Evidence map›Paper›PMID 33026658›Full record

Trial reportCancer2020

Enhanced coping and self-efficacy in caregivers of stem cell transplant recipients: Identifying mechanisms of a multimodal psychosocial intervention.

Jamie M Jacobs, Ashley M Nelson, Lara Traeger, Lauren Waldman, Showly Nicholson, Annemarie D Jagielo, Jennifer D'Alotto, Joseph A Greer, Jennifer S Temel, Areej El-Jawahri

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  3. Article
  4. Caregiver experiences managing information prior to hematopoietic stem cell transplantation and after transition to home: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  5. Article
  6. Can you spare 100 days? The allogeneic hematopoietic cell transplant caregiver requirement from the perspective of social workers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

10 authors at 2 institutions in 1 country.

Jamie M JacobsMassachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0001-9740-624X
Ashley M NelsonMassachusetts General Hospital, Boston, Massachusetts.
Lara TraegerMassachusetts General Hospital, Boston, Massachusetts.
Lauren WaldmanMassachusetts General Hospital, Boston, Massachusetts.
Showly NicholsonMassachusetts General Hospital, Boston, Massachusetts.
Annemarie D JagieloMassachusetts General Hospital, Boston, Massachusetts.
Jennifer D'AlottoMassachusetts General Hospital, Boston, Massachusetts.
Joseph A GreerMassachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-0979-4076
Jennifer S TemelMassachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-7268-5921
Areej El-JawahriMassachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-3556-1495
Harvard University · USMassachusetts General Hospital · US

Funding

Dana Farber/Harvard Cancer Consortium Career Development Program in Clinical OncologyK12CA087723 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI David Tsai Ting · 2002 to 2026
$17.9M
Training in Oncology Population Sciences (TOPS)T32CA092203 · NCI · DANA-FARBER CANCER INST · PI Nancy L Keating, JENNIFER W MACK · 2018 to 2026
$3.7M
Randomized Trial of Inpatient Palliative Care for Patients with Hematologic Malignancies Undergoing Hematopoietic Stem Cell TransplantationR01CA222014 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI EL-JAWAHRI, AREEJ · 2018 to 2022
$2.2M
NCI NIH HHS K12 CA087723NCI NIH HHS R01 CA222014NCI NIH HHS T32 CA092203NIH HHS NIH K12 Career Development Award
6 · The paper itself

Abstract

backgroundIn a recent trial, a 6-session intervention (BMT-CARE) integrating medical information with cognitive-behavioral strategies improved quality of life (QOL), mood, coping skills, and self-efficacy for family/friend caregivers of hematopoietic stem cell transplantation (HCT) recipients. This study examined whether improvements in coping and self-efficacy mediated the intervention effects on QOL and mood.

methodsFrom December 2017 to April 2019, 100 caregivers of HCT recipients were enrolled into a randomized clinical trial of BMT-CARE versus usual care. Caregivers completed self-report measures of QOL (CareGiver Oncology Quality of Life questionnaire), depression and anxiety symptoms (Hospital Anxiety and Depression Scale), coping skills (Measure of Current Status), and self-efficacy (Cancer Self-Efficacy Scale-Transplant) at enrollment (before HCT) and 60 days after HCT. Causal mediation regression models were used to examine whether changes in coping and self-efficacy mediated intervention effects on QOL as well as depression and anxiety symptoms.

resultsImprovements in 60-day QOL in patients assigned to BMT-CARE were partially mediated by improved coping and self-efficacy (indirect effect, 6.93; SE, 1.85; 95% CI, 3.71-11.05). Similarly, reductions in 60-day depression and anxiety symptoms were partially mediated by improved coping and self-efficacy (indirect effect for depression, -1.19; SE, 0.42; 95% CI, -2.23 to -0.53; indirect effect for anxiety, -1.46; SE, 0.55; 95% CI, -2.52 to -0.43). Combined improvements in coping and self-efficacy accounted for 67%, 80%, and 39% of the total intervention effects on QOL and depression and anxiety symptoms, respectively.

conclusionsCoping and self-efficacy are essential components of a brief psychosocial intervention that improves QOL and mood for caregivers of HCT recipients during the acute recovery period. LAY SUMMARY: A 6-session program (BMT-CARE) focused on providing medical information, caregiving skills, and self-care and coping strategies has been previously reported to improve the quality of life and mood of caregivers of hematopoietic stem cell transplantation recipients in comparison with caregivers who receive care as usual. Using statistical models, this study suggests that learning coping skills and improving self-efficacy are the most essential components of this program that likely lead to better quality of life and mood for caregivers.

Indexed as

Adaptation, PsychologicalSelf EfficacyAdultAgedAged, 80 and overAnxietyCaregiversDepressionFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedPsychosocial InterventionQuality of LifeTreatment Outcomecaregiverscopingpsychosocial interventionself-efficacystem cell transplant

Identifiers

PMID33026658
PMCPMC7950641
OpenAlexW3092178548

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.