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CaregiverNCT03686007

Multimedia Self-Management Intervention for Lung Cancer Surgery Family Caregivers and Patients

A study testing Informational Intervention and Media Intervention in people with Caregiver and Stage I Lung Cancer AJCC v7, run by City of Hope Medical Center at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This randomized phase III trial studies how well a multimedia self-management intervention works in preparing family caregivers and patients with stage I-III lung cancer for lung cancer surgery. Read more about this study

Who is it for?
Ages 21 years and older
What is being tested?
Informational Intervention and Media Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
380 participants
Where
1 siteUnited States
Study dates
6 Nov 2018to 14 Dec 2026
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Family Caregiver Inclusion Criteria:

  • A family member or friend identified by the patient as being the primary care provider before and after surgery
  • A patient/care recipient enrolled in the study
  • Age 21 years or older
  • Able to read or understand English

Patient Inclusion Criteria:

  • Diagnosis of Stage I-III non-small cell lung cancer
  • Scheduled to undergo surgery for treatment
  • A family caregiver enrolled in the study
  • Age 21 years or older
  • Able to read or understand English.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • City of Hope Medical Center

    Duarte, California, 91010

Other trials in United States

About this study

Official title: A Multimedia Self-management Intervention to Prepare Family Caregivers and Patients for Lung Cancer Surgery

This randomized phase III trial studies how well a multimedia self-management intervention works in preparing family caregivers and patients with stage I-III lung cancer for lung cancer surgery. The multimedia self-management intervention, Preparing for your Lung Cancer Surgery, is a nurse-led, caregiver-based, multimedia intervention that may improve patient recovery after surgery, lower caregiving burden, and improve distress and quality of life.

Read the detailed description

PRIMARY OBJECTIVES:

  1. Test the effects of the multimedia self-management (MSM) intervention on family caregivers (FCG) outcomes and cancer support services use at discharge and 3-month post-discharge, comparing intervention and attention control groups.

II. Test the effects of the MSM intervention on patient outcomes and healthcare resource use at discharge and 3-months post-discharge, comparing intervention and attention control groups.

III. Test the effects of the MSM intervention on outcome mediators at discharge and 3-months post-discharge, comparing intervention and attention control groups.

SECONDARY OBJECTIVES:

  1. Explore moderators (age, sex, marital status, caregiver relationship to patient, caregiver employment status, co-morbidities) of FCG and patient outcomes and reciprocal relationships.

II. Determine, through exit interviews, participant's experience with the MSM intervention.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP I: Patients and FCGs receive the MSM intervention consisting of videos, a handbook, and research nurse coaching over 40-60 minutes, approximately 3-7 days before surgery and within 24 hours of planned discharge. Patients and FCGs also receive research nurse support by telephone (separate sessions for FCGs and patients) over 20-30 minutes at 2 and 7 days, and 2 months post-discharge.

GROUP II: Patients and FCGs receive attention control intervention consisting of videos (American Cancer Society video on "Clinical Trials"), American Cancer Society print materials, and assistance from a clinical research associate (CRA) approximately 3-7 days before surgery and within 24 hours of planned discharge. Patients and FCGs also receive assistance from CRAs via telephone calls at 2 and 7 days, and 2 months post-discharge.

Being tested
Informational Intervention, Media Intervention
Medical subject headings
Lung Neoplasms

What participants receive

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

  • Informational InterventionOther

    Receive MSM intervention handbook

  • Informational InterventionOther

    Receive MSM intervention research nurse coaching

  • Informational InterventionOther

    Receive ASCO print materials

  • Informational InterventionOther

    Receive CRA assistance

  • Media InterventionOther

    View the MSM intervention videos

  • Media InterventionOther

    View American Cancer Society (ACS) videos

Study groups in NCT03686007
Study groupRoleWhat they receive
Group I (MSM intervention)ExperimentalPatients and FCGs receive the MSM intervention consisting of videos, a handbook, and research nurse coaching over 40-60 minutes, approximately 3-7 days before surgery and within 24 hours of planned discharge. Patients and FCGs also receive research nurse support via telephone(separate sessions for FCGs and patients) over 20-30 minutes at 2 and 7 days, and 2 months post-discharge.
Receives: Other: Informational Intervention; Other: Media Intervention
Group II (Attention Control)Active comparatorPatients and FCGs receive attention control intervention consisting of videos (American Cancer Society video on "Clinical Trials"), American Cancer Society print materials, and assistance from a CRA approximately 3-7 days before surgery and within 24 hours of planned discharge. Patients and FCGs also receive assistance from CRAs via telephone at 2 and 7 days, and 2 months post-discharge.
Receives: Other: Informational Intervention; Other: Media Intervention

What is being measured

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

  1. Change in Family Caregiver Psychological Distress (as Measured by the Distress Thermometer)

    Mean caregiver psychological distress scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in psychological distress between the intervention and control arm over time.

    Score range: 0-10. Higher score means worse outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  2. Change in Caregiving Burden (as Measured by the Montgomery Borgatta Caregiver Burden Scale)

    Mean caregiver burden scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in burden between the intervention and control arm over time. The model included treatment arm, time, and the interaction between treatment arm and time as effects.

    Total burden score is calculated by summing items from 3 subscales: objective burden, subjective burden \& demand burden.

