Living With Hope Program for Rural Women Caregivers

NCT01081301 | Completed Phase 2 Results

• 2 other identifiers: BEH 08-186184186
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 2

Brief Summary

Family caregivers of terminally ill persons describe hope as inner strength that will help them continue caregiving. Our research team has developed and pilot tested a Living with Hope Program (LWHP) for caregivers of family members with advanced cancer, with the goal of fostering hope and improving quality of life (www.usask.ca/nursing /research/livingwithhope). The caregivers involved in our pilot test found the LWHP easy to use and we found some evidence to suggest that the program may have increased their hope and improved their quality of life. We would like to further develop and test the LWHP by finding out more about how and how long it might work. We believe it will improve the quality of life of active and bereaved older rural women of persons with advanced cancer and may decrease the number of prescriptions and doctor visits over one year. Since rural women caring for persons with advanced cancer seem to have the least hope, we want to focus on them first before including other caregivers in our research. Two hundred rural women caring for a person with advanced cancer will be asked to take part in this study. Their feelings of control, loss and grief, quality of life and hope will be measured over a year. The numbers of time they visit their physician and how many prescriptions they have over the year will also be collected. This study will contribute to the refinement of a Living with Hope Program that may improve quality of life and personal health of older rural women caring for their spouse with advanced cancer and those who subsequently become bereaved.

Conditions

Advanced Cancer

Keywords

hope; quality of life; caregivers

Outcome Measures

Primary Outcomes (1)

• Herth Hope Index

  The Herth Hope Index is a 12 item (1-4 point) Likert scale that delineates three sub-scales of hope: a) temporality and future, b) positive readiness and expectancy, and c) interconnectedness. These three subscales are consistent with descriptions of hope by caregivers in the preliminary work completed by the research team. The subscales also include measures of relationships and spirituality that are considered factors that influence hope. Summative scores range from 12-48, with a higher score denoting greater hope.

  Baseline, 1week, 2 weeks, 3, 6 and 12 months

Secondary Outcomes (4)

• SF12 Mental Health

  baseline, 1 and 2 wks, 3, 6 and 12 months

• General Self-Efficacy Score (GSES)

  Baseline, 1week, 2 weeks, 3, 6 and 12 months

• Non-Death Revised Grief Experience Inventory

  Baseline, 1week, 2 weeks, 3, 6 and 12 months

• SF12: Physical Health

  Baseline, 1week, 2 weeks, 3, 6 and 12 months

Study Arms (1)

Living with Hope Program

EXPERIMENTAL

Receive Living with Hope Program

Behavioral: Living with Hope Program

Interventions

Living with Hope Program BEHAVIORAL

The LWHP consists of the LWH film featuring caregivers of patients with advanced cancer describing their hope and a hope activity "Stories of the Present". Following viewing of the video with trained research assistants (RAs), (without discussion) the RA's will instruct the subjects to take 5 minutes at the end of the day and write about their thoughts, challenges and what gave them hope over a 2 week time period. Subjects can choose to use a journal, a computer or audiotape their journals.

Living with Hope Program

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• caring for a person who is diagnosed with advanced cancer, c) home address is outside of metropolitan areas.

You may not qualify if:

• caring for a person with advanced cancer and dementia

Sponsors & Collaborators

• University of Saskatchewan: lead

Study Sites (2)

University of Alberta

Edmonton, Alberta, T6G 2G3, Canada

Location

University of Saskatchewan

Saskatoon, Saskatchewan, S7N 5E5, Canada

Location

Related Publications (3)

• Duggleby W, Holtslander L, Kylma J, Duncan V, Hammond C, Williams A. Metasynthesis of the hope experience of family caregivers of persons with chronic illness. Qual Health Res. 2010 Feb;20(2):148-58. doi: 10.1177/1049732309358329.

  PMID: 20065303 BACKGROUND

• Duggleby WD, Williams AM. Living with hope: developing a psychosocial supportive program for rural women caregivers of persons with advanced cancer. BMC Palliat Care. 2010 Mar 26;9:3. doi: 10.1186/1472-684X-9-3.

  PMID: 20346156 BACKGROUND

• Duggleby W, Williams A, Holstlander L, Cooper D, Ghosh S, Hallstrom LK, McLean RT, Hampton M. Evaluation of the living with hope program for rural women caregivers of persons with advanced cancer. BMC Palliat Care. 2013 Oct 9;12(1):36. doi: 10.1186/1472-684X-12-36.

  PMID: 24106841 DERIVED

Related Links

• Living with Hope Research Website

Results Point of Contact

• Title: Dr. Wendy Duggleby
• Organization: University of Alberta

wendy.duggleby@ualberta.ca

780-492-8660

Study Officials

• Wendy D Duggleby, PhD

  University of Alberta

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: March 3, 2010
• First Posted: March 5, 2010
• Study Start: January 1, 2009
• Primary Completion: March 1, 2012
• Study Completion: March 1, 2012
• Last Updated: July 23, 2014
• Results First Posted: July 23, 2014

Record last verified: 2014-07

Locations

CA (2)