Evaluation of an educational program for the caregivers of persons diagnosed with a malignant glioma
Abstract
Background: Caring for a loved one with a malignant glioma can be a formidable responsibility. The guarded prognosis, side effects of treatments, and changes in brain function, personality and behaviour pose unique challenges in care provision by family members. It is rare that institutions provide educational programs for caregivers.
Purpose: To evaluate the impact of providing information in an educational program to caregivers of patients diagnosed with a malignant glioma.
Methods: A structured educational program for caregivers of brain tumour patients was developed based upon multidisciplinary expert opinion and caregiver feedback. Twenty-four caregiver participants were enrolled in the program. Knowledge was assessed before, immediately following, and four to six weeks following the program. Open-ended questions were used to explore the caregivers’ experiences, as well as additional benefits derived from the program.
Results: Knowledge scores on testing immediately after the program and four to six weeks following the program were statistically significantly improved from baseline testing, although there was a decline in scores four to six weeks after the program. These findings demonstrate effective knowledge transfer (recall of the information) immediately after the education program and four to six weeks later. Specific qualitative and quantitative data serve as a basis for understanding caregivers’ needs and experiences.
Full Text:
PDFReferences
Adams, M. (1991). Information and education across the phases of
cancer care. Seminars in Oncology Nursing, 7(2), 105-11.
Archbold, P.G., Stewart, B.J., Greenlick, M.R., & Harvath, T. (1990).
Mutuality and preparedness as predictors of caregiver role strain.
Research in Nursing and Health, 13(6), 375-384.
Barg, F.K., Pasacreta, J.V., Nuamah, I., Robinson, K.D., Angeletti, K.,
Yasko, J., et al. (1998). A description of a psychoeducational
intervention for the family caregivers of patients with cancer.
Journal of Family Nursing, 4, 394-413.
Blanchard, C.G., Ruckdeschel, J.C., & Albrecht, T.L. (1997). The
crisis of cancer: Psychological impact on family caregivers.
Oncology, 11(2), 189-94.
Borneman, T., Chu, D.Z.J., Wagman, L., Ferrell, B., Juarez, G.,
McCahill, L.E., et al. (2003). Concerns of family caregivers of
patients with cancer facing palliative surgery for advanced
malignancies. Oncology Nursing Forum, 30(6), 997-1005.
Deorah, S., Lynch, C.F., Sibenaller, Z.A., & Ryken, T.C. (2006).
Trends in brain cancer incidence and survival in the United States:
Surveillance, epidemiology, and end results program, 1973 to
Neurosurg Focus, 20(4) E3.
Chapman, K., & Pepler, C. (1998). Coping, hope and anticipatory grief
in family members in palliative care. Cancer Nursing, 21, 226-34.
Edwards, B., & Clarke, V. (2004). The psychological impact of a
cancer diagnosis on families: The influence of family functioning
and patients’ illness characteristics on depression and anxiety.
Psycho-oncology 13, 562-76.
Germino, B.B., Fife, B.L., & Funk, S.G. (1995). Cancer and the
partner relationship: What is its meaning? Seminars in Oncology
Nursing, 11, 43-50.
Given, B., Wyatt, G., Given, C., Gift, A., Sherwood, P., DeVoss, D., et
al. (2005). Burden and depression among caregivers of patients with
cancer at the end-of-life. Oncology Nursing Forum, 31(6), 1105-17.
Gotay, C.C. (1984). The experience of cancer during early and
advanced stages: The views of patients and their mates. Social
Science and Medicine, 18, 605-613.
Haley, W.E., Levine, E.G., Brown, S.L., & Bartolucci, A.A. (1987).
Stress, appraisal, coping, and social support as predictors of
adaptational outcome among dementia caregivers. Psychology
and Aging, 2(4), 323-330.
Heim, E., Valach, L., & Schaffner, L. (1997). Coping and
psychosocial adjustment: Longitudinal effects over time and
stages in breast cancer. Psychosomatic Medicine, 59, 408-18.
Hudson, P.L., Aranda, S., & Hayman-White, K. (2005). A psychoeducational
intervention for family caregivers receiving palliative
care: A randomized controlled trial. Journal of Pain and
Symptom Management, 30(4), 329-41.
Keefe, F.J., Ahles, T.A., Porter, L.S., Sutton, L.M., McBride, C.M., Pope,
M.S., et al. (2002). The self-efficacy of family caregivers for helping
cancer patients manage pain at end-of-life. Pain 103(1-2),157-62.
