In-hospital psychoeducation for family caregivers of Nigerian children with cancer (The RESCUE Study).
Journal: Palliative & supportive care
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Affiliated Institutions:
Department of Anaesthesia/Pain & Palliative Care Unit, Multidisciplinary Oncology Centre, College of Medicine, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria.
Paediatric Oncology Unit, Department of Pediatrics, College of Medicine, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria.
Department of Anaesthesia, College of Health Sciences, Bayero University/Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria.
Department of Pediatrics, Jos University Teaching Hospital/ University of Jos, Jos, Plateau State, Nigeria.
NSIA-LUTH Cancer Centre, College of Medicine, University of Lagos, Lagos University Teaching Hospital, Lagos, Nigeria.
Department of Mental Health, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria.
Department of Radiation Medicine, College of Medicine, University of Nigeria, Ituku-Ozalla Campus, Enugu, Enugu State, Nigeria.
Department of Psychological Medicine, University of Nigeria, Ituku-Ozalla Campus, Enugu, Enugu State, Nigeria.
Department of Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Nigeria.
Department of Psychiatry, Aminu Kano Teaching Hospital/Bayero University Kano, Kano State, Nigeria.
Department of Pediatrics, College of Medicine, University of Lagos, Lagos, Nigeria.
Department of Surgery, University College Hospital, Ibadan, Oyo State, Nigeria.
Department of Pediatrics, Lagos University Teaching Hospital, Lagos, Nigeria.
Paediatric Surgery Unit, Department of Surgery, Aminu Kano Teaching Hospital/Bayero University Kano, Kano State, Nigeria.
Nursing Services Department, Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria.
Department of Pediatrics, College of Medicine, Bingham University/Bingham University Teaching Hospital Jos, Jos, Nigeria.
Nursing Services Department, Aminu Kano Teaching Hospital, Kano, Nigeria.
Academic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Department of Obstetrics and Gynecology, College of Health Sciences, University of Jos, Jos, Nigeria.
Department of Anaesthesia, University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria.
Paediatric Oncology Service, Uganda Cancer Institute, Kampala, Uganda.
African Palliative Care Association, Kampala, Uganda.
Abstract summary
High levels of caregiver burden (CB) are experienced by informal caregivers of pediatric patients with cancer. There is increasing evidence highlighting the extent of CB across sub-Saharan African countries, although there remains lack of interventions that target improvements in their experience. This study aimed to determine the impact of a structured psychoeducation program on caregivers' outcomes relating to preparedness to provide care, burden of caregiving, and quality of life (QoL).This quasi-experimental (pre-and-posttest) design, involved family caregivers of children on admission for cancer treatment in 4 Nigerian tertiary hospitals. Eligible participants received 2 structured, psychoeducational training sessions delivered by a multidisciplinary oncology team, focusing on the management of patients' condition, spiritual care, self-care, and support.Subjects were mainly female (79.5%) and mostly mothers to children undergoing cancer treatment (74.7%). Commonest cancer type was acute lymphoblastic leukemia (23.9%) with evidence of metastatic disease found in 9.6% of children. Significant improvements were observed between pre- and posttest for unmet needs ( = -9.3; < 0.001), preparedness for caregiving in palliative care (PCPC) ( = -7.0; < 0.001), and overall QoL ( = -7.3; < 0.001). A significant reduction in CB was also reported ( = -8.7; < 0.001).This psychoeducational intervention (PEI) resulted in significant improvements in unmet needs, CB and significant improvements in PCPC. However, a reduction in QoL of the family caregivers was also observed. Findings from this study should encourage the use of well-crafted PEIs, delivered within hospital settings to promote improvements in outcomes for informal caregivers of hospitalized children suffering from cancer, in an African context. Further intervention development is required to better understand intervention components influencing changes in outcomes, while exploring feasibility testing and adaptation to similar settings in Nigeria and within Africa.
Authors & Co-authors:
Onyeka
Emodi
Mohammed
Ofakunrin
Alabi
Onu
Iloanusi
Ohaeri
Anarado
Umar
Olukiran
Sowunmi
Akinsete
Adegboyega
Chibuzo
Fatiregun
Abdullah
Gambo
Mohammad
Babandi
Bok
Asufi
Ungut
Shehu
Abdullahi
Allsop
Shambe
Ugwu
Ikenga
Balagadde Kambugu
Namisango
Study Outcome
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