BMT-CARE: Psychosocial Intervention for Transplant Caregivers

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMassachusetts General Hospital

About this trial

The goal of this study is to evaluate whether a psychological intervention (BMT-CARE) is effective at improving the quality of life in caregivers and patients treated with hematopoietic cell transplant compared to usual care, and to identify critical facilitators and barriers for BMT-CARE implementation and adoption.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult caregivers (≥18 years) relative or friend of a patient identified as living with them or having in-person contact with them at least twice a week.

Caregiver of a patient receiving allogeneic or autologous HCT for the treatment of cancer.

Ability to read and respond to survey questions in English, Spanish or with minimal assistance from an interpreter.

Disqualifiers

Caregivers of patients undergoing HCT for a benign hematologic condition or undergoing outpatient HCT.

Caregivers with a major untreated psychiatric or cognitive condition which the treating oncology clinicians believes interferes with the capacity to provide informed consent.

Caregivers of patients who have already undergone HCT within the past 5 years

Adult patients (≥18 years) with a hematologic malignancy and planned admission for autologous or allogeneic HCT.

Trial design

Design model

Parallel

Treatments tested in this trial

  • BMT-CARE

    Behavioral

    Therapist-delivered psychosocial intervention comprised of 6 sessions

  • Usual Care

    Behavioral

    Meeting a transplant social worker prior to HCT and as needed for extra visits

Treatment groups

800 Participants
are divided into 2 treatment groups
Group A: BMT-CAREExperimental treatment 1 intervention
Group B: Usual CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Caregiver quality of life (QOL) as measured by the Caregiver Oncology Quality of Life (CARGOQOL) questionnaire

Compare caregiver QOL as measured by the CARGOQOL between the two study groups. The CARGOQOL ranges from 0-100 with higher scores indicating better QOL

Time frame
Up to 60 days post-HCT

Secondary outcomes

1

Caregiver quality of life (QOL) as measured by the Caregiver Oncology Quality of Life (CARGOQOL) questionnaire

Compare caregiver QOL as measured by the CARGOQOL between the two study groups. The CARGOQOL ranges from 0-100 with higher scores indicating better QOL

Time frame
Up to 180 days post-HCT
2

Caregiving burden as measured by the Caregiver Reaction Assessment (CRA) questionnaire

Compare caregiving burden as measured by the CRA between the two study groups. The CRA ranges from 24-120 with higher scores indicating greater caregiving burden

Time frame
Up to 180 days post-HCT
3

Caregiver depression symptoms as measured by the Hospital Anxiety and Depression (HADS-Depression) Scale

Compare caregiver depression symptoms as measured by the HADS-Depression between the study groups. The HADS-Depression ranges from 0-21 with higher scores indicating worse depression symptoms

Time frame
Up to 180 days post-HCT
4

Caregiver anxiety symptoms as measured by the Hospital Anxiety and Depression (HADS-Anxiety) Scale

Compare caregiver anxiety symptoms as measured by the HADS-Anxiety between the study groups. The HADS-Anxiety ranges from 0-21 with higher scores indicating worse anxiety symptoms

Time frame
Up to 180 days post-HCT

Other outcomes

1

Patient quality of life as measured by the Functional Assessment of Cancer Therapy-BMT (FACT-BMT) questionnaire

Compare patient QOL as measured by the FACT-BMT between the two study groups. Score range 0-196 and higher scores indicate better QOL

Time frame
Up to 180 days post-HCT
2

Patient depression symptoms as measured by the Hospital Anxiety and Depression (HADS-Depression) scale

Compare patient depression symptoms as measured by the HADS-Depression between the study groups. The HADS-Depression ranges from 0-21 with higher scores indicating worse depression symptoms

Time frame
Up to 180 days post-HCT
3

Patient anxiety symptoms as measured by the Hospital Anxiety and Depression (HADS-Anxiety) scale

Compare patient anxiety symptoms as measured by the HADS-Anxiety between the study groups. The HADS-Anxiety ranges from 0-21 with higher scores indicating worse anxiety symptoms

Time frame
Up to 180 days post-HCT
4

Patient symptom burden as measured by the Revised Edmonton Symptom Assessment Scale -Revised (ESAS-r)

Compare patient symptom burden as measured by the ESAS-r between the study groups. Scor range 0-100 and higher scores indicate worse symptom burden.

Time frame
Up to 60 days post-HCT

Sponsors and contacts

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Massachusetts General Hospital

Lead sponsor

National Institutes of Health (NIH)

Collaborator