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Primary Malignant Brain TumorsSmartCareNCT02058745

SmartCare: Innovations in Caregiving Interventions

A study testing CAU+ (Enhanced Care as Usual), Beating the Blues and SmartCare in people with Primary Malignant Brain Tumors, run by University of Pittsburgh at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a study to evaluate the effectiveness of using an established intervention for depressive symptom management in conjunction with a needs-based caregiver intervention for improving the psychological and physical health of family caregivers of persons recently diagnosed with a Primary Malignant Brain Tumor. Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Primary Malignant Brain Tumors
What is being tested?
CAU+ (Enhanced Care as Usual), Beating the Blues and SmartCare
Could I receive a placebo?
No, everyone receives an active treatment
How many people
240 participants
Where
1 siteUnited States
Study dates
1 Mar 2014to 14 Jun 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Care recipient:
  • Over 21 years of age.
  • Newly (within 1 month) diagnosed with a PMBT (tumor verified via pathology report to be a glioblastoma multiforme, anaplastic astrocytoma, anaplastic oligodendroglioma, anaplastic oligoastrocytoma, medulloblastoma, or anaplastic ependymoma).
  • Caregiver:
  • Primary nonprofessional, non-paid caregiver, as identified by the care recipient.
  • Over 21 years of age with telephone access.
Show all 9Show fewer
  • Reads-speaks English
  • Obtains a score of >6 on the shortened CES-D.
  • Caregivers may or may not be receiving pharmacotherapy for depressive symptoms

Who cannot join

  • Caregiver:
  • Currently considers self to be a primary caregiver for anyone else other than children
  • Currently receiving any type of formal counselling for depressive symptoms

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pittsburgh, School of Nursing

    Pittsburgh, Pennsylvania, 15261

Other trials in United States

About this study

This is a study to evaluate the effectiveness of using an established intervention for depressive symptom management in conjunction with a needs-based caregiver intervention for improving the psychological and physical health of family caregivers of persons recently diagnosed with a Primary Malignant Brain Tumor.

Read the detailed description

We have designed a needs-based intervention to improve neuro-oncology caregivers' health. Our novel approach treats depressive symptoms prior to implementing a needs-based intervention in a sample of PMBT family caregivers who score above threshold on depressive symptoms. Study outcomes are psychological responses (unmet needs, depressive symptoms, anxiety, and burden) and physical responses (levels of stimulated and circulating IL-6 and IL-1β, C-reactive protein, peripheral blood mono-nuclear cells, physical symptoms, and new diagnoses or exacerbations of co-morbid conditions). The proposed study addresses research priorities set by both NCI and NINR to improve the quality of life of patients and their families and NINR's emphasis on integrating bio-behavioral science and adopting, adapting and generating new technologies.

Primary aims:

  1. Compare the efficacy of a) an intervention for depressive symptoms (Beating the Blues) delivered prior to a needs-based caregiver intervention (SmartCare©) versus b) SmartCare© alone versus c) enhanced care as usual (CAU+) in improving caregivers' psychological and physical responses. H1: At 4- and 6-months, caregivers who receive Beating the Blues prior to SmartCare© will display improved psychological and physical responses compared to caregivers who receive CAU+. H2: At 4- and 6-months, caregivers who receive SmartCare© alone will display improved psychological and physical responses compared to caregivers who receive CAU+. H3: At 4- and 6-months, caregivers who receive Beating the Blues prior to SmartCare© will display improved psychological and physical responses compared to those who receive SmartCare© alone.
  2. Compare the efficacy of Beating the Blues versus CAU+ in improving subjects' short-term psychological and physical responses.

H1: At 2-months following baseline, caregivers who receive Beating the Blues will display improved psychological and physical responses compared to CAU+.

