Trial reportJournal of the American Geriatrics Society2019
A Problem-Solving Intervention for Hospice Family Caregivers: A Randomized Clinical Trial.
Trial report in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of Videoconference-Delivered Cognitive Behavioral Therapy for Adults With Psychiatric Disorders: Systematic and Meta-Analytic Review.Journal of medical Internet research · 2021Pooled it
- Interventions to Support Family Caregivers in Pain Management: A Systematic Review.Journal of pain and symptom management · 2020Pooled it
- A Hospice Intervention for Caregivers: Improving Home Hospice Management of End-Of-Life Symptoms (I-HoME) Pilot Study.Journal of the American Geriatrics Society · 2025Trial
- When Is the Best Time to Deliver Supportive Interventions to Hospice Family Caregivers? A Multi-Method Study.The Gerontologist · 2025Trial
- Trial
- Relationship between problem solving dimensions and psychological distress among cancer caregivers.Journal of psychosocial oncology · 2025Trial
- Family Caregiver Needs, Interventions, and Outcomes in Home-Based Cancer Palliative Care: A Scoping Review.Journal of multidisciplinary healthcare · 2026Review
- Psychological distress interventions for family members in palliative care: a scoping review.BMC palliative care · 2025Article
- Rapid Review of Family Caregiver Engagement in Hospice and End-of-Life Patient Care: Implications for Nursing Practice.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2025Review
- Developing and Testing a Two-Part Intervention: Enhancing Dementia Instruction and Tool in Home Hospice Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Depressive Symptoms in Caregivers of Hospice Cancer Patients.The American journal of hospice & palliative care · 2024Article
- Interventions for Family Caregivers of Patients Receiving Palliative/Hospice Care at Home: A Scoping Review.Journal of palliative medicine · 2024Article
- Assessing the feasibility, acceptability, and preliminary efficacy of a novel symptom management care delivery intervention for caregivers receiving home hospice care: The I-HoME protocol.Contemporary clinical trials · 2024Article
- "It was terrible, I didn't sleep for two years": A mixed methods exploration of sleep and its effects among family caregivers of in-home hospice patients at end-of-life.Palliative medicine · 2022Article
- The Lived Experience of Physical Separation for Hospice Patients and Families amid COVID-19.Journal of pain and symptom management · 2022Article
- Examining spoken words and acoustic features of therapy sessions to understand family caregivers' anxiety and quality of life.International journal of medical informatics · 2022Article
- A Goal-Directed Model of Collaborative Decision Making in Hospice and Palliative Care.Journal of palliative care · 2022Article
- Anxiety, Depression, Quality of Life, Caregiver Burden, and Perceptions of Caregiver-Centered Communication among Black and White Hospice Family Caregivers.Journal of palliative medicine · 2022Article
- Family Caregiver Problems in Outpatient Palliative Oncology.Journal of palliative medicine · 2021Article
- Spoken words as biomarkers: using machine learning to gain insight into communication as a predictor of anxiety.Journal of the American Medical Informatics Association : JAMIA · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesFamily caregivers of hospice patients have multiple needs as they try to cope during a stressful time. Translatable interventions effective in improving caregiver outcomes are greatly needed. Our objective was to assess the impact of a problem-solving intervention (called Problem-Solving Intervention to Support Caregivers in End-of-Life Care Settings [PISCES]) to support hospice caregivers on caregiver quality of life and anxiety, and compare its effectiveness delivered face to face and via videoconferencing.
designIn this 4-year randomized clinical trial, caregivers were randomly assigned to a group receiving standard care with added "friendly calls" (attention control [AC] group), a group receiving standard care and PISCES delivered face to face (F2F), or a group receiving standard care and PISCES delivered via videoconferencing (VC).
settingHome hospice.
participantsA total of 514 caregivers participated (172 in AC, 171 in F2F, and 171 in VC). Caregivers were predominantly female (75%); mean age was 60.3 years.
interventionPISCES includes a structured curriculum delivered in three sessions and motivates caregivers to adopt a positive attitude, define problems by obtaining facts, set goals, and generate and evaluate solutions. MEASUREMENTS: Quality of life was measured by the Caregiver Quality of Life Index-Revised; anxiety was measured by the Generalized Anxiety Disorder 7-Item. Other measures included the Caregiver Reaction Assessment scale, demographic data, and an exit interview.
resultsCompared with AC, caregivers in the F2F condition had postintervention reduced anxiety (-1.31 [95% confidence interval [CI] = -2.11 to .50]; p = .004) and improved social (.57 [95% CI = .19-.95]; p = .01), financial (.57 [95% CI = .21-.93]; p = .004), and physical quality of life (.53 [95% CI = .19-.87]; p = .01). There were no differences in caregivers in the VC condition compared with the AC condition.
conclusionThe PISCES intervention improves caregiver outcomes and is effective when delivered in person. How to integrate technology to reduce the intervention delivery cost warrants further investigation.
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Registered trials
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.