meaning of technology-based interventions in the context of cancer caregiving and provided a clear definition that can be used by caregivers, patients, clinicians, and researchers to facilitate evidence-based oncology practice. A clear conceptualization of technology-based interventions lays foundations for better intervention design and research outcomes, which in turn have the potential to help health care professionals address the needs and preferences of cancer caregivers more cost-effectively.

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“…While previous research has shown positive outcomes associated with eSNAP [ 13 , 14 ], additional tailoring and engagement were needed. Thus, we developed a caregiver navigation component to complement and augment the eSNAP intervention, based on theory, existing patient navigation interventions, and stakeholder feedback.…”

Section: Introductionmentioning

confidence: 99%

Addressing a critical need for caregiver support in neuro-oncology: development of a caregiver navigation intervention using eSNAP social resource visualization

Reblin

Wells

Otto

et al. 2022

Support Care Cancer

Self Cite

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Informal caregivers are key to oncology care, but often have unmet needs, leading to poor psychological and physical health outcomes. Comprehensive, proactive caregiver support programs are needed. We describe the development of a support intervention for caregivers of persons with brain tumors. The intervention uses a caregiver navigator to help participants identify and capitalize on existing social support resources captured using a web-based tool (eSNAP) and connects participants to existing formal services. We describe the iterative development process of the manualized intervention with particular focus on the caregiver navigator sessions. The process included review of the literature and published patient navigation programs, expert and stakeholder review, and study team member review. Quantitative and qualitative data were captured from the first 15 participants randomized to receive the intervention, enrolled from February 2020 to December 2020. Four participants dropped from the study, 9 completed at least 7 modules, and 8 participants completed all 8. Quantitative and qualitative data were collected primarily from those who completed the intervention; data suggest caregivers were satisfied with the intervention and found it helpful. Our intervention is one of the first theory-based caregiver support interventions to include caregiver navigation in neuro-oncology. We use best-practice guidelines for design, including extensive stakeholder feedback. COVID-19 may have impacted recruitment and participation, but some preliminary data suggest that those able to engage with the intervention find it helpful. Data collection is ongoing in a larger trial. If effective, caregiver navigation could be a model for future interventions to ensure caregiver support.

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Feasibility of implementing an electronic social support and resource visualization tool for caregivers in a neuro-oncology clinic

Abstract: clinicaltrials.gov, protocol number NCT03026699.

Cited by 21 publications

References 29 publications

Use of telehealth platforms for delivering supportive care to adults with primary brain tumors and their family caregivers: A systematic review

Use of telehealth platforms for delivering supportive care to adults with primary brain tumors and their family caregivers: A systematic review

Technology-Based Interventions for Cancer Caregivers: Concept Analysis

Addressing a critical need for caregiver support in neuro-oncology: development of a caregiver navigation intervention using eSNAP social resource visualization

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