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  11. Neurocare: A Randomized Controlled Trial Of A Psychological Intervention For Caregivers Of Patients With Primary Malignant Brain Tumors

NeuroCARE: A Randomized Controlled Trial of a Psychological Intervention for Caregivers of Patients With Primary Malignant Brain Tumors

Deborah A Forst1, Alyx F Podgurski1, Sumita M Strander2

  • 1Massachusetts General Hospital, Boston, MA.

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
|September 16, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

A telehealth intervention improved mental health for caregivers of brain tumor patients. NeuroCARE reduced anxiety and depression, enhancing self-efficacy and coping skills.

Area of Science:

  • Neuroscience
  • Psychology
  • Oncology

Background:

  • Caregivers of patients with primary malignant brain tumors (PMBT) often experience significant psychological distress.
  • Anxiety and depression are common challenges faced by this population.
  • Effective interventions are needed to support the mental well-being of PMBT caregivers.

Purpose of the Study:

  • To assess the effect of a novel psychological intervention, NeuroCARE, on anxiety symptoms among PMBT caregivers.
  • To evaluate the impact of NeuroCARE on depression, quality of life, caregiver burden, self-efficacy, coping, and PTSD symptoms.

Main Methods:

  • A randomized trial comparing NeuroCARE (six telehealth sessions) with usual care was conducted.
  • Participants included PMBT caregivers with elevated anxiety (GAD-7 score ≥5) within 6 months of diagnosis.

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  • Outcomes were assessed at baseline, 11 weeks, and 16 weeks using validated scales.

    • Main Results:

    • NeuroCARE significantly reduced anxiety symptoms at 11 weeks compared to usual care (P = .008).
    • Participants in the NeuroCARE group also showed significant reductions in depression symptoms (P = .004), and improvements in self-efficacy (P < .001) and coping (P < .001).
    • Improvements in depression, self-efficacy, and coping were sustained longitudinally.

    Conclusions:

    • The NeuroCARE intervention is effective in improving psychological distress among PMBT caregivers.
    • This population-specific telehealth intervention demonstrates a positive impact on anxiety, depression, self-efficacy, and coping.
    • NeuroCARE offers a promising approach to support the mental health of individuals caring for patients with primary malignant brain tumors.