    Score range: 14-70. Higher score means worse outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  3. Change in Preparedness for Caregiving (as Measured by the Preparedness for Caregiving Scale)

    Mean caregiver preparedness scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in preparedness between the intervention and control arm over time.

    Score range: 0-4. Higher score means better outcome.

    Measured: Outcomes are measured before surgery (baseline), 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  4. Change in Family Caregiver Quality of Life (as Measured by the City of Hope-Quality of Life-Family (COH-QOL-Family)

    Mean caregiver QoL scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in QoL between the intervention and control arm over time.

    Total QoL score is calculated by summing items from 3 subscales: physical well-being, psychological well-being, social concerns \& spiritual well-being.

    Score range: 0-40. Higher score means better outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  5. Number of Participants Who Used Family Caregiver Resource (as Measured by the Family Caregiver Healthcare Use Inventory)

    Differences in the number of caregivers who saw a support services specialist were compared between both groups using Chi-squared and Fisher's exact test.

    Measured: Outcomes are measured at discharge, 1 month, and 3 months post-discharge.

  6. Change in Patient Psychological Distress (as Measured by the Distress Thermometer)

    Mean patient psychological distress scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in psychological distress between the intervention and control arm over time.

    Score range: 0-10. Higher score means worse outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  7. Change in Patient Quality of Life (as Measured by the Functional Assessment of Cancer Therapy-Lung - FACT-L)

    Mean patient QoL scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in QoL between the intervention and control arm over time.

    Total FACT-L score is calculated by summing items from 5 subscales: physical well-being, social/family well-being, emotional well-being, functional well-being \& lung cancer subscale.

    Score range: 0-136. Higher score means better outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  8. Number of Participants Who Used Patient Healthcare Resource Use (Home Health Nursing Care, Urgent/ER Visits, Hospital Readmissions)

    Differences in the number of patients who were readmitted to the hospital for an overnight stay were compared between both groups using Chi-squared and Fisher's exact test.

    Measured: Outcomes are measured at 1 month, and 3 months post-discharge.

Secondary outcomes (6)
  1. Change in Family Caregiver Self-efficacy (as Measured by the Self-Efficacy Scale)

    Mean caregiver self-efficacy scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in self-efficacy between the intervention and control arm over time.

    Score range: 1-4. Higher score means better outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  2. Change in Patient Self-efficacy (as Measured by the Self-Efficacy Scale)

    Mean patient self-efficacy scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in self-efficacy between the intervention and control arm over time.

    Score range: 1-4. Higher score means better outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  3. Change in Family Caregiver Activation (as Measured by the FCG Activation in Transitions Tool)

    Mean caregiver activation scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in activation between the intervention and control arm over time.

    Score range: 10-60. Higher score means better outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  4. Change in Patient Activation (as Measured by the Patient Activation Measure)

    Mean patient activation scores from baseline to 3 months post-discharge were calculated. A linear mixed-effects model was used to assess differences in activation between the intervention and control arm over time.

    Score range: 0-100. Higher score means better outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.

  5. Change in Family Caregiver Knowledge (as Measured by the Surgery-Related Knowledge Tool)

    Mean family caregiver knowledge scores from baseline to 3 months post-discharge were calculated. T-tests were used to assess differences in knowledge between the intervention and control arm at different timepoints.

    Score range: 0-10. Mean: 8.24 with a standard deviation of 1.19. Higher score means better outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge

  6. Change in Patient Knowledge (as Measured by the Surgery-Related Knowledge Tool)

    Mean patient knowledge scores from baseline to 3 months post-discharge were calculated. T-tests were used to assess differences in knowledge between the intervention and control arm at different timepoints.

    Score range: 0-10. Mean: 8.42 with a standard deviation of 1.16. Higher score means better outcome.

    Measured: Outcomes are measured at baseline, 1 month, and 3 months post-discharge

Timeline

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

  1. First posted26 Sep 2018
  2. Study start6 Nov 2018
  3. Primary completion31 Aug 2024
  4. Study completion14 Dec 2026 (estimated)

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
380 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03686007
Sponsor's protocol ID
17238
Other IDs
NCI-2017-01391, 17238
Status last verified
Feb 2026
First submitted
1 Aug 2017
Last updated
20 Feb 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Sun V, Raz DJ, Erhunmwunsee L, Ruel N, Carranza J, Prieto R, Ferrell B, Krouse RS, McCorkle R, Kim JY. Improving family caregiver and patient outcomes in lung cancer surgery: Study protocol for a randomized trial of the multimedia self-management (MSM) intervention. Contemp Clin Trials. 2019 Aug;83:88-96. doi: 10.1016/j.cct.2019.07.002. Epub 2019 Jul 3.

    PubMed 31279090

Questions about this trial

What is this clinical trial studying?

A study testing Informational Intervention and Media Intervention in people with Caregiver and Stage I Lung Cancer AJCC v7, run by City of Hope Medical Center 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?

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: under way, not looking for participants, as of the sponsor's last update on 20 Feb 2026. 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?

Yes. Results are posted in the registry (first posted 27 Apr 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 Family Caregiver Psychological Distress (as Measured by the Distress Thermometer) (time frame: Outcomes are measured at baseline, 1 month, and 3 months post-discharge. Absolute values are reported at each timeframe.). The study lists 8 primary outcomes in all. 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 NCT03686007, which also lists 1 linked publication.

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 20 Feb 2026.

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