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Exploring the cancer caregiver's journey through web-based Meaning-Centered Psychotherapy
A J Applebaum1, K L Buda1, E Schofield1
1Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Psycho-Oncology
|November 15, 2017
Summary
The Care for the Cancer Caregiver (CCC) Workshop, an online program, was feasible and acceptable for cancer caregivers. While not all outcomes were significant, it showed potential for increasing benefit finding.
Area of Science:
- Psychology
- Oncology
- Digital Health
Background:
- Psychosocial interventions are underutilized by cancer caregivers.
- Internet-delivered support programs can overcome barriers to care.
- Meaning-Centered Psychotherapy was adapted for caregivers.
Purpose of the Study:
- Evaluate the feasibility and acceptability of the web-based Care for the Cancer Caregiver (CCC) Workshop.
- Assess preliminary effects of the CCC Workshop on caregivers' well-being.
- Adapt an in-person intervention for online delivery to augment meaning and purpose.
Main Methods:
- Eighty-four caregivers were randomized to the CCC Workshop or a waitlist control.
- Quantitative assessments included meaning, burden, anxiety, depression, benefit finding, and spiritual well-being.
- Semistructured interviews were conducted with a subset of participants.
Main Results:
- The CCC Workshop was feasible and acceptable to caregivers.
- Moderate attrition occurred, with caregiver burden and bereavement cited as reasons for dropout.
- A longitudinal model showed significant increases in benefit finding favoring the CCC arm.
Conclusions:
- The CCC Workshop is a viable option for cancer caregivers.
- The program has potential to address unmet needs, particularly for those underutilizing in-person services.
- Larger studies are warranted to establish the efficacy of this digital intervention.
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