Exploratory aims:

  1. Determine whether any changes in psychological and physical health resulting from receiving Beating the Blues prior to SmartCare© or SmartCare© alone are maintained at 10-months after baseline.
  2. Evaluate whether the effect of Beating the Blues + SmartCare© (vs. SmartCare© alone) on 4- and 6-month psychological and physical responses is mediated by 0- to 2-month changes in depressive symptoms.
Being tested
CAU+ (Enhanced Care as Usual), Beating the Blues, SmartCare
Keywords
Neuro-oncology, Caregivers, Intervention Research, Representational Approach, Cognitive Behavioral Therapy, Family, Internet
Medical subject headings
Brain Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CAU+ (Enhanced Care as Usual)Behavioural

    CAU+ is defined as the care received from the care recipient's oncologist supplemented by unlimited access to three components of the study website: caregiver guides, links to web-based resources, and a basic friends and family page. These resources are routinely available on the Internet. We provide these as a "one-stop shopping" resource in order to standardize care as usual for caregivers. All caregivers will be sent personalized e-mails from the project director every week during the intervention period.

  • Beating the BluesBehavioural

    Beating the Blues is an established, self-directed, web-based cognitive behavioral therapy program for managing depressive symptoms. Caregivers are asked to complete 8 weekly sessions, each lasting approximately 50 minutes. Participants are also given simple "homework" after each lesson.

  • SmartCareBehavioural

    SmartCare is a web-based, nurse guided intervention for caregivers based on the Representational Approach of symptom management. The RA builds on traditional cognitive-behavioral interventions by promoting in depth reflection of previous and current experiences, beliefs, and knowledge (referred to as representations) prior to providing new information or engaging in problem-solving.

Study groups in NCT02058745
Study groupRoleWhat they receive
CAU+ (Enhanced Care as Usual)Active comparatorCAU+ (Enhanced Care as Usual) is defined as the care received from the care recipient's oncologist supplemented by unlimited access to three components of the study website: caregiver guides, links to web-based resources, and a basic friends and family page for the 10 month duration of the study.
Receives: Behavioral: CAU+ (Enhanced Care as Usual)
CAU+ and SmartCareExperimentalCAU+ (Enhanced Care as Usual) for eight weeks, followed by eight weeks of SmartCare. SmartCare is a web-based, nurse guided intervention for caregivers based on the Representational Approach of symptom management.
Receives: Behavioral: CAU+ (Enhanced Care as Usual); Behavioral: SmartCare
CAU+ and Beating the Blues and SmartCareExperimentalCAU+ (Enhanced Care as Usual) and Beating the Blues concurrently for eight weeks, followed by SmartCare for eight weeks. Beating the Blues is an established, web-based, self-directed, cognitive behavioral therapy for managing depressive symptoms.
Receives: Behavioral: CAU+ (Enhanced Care as Usual); Behavioral: Beating the Blues; Behavioral: SmartCare

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in depression from baseline at 4 months on the shortened CES-D

    Depressive symptoms will be measured using the 10-item shortened version of the Center for Epidemiologic Studies - Depression (CES-D).

    Measured: Baseline and 4 months

Secondary outcomes (16)
  1. Change in unmet needs from baseline at 4 months on the CNS

    Unmet Needs will be measured via the Caregiver Needs Screen (CNS) questionnaire.

    Measured: Baseline and 4 months

  2. Change in mastery from baseline at 4 months on the Caregiver Mastery Scale

    Mastery will be measured using the Caregiver Mastery Scale.

    Measured: Baseline and 4 months

  3. Change in optimism from baseline at 4 months on the Life Orientation Test

    Optimism will be measured using the Life Orientation Test.

    Measured: Baseline and 4 months

  4. Change spirituality from baseline at 4 months on the FACIT.

    Spirituality will measured using the Functional Assessment of Chronic Illness Therapy - Sp (FACIT).

    Measured: Baseline and 4 months.

  5. Change in oversight demand from baseline at 4 months on the caregiver vigilance scale.

    Caregiver oversight demand will be measured using the four item Caregiver Vigilance Scale.

    Measured: Baseline and 4 months

  6. Change in social support from baseline at 4 months on the ISEL.

    Social support will be measured using the Interpersonal Support Evaluation List (ISEL). Subjects rate the availability of three types of social support (appraisal, belonging, and tangible).

    Measured: Baseline and 4 months.

  7. Change in occupational functioning from baseline at 4 months on the WLQ.

    Caregiver occupational functioning will be measured by general questions related to employment status and the Work Limitations Questionnaire (WLQ).

