Policy makers and service planners can now calculate the extent to which current home palliative care services may need expansion locally on the basis of current and target home death rates, applying NNTB from this meta-analysis to current and projected local need. Further meta-analyses on symptom burden and caregiver grief would produce more robust data Future studies need to harmonise measurement and reporting practices. Hudson et al. (2013). 1. NR. 4. Primary family 8. Relative to participants in the 10. Training of FCSN. 13. Relatively short caregivers >18 years control group; the psychological interventions Australia. 2. Intervention based on (n=298). well-being of participants in the 11.NR can enable family transactional model of intervention condition caregivers to feel more Phase III parallel group stress and coping. Two 5. Caregivers of patients improved by a small, 12. NR prepared and competent in (three-armed)RCT variations based on with advanced cancer amount. No the role of supporting a whether the person receiving home-based significant reduction in unmet dying relative. To “prepare caregivers for received 1 or 2 visits. palliative care. needs or improvements in the role of supporting a Control group – usual positive aspects of caregiving 14. Further investigation is patient with palliative care support. 6. Home. amongst the intervention group required to determine the advanced cancer receiving were identified. longer term outcomes of home-based palliative care 3. Intervention delivered 7. Family Caregiver Support such interventions. by offering a one-to-one over 4 weeks and involved Nurse (FCSN) who assisted 9. The intervention psycho-educational phone calls with family, a the local palliative care demonstrated significant Constructs such as intervention”. family caregiver guidebook, service to assess caregiver improvements in participants’ preparedness and written information about needs, establish a care plan levels of preparedness and competence may be linked the intervention, and provide additional competence when the to overall psychological assessment of caregiver caregiver support. intervention consisted of 2 wellbeing. Further needs, development of a visits (as opposed to 1). Effect
Policy makers and service planners can now calculate the extent to which current home palliative care services may need expansion locally on the basis of current and target home death rates, applying NNTB from this meta-analysis to current and projected local need. Further meta-analyses on symptom burden and caregiver grief would produce more robust data Future studies need to harmonise measurement and reporting practices. Hudson et al. (2013). Australia. Phase III parallel group (three-armed)RCT To “prepare caregivers for the role of supporting a patient with advanced cancer receiving home-based palliative care by offering a one-to-one psycho-educational intervention”. 1. NR. 2. Intervention based on transactional model of stress and coping. Two variations based on whether the person received 1 or 2 visits. Control group – usual palliative care support. 3. Intervention delivered over 4 weeks and involved phone calls with family, a family caregiver guidebook, written information about the intervention, assessment of caregiver needs, development of a 4. Primary family caregivers >18 years (n=298). 5. Caregivers of patients with advanced cancer receiving home-based palliative care. 6. Home. 7. Family Caregiver Support Nurse (FCSN) who assisted the local palliative care service to assess caregiver needs, establish a care plan and provide additional caregiver support. 8. Relative to participants in the control group; the psychological well-being of participants in the intervention condition improved by a small, amount. No significant reduction in unmet needs or improvements in positive aspects of caregiving amongst the intervention group were identified. 9. The intervention demonstrated significant improvements in participants’ levels of preparedness and competence when the intervention consisted of 2 visits (as opposed to 1). Effect 10. Training of FCSN. 11.NR 12. NR 13. Relatively short interventions can enable family caregivers to feel more prepared and competent in the role of supporting a dying relative. 14. Further investigation is required to determine the longer term outcomes of such interventions. Constructs such as preparedness and competence may be linked to overall psychological wellbeing. Further
12912_2017_225_MOESM1_ESM.docx