title: Supporting family caregivers of hospitalised palliative care patients: a psychoeducational group intervention.
abstract: BACKGROUND
  Many family caregivers of palliative care patients experience poor health and have other unmet needs, requiring health professionals' support. However, there are few evidence-based supportive interventions to address these issues.
  
  
  OBJECTIVE
  The purpose of this project was to undertake preliminary testing of a psychoeducational group education programme, delivered in an in-patient setting, designed to prepare family caregivers for the role of supporting a relative currently receiving hospital-based palliative care.
  
  
  METHODS
  A pilot phase was conducted to develop the intervention and explore its utility. Thereafter the single session intervention was delivered in five palliative care units in three states of Australia and its effectiveness was examined using a pre-post design. Outcome variables included caregiver preparedness, competence and unmet needs. Psychological wellbeing was measured in order to determine if there were any deleterious psychological outcomes.
  
  
  RESULTS
  One hundred and twenty-six participants completed Time 1 data and 107 (84.9%) completed Time 2 data (post-intervention). There were statistically significant improvements in caregivers' sense of preparedness (p=<.001; effect size (ES) 0.43) and a significant reduction in unmet caregiver needs (p=014; ES 0.22). There was no significant effect on psychological wellbeing and the improvement on competence fell short of statistical significance.
  
  
  CONCLUSIONS
  This study reinforces the notion that psychoeducational interventions for this population can potentially be applicable, acceptable and effective. However, the number of participants who were recruited and attended each session was fewer than anticipated, resulting in methodological implications. It is recommended that the intervention undergo further empirical inquiry, such as via a controlled trial.
authors.affiliation: Centre for Palliative Care, The University of Melbourne and St Vincent's Hospital, Melbourne, Australia.
authors.forename: Peter L
authors.initials: PL
authors.lastname: Hudson
authors.forename: Thomas
authors.initials: T
authors.lastname: Trauer
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lobb
authors.forename: Rachel
authors.initials: R
authors.lastname: Zordan
authors.forename: Anne
authors.initials: A
authors.lastname: Williams
authors.forename: Karen
authors.initials: K
authors.lastname: Quinn
authors.forename: Michael
authors.initials: M
authors.lastname: Summers
authors.forename: Kristina
authors.initials: K
authors.lastname: Thomas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D017028:Caregivers / Q000193:education* / Q000523:psychology; D002983:Clinical Competence; D004608:Eligibility Determination; D019317:Evidence-Based Medicine; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D010865:Pilot Projects; D012944:Social Support; D055815:Young Adult