The purpose of this study is to evaluate the efficacy of Dyadic Life Review (DLR) therapy for reducing caregiver distress, measured by caregiver burden to capture the multifaceted experience of distress, among older adults with advanced cancer and cognitive impairment and their caregivers.
Age ≥65
Stage III or IV cancer diagnosis, of any type
The Montreal Cognitive Assessment (MoCA) in-person or MoCA-telephone version ≥15
Katz Activities of Daily Living (ADL) ≥5
No caregiver willing to participate in the study
Parallel
Dyadic Life Review
BehavioralDLR is an intervention that will promote relationship closeness, communication, and psychological distress in both older adults and caregivers.
Change From Baseline in Montgomery Borgatta Caregiver Burden Scale Subjective Stress Burden Score at Week 18
The subjective stress burden domain of the Montgomery Borgatta Caregiver Burden Scale assesses stress experienced by the caregiver in relation to caregiving. Scores range from 4 to 20, with higher scores indicating greater burden.
2. Change From Baseline in Montgomery Borgatta Caregiver Burden Scale Subjective Demand Burden Score at Week 18
The subjective demand burden domain of the Montgomery Borgatta Caregiver Burden Scale assesses the caregiver's perceived demands associated with caregiving. Scores range from 4 to 20, with higher scores indicating greater burden.
Change From Baseline in Montgomery Borgatta Caregiver Burden Scale Objective Burden Score at Week 18
The Montgomery Borgatta Caregiver Burden Scale is a 14 item self report measure of caregiver burden. The objective burden domain assesses the impact of caregiving activities on the caregiver. Scores range from 0 to 30, with higher scores indicating greater burden.
Change From Baseline in Unidimensional Relationship Closeness Scale Score at Week 18
The Unidimensional Relationship Closeness Scale is a 12 item self report measure assessing relationship closeness between the participant and family member. Each item is rated on a 7 point Likert scale. Total scores range from 12 to 84, with higher scores indicating greater relationship closeness.
Change From Baseline in Dyadic Adjustment Scale Score at Week 18
The Dyadic Adjustment Scale is a 7 item self report measure assessing dyadic relationship quality and adjustment. Scores range from 0 to 36, with higher scores indicating greater relationship adjustment.
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University of Rochester
Lead sponsor
National Institute on Aging (NIA)
Collaborator
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