Evidence map›Paper›PMID 24245838›Full record

Trial reportHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2014

CHESS improves cancer caregivers' burden and mood: results of an eHealth RCT.

Lori L DuBenske, David H Gustafson, Kang Namkoong, Robert P Hawkins, Amy K Atwood, Roger L Brown, Ming-Yuan Chih, Fiona McTavish, Cindy L Carmack, Mary K Buss and 2 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 14 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 14 syntheses or guidelines pooled it, 153 citations in OpenAlex.

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  15. Trial
  16. Family caregivers of those with cancer: quality of life outcomes from a sequential multiple assignment randomized trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  17. Empowering caregivers in the radiotherapy process: the results of a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 3 countries.

Lori L DuBenskeDepartment of Psychiatry, School of Medicine and Public Health.
David H GustafsonCenter for Health Enhancement Systems Studies, University of Wisconsin.
Kang NamkoongDepartment of Community and Leadership Development, University of Kentucky.
Robert P HawkinsDepartment of Journalism and Mass Communication, University of Wisconsin.
Amy K AtwoodCenter for Health Enhancement Systems Studies, University of Wisconsin.
Roger L BrownSchool of Nursing.
Ming-Yuan ChihCenter for Health Enhancement Systems Studies, University of Wisconsin.
Fiona McTavishCenter for Health Enhancement Systems Studies, University of Wisconsin.
Cindy L CarmackDepartment of Behavioral Science.
Mary K BussBeth Israel Deaconess Medical Center.
Ramaswamy GovindanOncology Division, Department of Medicine, Washington University.
James F ClearyHematology-Oncology Unit of the Department of Medicine, School of Medicine and Public Health, University of Wisconsin.
University of Wisconsin–Madison · USCraig Newmark Graduate School of Journalism at the City University of New York · USFaculty of Public Health · GBHadassah Medical Center · ILQuality Enhancement Research Initiative · USUniversity of Kentucky · USUniversity of Washington · US

Funding

Using Technology to Enhance Cancer Communication and Improve Clinical OutcomesP50CA095817 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BURNSIDE, ELIZABETH S · 2003 to 2012
$19.3M
NCI NIH HHS P50 CA095817NCI NIH HHS P50 CA095817-01A1
6 · The paper itself

Abstract

objectiveInformal caregivers (family and friends) of people with cancer are often unprepared for their caregiving role, leading to increased burden or distress. Comprehensive Health Enhancement Support System (CHESS) is a Web-based lung cancer information, communication, and coaching system for caregivers. This randomized trial reports the impact on caregiver burden, disruptiveness, and mood of providing caregivers access to CHESS versus the Internet with a list of recommended lung cancer websites.

methodsA total of 285 informal caregivers of patients with advanced nonsmall cell lung cancer were randomly assigned to a comparison group that received Internet or a treatment group that received Internet and CHESS. Caregivers were provided a computer and Internet service if needed. Written surveys were completed at pretest and during the intervention period bimonthly for up to 24 months. Analyses of covariance (ANCOVAs) compared the intervention's effect on caregivers' disruptiveness and burden (CQOLI-C), and negative mood (combined Anxiety, Depression, and Anger scales of the POMS) at 6 months, controlling for blocking variables (site, caregiver's race, and relationship to patient) and the given outcome at pretest.

resultsCaregivers randomized to CHESS reported lower burden, t(84) = 2.36, p = .021, d = .39, and negative mood, t(86) = 2.82, p = .006, d = .44, than those in the Internet group. The effect on disruptiveness was not significant.

conclusionsAlthough caring for someone with a terminal illness will always exact a toll on caregivers, eHealth interventions like CHESS may improve caregivers' understanding and coping skills and, as a result, ease their burden and mood.

Indexed as

Social SupportAdaptation, PsychologicalAdolescentAdultAgedAged, 80 and overAnalysis of VarianceCarcinoma, Non-Small-Cell LungCaregiversConsumer Health InformationFemaleHumansInternetLung NeoplasmsMaleMiddle Aged

Identifiers

PMID24245838
PMCPMC4121384
OpenAlexW1980816790

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.