Cognitive Behavioral Therapy for Cancer Caregivers (CBT-C) for Family Caregivers

Phase-Based Estimates
1
Effectiveness
1
Safety
Memorial Sloan Kettering Cancer Center, New York, NY
+1 More
Cognitive Behavioral Therapy for Cancer Caregivers (CBT-C) - Other
Eligibility
18+
All Sexes
Eligible conditions
Family Caregivers

Study Summary

A Study Comparing Two Types of Supportive Interventions for Caregivers of Patients With Cancer

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Eligible Conditions

  • Family Caregivers
  • Cancer Patients

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Cognitive Behavioral Therapy for Cancer Caregivers (CBT-C) will improve 2 primary outcomes in patients with Family Caregivers. Measurement will happen over the course of up to 6 months.

up to 6 months
changes in anxiety symptoms
changes in depressive symptoms

Trial Safety

Safety Estimate

1 of 3

Trial Design

3 Treatment Groups

No Control Group
Training case group

This trial requires 400 total participants across 3 different treatment groups

This trial involves 3 different treatments. Cognitive Behavioral Therapy For Cancer Caregivers (CBT-C) is the primary treatment being studied. Participants will be divided into 3 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Training case group
Other
Will be assigned to receive ERT-C only and will not complete questionnaires.
ERT-C: Emotion Regulation Therapy for Cancer Caregivers
Other
Emotion Regulation Therapy for Cancer Caregivers (ERT-C) is an 8-session intervention that builds upon the foundations of CBT-C and addresses earlier motivational processing components of the caregivers context while targeting earlier and later components of internal distress and resultant maladaptive behavioral coping.
CBT-C: Cognitive Behavioral Therapy for Cancer Caregivers
Other
Cognitive Behavioral Therapy (CBT-C) is an evidence-based psychotherapeutic approach that is grounded in the cognitive model that purports that a person's emotional, behavioral, and physiological reactions to a situation is based on their appraisal of that situation. The focus of therapy is on changing cognitions and beliefs about a situation and altering automatic behavioral responses evoked by that perception. CBT-C aims to improve emotion regulation by challenging and changing unhelpful cognitions and behaviors and improving personal coping strategies.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: up to 6 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly up to 6 months for reporting.

Closest Location

Memorial Sloan Kettering Cancer Center - New York, NY

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 8 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Experience distress as evidenced by a score of 4 or greater on the Distress Thermometer (DT) and answer "Yes" to at least one of the follow-up questions (i.e. reporting that their distress is related to their caregiving experience, or their distress started or is related to caregiving or has gotten worse since the patient was diagnosed or began treatment. (N/A for training case participants)
Age 18 years or older as per EMR.
As per self-report, age 18 years or older.
As per self-report, are a IC to an MSK or MGH patient with any site/stage of cancer who has received any type of treatment (e.g. curative, palliative) in the past 12 months.
As per self-report, residing in New York or New Jersey (for MSK participants), or Massachusetts (for MGH participants), or have the ability to complete sessions while complying with current telehealth regulations.
Patient of an eligible IC per self-report or the EMR.
English speaking as per the EMR or self report by subject identifying English as the preferred language for healthcare, and self-reported degree of fluency as speaking English "Very well.".
English fluent: Self-report by subject identifying English as the preferred language for healthcare, and self-reported degree of fluency as speaking English "Very well."

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are common treatments for family caregivers?

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The use of the Cognitive-Behavioural Therapy, Support from a Health Care Professional, and Cognitive-Behavioural Therapy for Caregivers Treatments for Caregivers for schizophrenia, or for a caregiver for a loved one with dementia have been shown to be useful in reducing caregivers' burden and improving their health. This is an example of a 'best practice' for care providers to work with care recipients. However, other interventions may exist in the area; this is a good example of a 'best practice' that has to change due in part to the cost of health care as a result of lack of resources and limited funding to care, for both care recipients and caregivers.

Unverified Answer

Can family caregivers be cured?

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Family caregivers have their own personal challenges with a very demanding situation. To enable some support, a multidisciplinary team-approach and multidisciplinary consultation are recommended. The family members experience improved coping capacity in the aftermath of the disease and also of the caregiver's situation. The family members usually are able to cope and to cope well again after a time.

Unverified Answer

How many people get family caregivers a year in the United States?

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More than two-thirds of Americans (70 percent) with an unmet need for care receive some health care service. These men, women, and children need support provided by family members, friends, and peers. Families, friends, and peers are capable of providing this kind of service. But some chronically ill individuals lack the support they need.

Unverified Answer

What is family caregivers?

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As an important person in the patient's life, family caregivers have an indispensable role in patient's treatment and care.  Family caregivers often have more health related issues and experience more psychological distress than the parents or other caregivers they live with, which may not only cause them more personal burden.  However, family caregivers are not well-informed, which contributes to them not fully taking the appropriate preventive actions or treatment when they have a certain symptom of an illness for their patients.  Therefore, family caregivers' knowledge level needs to be increased, and appropriate preventive measures need to be provided to them.

Unverified Answer

What are the signs of family caregivers?

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Caregiving caregivers and their spouses frequently display signs of depression. Data from a recent study may help to identify patients at risk of developing depression.

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What causes family caregivers?

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Data from a recent study has shown that family caregivers do not have a strong need to know reasons for patients' illness. The information provided by family caregivers appears to be very helpful to both patients and consultants. Data from a recent study suggests that family caregivers may also be educated to assist patients. Family caregivers may benefit by being offered supportive groups, courses and other services to help them cope with the demands of caring.

Unverified Answer

What is the primary cause of family caregivers?

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There are many different reasons for family caregivers caring for older adults and their care recipients. The most frequent reasons for caregivers participating in nursing home placement were for personal benefits, a desire to 'give back to society' and to assist persons in their later years of life. These reasons may vary depending on the role of the caregiver in the family situation.

Unverified Answer

Does family caregivers run in families?

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Caregiving is highly prevalent in the nursing home or long-term care setting. The caregiver is an integral part of the patient's care team. Understanding how family members respond to stress will be a key to effectively managing patient and family care.

Unverified Answer

Who should consider clinical trials for family caregivers?

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Findings from a recent study reinforces the importance of obtaining both familial caregivers' and family physicians' perspectives in designing trials that incorporate family members of caregivers of family caregivers. Findings from a recent study also call for family physicians to consider the potential benefits for family care providers and family care recipients when planning a clinical trial.

Unverified Answer

What is the latest research for family caregivers?

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More research regarding family caregiver needs and outcomes are needed. The present study showed that older caregivers, caregivers who are caring for multiple dependent relatives, caregivers who are Caucasian, and female caregivers have the highest need.

Unverified Answer

Have there been other clinical trials involving cognitive behavioral therapy for cancer caregivers (cbt-c)?

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There is growing support for cbt-c interventions for cancer caregivers. Future trials include investigations of the safety and efficacy of cbt-c when delivered by health professionals and as a home-based intervention. Clinicaltrials.gov: NCT01792598; NCT01446942; NCT01723693; NCT00290510; NCT01651095; NCT00651163; and NCT00494437.

Unverified Answer

What are the latest developments in cognitive behavioral therapy for cancer caregivers (cbt-c) for therapeutic use?

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The cognitive-behavioral therapy cbt-c seems to be a useful intervention, which results in a positive effect on patients with cancer and their caregivers (cbc) suffering from depression and anxiety.

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