    Measured: Baseline and 4 months.

  8. Changes in positive aspects of providing care from baseline at 4 months on the PAC.

    Positive aspects of providing care will be measured using the Positive Aspects of Caregiving (PAC) scale.

    Measured: Baseline and 4 months

  9. Change in unmet needs from baseline at 6 months on the CNS

    Unmet Needs will be measured via the Caregiver Needs Screen (CNS) questionnaire.

    Measured: Baseline and 6 months

  10. Change in mastery from baseline at 6 months on the Caregiver Mastery Scale

    Mastery will be measured using the Caregiver Mastery Scale.

    Measured: Baseline and 6 months

  11. Change in optimism from baseline at 6 months on the Life Orientation Test

    Optimism will be measured using the Life Orientation Test.

    Measured: Baseline and 6 months

  12. Change spirituality from baseline at 6 months on the FACIT.

    Spirituality will measured using the Functional Assessment of Chronic Illness Therapy - Sp (FACIT).

    Measured: Baseline and 6 months.

  13. Change in oversight demand from baseline at 6 months on the caregiver vigilance scale.

    Caregiver oversight demand will be measured using the four item Caregiver Vigilance Scale.

    Measured: Baseline and 6 months

  14. Change in social support from baseline at 6 months on the ISEL.

    Social support will be measured using the Interpersonal Support Evaluation List (ISEL). Subjects rate the availability of three types of social support (appraisal, belonging, and tangible).

    Measured: Baseline and 6 months.

  15. Change in occupational functioning from baseline at 6 months on the WLQ.

    Caregiver occupational functioning will be measured by general questions related to employment status and the Work Limitations Questionnaire (WLQ).

    Measured: Baseline and 6 months.

  16. Changes in positive aspects of providing care from baseline at 6 months on the PAC.

    Positive aspects of providing care will be measured using the Positive Aspects of Caregiving (PAC) scale.

    Measured: Baseline and 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Feb 2014 (estimated)
  2. Study start1 Mar 2014
  3. Primary completion14 Jun 2017
  4. Study completion14 Jun 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
240 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02058745
Sponsor's protocol ID
PRO11060487
Other IDs
R01NR013170
Acronym
SmartCare
Status last verified
Aug 2017
First submitted
19 Nov 2013
Last updated
29 Aug 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: Non-identifiable data will be shared with interested parties in agreement with University policy.

Publications

  • Sherwood PR, Boele F, Weimer J, Marsland A, Drappatz J, Armstrong TS, Terhorst L, Donovan HS. Neuro-oncology Caregiver Intervention Associated With Changes in C-Reactive Protein. Cancer Nurs. 2025 Apr 22. doi: 10.1097/NCC.0000000000001507. Online ahead of print.

    PubMed 40266659
  • Boele FW, Weimer JM, Marsland AL, Armstrong TS, Given CW, Drappatz J, Donovan HS, Sherwood PR. The effects of SmartCare(c) on neuro-oncology family caregivers' distress: a randomized controlled trial. Support Care Cancer. 2022 Mar;30(3):2059-2068. doi: 10.1007/s00520-021-06555-5. Epub 2021 Oct 16.

    PubMed 34655326
  • Boele FW, Weimer J, Zamanipoor Najafabadi AH, Murray L, Given CW, Given BA, Donovan HS, Drappatz J, Lieberman FS, Sherwood PR. The Added Value of Family Caregivers' Level of Mastery in Predicting Survival of Glioblastoma Patients: A Validation Study. Cancer Nurs. 2022 Sep-Oct 01;45(5):363-368. doi: 10.1097/NCC.0000000000001027. Epub 2021 Sep 30.

    PubMed 34608049

Questions about this trial

What is this clinical trial studying?

A study testing CAU+ (Enhanced Care as Usual), Beating the Blues and SmartCare in people with Primary Malignant Brain Tumors, run by University of Pittsburgh at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Aug 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in depression from baseline at 4 months on the shortened CES-D (time frame: Baseline and 4 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02058745, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Aug 2017.

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