Evidence map›Paper›PMID 36658381›Full record

Trial reportJournal of neuro-oncology2023

Carer preparedness improved by providing a supportive educational intervention for carers of patients with high-grade glioma: RCT results.

Georgia K B Halkett, Elizabeth A Lobb, Jane L Phillips, Emma McDougall, Jenny Clarke, Rachel Campbell, Haryana M Dhillon, Kevin McGeechan, Peter Hudson, Anne King and 5 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 1% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Understanding Health Information Needs: An Evaluation of Co-Design Video-Assisted Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  9. Review
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  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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  17. The impact of a primary brain tumor diagnosis on caregivers: Insights from the patients' perspective.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  18. Article
  19. Article
  20. Article
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

15 authors at 8 institutions in 2 countries.

Georgia K B HalkettCurtin School of Nursing/Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, GPO Box U1987, Bentley, Perth, WA, 6005, Australia. g.halkett@curtin.edu.au.ORCID http://orcid.org/0000-0003-4065-4044
Elizabeth A LobbCalvary Health Care Kogarah, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-3917-1208
Jane L PhillipsFaculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.ORCID http://orcid.org/0000-0002-3691-8230
Emma McDougallCurtin School of Nursing/Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, GPO Box U1987, Bentley, Perth, WA, 6005, Australia.ORCID http://orcid.org/0000-0001-5085-001X
Jenny ClarkeCurtin School of Nursing/Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, GPO Box U1987, Bentley, Perth, WA, 6005, Australia.
Rachel CampbellPsycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-5013-8361
Haryana M DhillonPsycho-Oncology Cooperative Research Group, School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-4039-5169
Kevin McGeechanSchool of Public Health, University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-9679-9827
Peter HudsonCentre for Palliative Care St Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.ORCID http://orcid.org/0000-0001-5891-8197
Anne KingCancer Network Western Australia, North Metropolitan Health Service, Perth, WA, Australia.
Helen WheelerNorthern Sydney Cancer Centre, Royal North Shore Hospital, St Leonards, NSW, Australia.
Marina KastelanNorthern Sydney Cancer Centre, Royal North Shore Hospital, St Leonards, NSW, Australia.ORCID http://orcid.org/0000-0003-4866-4124
Anne LongDepartment of Medical Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia.ORCID http://orcid.org/0000-0002-7922-9697
Anna K NowakDepartment of Medical Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia.ORCID http://orcid.org/0000-0002-9317-9526
Care-IS Project Team
Curtin University · AUThe University of Sydney · AURoyal North Shore Hospital · AUUniversity of Technology Sydney · AUNorth Metropolitan Health Service · AUSir Charles Gairdner Hospital · AUThe University of Western Australia · AUVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-grade glioma (HGG) is a rapidly progressing and debilitating disease. Family carers take on multiple responsibilities and experience high levels of distress. We aimed to deliver a nurse-led intervention (Care-IS) to carers to improve their preparedness to care and reduce distress.

methodsWe conducted a randomised controlled trial (ACTRN:12612001147875). Carers of HGG patients were recruited during patients' combined chemoradiation treatment. The complex intervention comprised four components: (1) initial telephone assessment of carer unmet needs; (2) tailored hard-copy resource folder; (3) home visit; and, (4) monthly telephone support for up to 12 months. Primary outcomes included preparedness for caregiving and distress at 2, 4, 6 and 12 months. Intervention effects were estimated using linear mixed models which included a time by group interaction. Secondary outcomes included anxiety, depression, quality of life, carer competence and strain.

resultsWe randomised 188 carers (n = 98 intervention, n = 90 control). The intervention group reported significantly higher preparedness for caregiving at 4 months (model β = 2.85, 95% CI 0.76-4.93) and all follow-up timepoints including 12 months (model β = 4.35, 95% CI 2.08-6.62), compared to the control group. However, there was no difference between groups in carer distress or any secondary outcomes.

conclusionsThis intervention was effective in improving carer preparedness. However, carer distress was not reduced, potentially due to the debilitating/progressive nature of HGG and ongoing caring responsibilities. Future research must explore whether carer interventions can improve carer adjustment, self-efficacy and coping and how we support carers after bereavement. Additionally, research is needed to determine how to implement carer support into practice.

Indexed as

CaregiversGliomaAnxietyHumansLongitudinal StudiesQuality of LifeCaregiversCarer distressCarer preparednessHigh grade gliomaNurse-led interventionRandomised controlled trial

Identifiers

PMID36658381
PMCPMC9992082
OpenAlexW4317470459

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.