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Table 3 Five conceptual core components of the FOCUS+ and iFOCUS interventions

From: Effectiveness of a nurse-delivered (FOCUS+) and a web-based (iFOCUS) psychoeducational intervention for people with advanced cancer and their family caregivers (DIAdIC): study protocol for an international randomized controlled trial

Core concept

Goals

Supporting family involvement, communication, and mutual communication (F)

- Discuss and support communication

- Encourage mutual support and teamwork in a planned program of care

- Identify family strengths

- Help children in the family as needed

Supporting outlook and meaning (O)

- Help dyads share fears and concerns

- Discuss positive and negative feelings of dyads

- Educate dyads about different kind of feelings and attitudes

- Encourage dyads to set realistic short-term goals

Increasing coping effectiveness (C)

- Help dyads deal with overwhelming stress

- Discuss and support active coping strategies by dyads

- Assist caregivers to manage the demands of illness

Reducing uncertainty (U)

- Educate dyads about disease and treatments as needed

- Teach dyads how they can obtain additional information

- Help dyads learn ways to live with uncertainty

Teaching symptom management and giving the confidence to handle specific tasks and problems (S)

- Assess symptoms in patients and family caregiver

- Teach self-care strategies to manage symptoms (e.g. ways to manage reactions and side effects associated with the illness, treatments, and adjustment)

- Help dyads identify relevant resources in the community (community services and support)