Evaluating a couple communication skills training (CCST) intervention for advanced cancer: study protocol for a...

Area of Science:

• Oncology
• Psychology
• Communication Studies

Background:

• Advanced cancer presents significant challenges for patients and partners, impacting individual and relationship well-being.
• Prior couple-based communication interventions show promise but often rely on in-person delivery and haven't targeted high-risk dyads.
• This study addresses the need for accessible interventions for couples facing advanced cancer.

Purpose of the Study:

• To evaluate the efficacy of a videoconference-delivered Couples Communication Skills Training (CCST) intervention.
• To improve patient and partner relationship functioning as the primary outcome.
• To assess secondary outcomes including psychological functioning, patient symptoms, and healthcare utilization.

Main Methods:

• A randomized controlled trial (RCT) involving 230 patients with advanced cancers (lung, GI, GU, breast) and their partners.
• Participants were randomized to CCST or an education control intervention.
• Outcomes were measured using self-report and objective communication measures at multiple time points, with an implementation process evaluation.

Main Results:

• The study is designed to yield important new knowledge on effective interventions.
• It will examine communication behaviors as potential mediators of treatment effects.
• Results will inform future implementation of CCST in clinical settings.

Conclusions:

• This trial has the potential to significantly improve patient and partner adjustment to advanced cancer.
• It will provide evidence for the effectiveness of telehealth-delivered communication interventions.
• Findings will contribute to better support for couples navigating cancer survivorship.