Keir, S.T., Guill, A.B., Carter, K.E., Booles, L.C., Gonzales, L., &
Friedman, H.S. (2006). Differential levels of stress in caregivers of
brain tumor patients – Observations from a pilot study. Support
Care Cancer [Epub ahead of print].
Laizner, A., Yost, K.M.S., Barg, F.K., & McCorkle, R. (1993). Needs
of family caregivers of persons with cancer: A review. Seminars
in Oncology Nursing, 9(2), 114-20.
Matthews, B.A. (2003). Role and gender differences in cancer-related
distress: A comparison of survivor and caregiver self-reports.
Oncology Nursing Forum, 30, 493-99.
Northouse, L.L. (1994). Breast cancer in younger women: Effects on
interpersonal and family relations. Journal of the National
Cancer Institute Monographs, 16, 183-90.
Northouse, L.L., Mood, D., Kershaw, T., Schafenencker, A., Mellon,
S., Walker, J., et al. (2002). Quality of life of women with recurrent
breast cancer and their family members. Journal of Clinical
Oncology, 20, 4050-64.
Northouse, L.L., & Peters-Golden, H. (1993). Cancer and the family:
Strategies to assist spouses. Seminars in Oncology Nursing, 9(2),
-82.
Oberst, M., & James, R. (1985). Going home: Patient and spouse
adjustment following cancer surgery. Topics in Clinical Nursing,
, 46-57.
Pasacreta, J.V., Barg, F., Nuamah, I., & McCorkle, R. (2000). Participant
characteristics before and four months after attendance at a family
caregiver cancer education program. Cancer Nursing, 23(4), 295-303.
Scherbring, M. (2002). Effect of caregiver perception of preparedness
on burden in an oncology population. Oncology Nursing Forum,
(6), 70-76.
Schumacher, K.L., Dodd, M.J., & Paul, S.M. (1995). The stress
process in family caregivers of persons receiving chemotherapy.
Research in Nursing and Health, 16, 395-404.
Schulz, R., & Beach, S.R. (1999). Caregiving as a risk factor for
mortality: The Caregiver Health Effects Study. JAMA, 282, 2215-19.
Schut, H.A., Stroebe, M.S., van den Bout, J., & de Keijser, J. (1997).
Intervention for the bereaved: Gender differences in the efficacy of
two counselling programmes. British Journal of Clinical
Psychology, 36(Pt 1), 63-72.
Sherwood, P.R., Given, B.A., Doorenbos, A.Z., & Given, C.W.
(2004). Forgotten voices: Lessons from the bereaved caregivers of
persons with a brain tumour. International Journal of Palliative
Nursing, 10(2) 67-74.
Sherwood, P.R., Given, B.A., Given, C.W., Schiffman, R.F., Murman,
D.L., Lovely, M., et al. (2006). Predictors of distress in caregivers
of a primary malignant brain tumor. Research in Nursing and
Health, 29, 105-20.
Strang, S., Strang, P., & Ternestedt, B. (2001). Existential support in brain
tumour patients and their spouses. Support Care Cancer, 9, 625-33.
Stupp, R., Mason, W.P., van den Bent, M.J., Weller, M., Fisher, B.,
Taphoorn, M.J.B., et al.; European Organisation for Research and
Treatment of Cancer Brain Tumor and Radiotherapy Groups;
National Cancer Institute of Canada Clinical Trials Group. (2005).
Radiotherapy plus concomitant and adjuvant temozolomide for
glioblastoma. New England Journal of Medicine, 352, 987-96.
Toseland, R.W., Blanchard, C.G., & McCallion, P. (1995). A problemsolving
intervention for caregivers of cancer patients. Social
Science & Medicine, 40, 517-28.
Villejo, L., & Meyers, C. (1991). Brain function, learning styles, and
cancer patient education. Seminars in Oncology Nursing, 7(2),
-104.
Wallhagen, M.I. (1992). Perceived control and adaptation in elder
caregivers: Development of an explanatory model. International
Journal of Aging and Human Development, 36, 219-37.
Wong, R.K.S., Franssen, E., Szumacher, E., Connolly, R., Evans, M.,
Page, B. (2002). What do patients living with advanced cancer and
their carers want to know? – A needs assessment. Supportive
Care in Cancer, 10, 408-15.
Refbacks
- There are currently no refbacks.


