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Table 4 Instruments, underlying concepts, and timing

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

Concept

Measured byb

Timinga

T0 (Before randomization)

T1 (T0 + 12 weeks)

T2 (T0 + 24 weeks)

Outcome measures used for the primary endpoints

Emotional Functioning

EORTC [14,15,16] 10 emotional functioning items described by Jabbarian et al. [15].

For patients (10 items):

For caregivers (10 items):

Self-efficacy

The Lewis´ Cancer self-efficacy scale [17] (validated by Northouse [5])

For patients (17 items)

For caregivers (17 items)

Outcome measures used for the secondary endpoints

Quality of life (also covers additional secondary outcomes such as hopelessness, anxiety, depression, etc.)

For patients (23 items):

- EORTC QLQ-C15-PAL [18] plustwo social functioning items (#26, 27) + one item about overall health (#29) from EORTC QLQ-C30 [19]

- Social well-being scale from FACT-G [20]

For caregivers (35 items):

- The Caregiver Quality of Life Index-Cancer (CQOLC) [21]

Benefits of illness

Benefits of illness scale [22]

For patients (5 items)

For caregivers (5 items)

Coping

A shortened version of Brief Cope [23] (#1–3,5-10,13-16,19-21,23–26)

For patients (20 items)

For caregivers (20 items)

Dyad communication

The five items ‘Active engagement scale’ from the ´Ways of giving support questionnaire´ [24].

Three scales (10 items) from the ‘Dyadic Coping Inventory’ [25]: ‘Stress communication by oneself’, ‘Stress communication by partner’ and ‘Evaluation of dyadic coping’.

For patients (15 items)

For caregivers (15 items)

Health economic measures

EQ5D5L [26] and CSRI [27]

For patients (23 items)

For caregivers (14 items)

Background characteristics

Socio demographics, illness-related factors, social factors

A mix of socio-demographic items from different studies (self-constructed):

- Sex, age, relationship status, living situation, having children, educational level, employment status, total monthly net income, financial difficulties related to physical condition or medical treatment, private medical insurance, religion, member of a minority ethnic group, dyad’s relationship

For patients (14 items)

For caregivers (15 items)

  

Other aspects evaluated

Items about computer skills

Three FOCUS items about computer skills (self-constructed)

For patients (2 items)

For caregivers (2 items)

  

Process evaluation

FOCUS items asking about experience and satisfaction with the intervention. (self-constructed)

For patients (12 items)

For caregivers (12 items)

 

 

Process evaluation

Experiences with the intervention: (self-constructed)

- Interviews with patients and family caregivers

- Interviews with nurses delivering the intervention

 

 

Fidelity: FOCUS+ (self-constructed)

Session characteristics (e.g. length, timing), random sample intervention checklists, random sample audio-taped intervention sessions

 

 

Fidelity: iFOCUS (self-constructed)

Data from web-based program (e.g. number of sessions logged into, time taken to complete session)

 

 

Routine data on recruitment (self-constructed) (e.g. potential participants, initial engagement, eligible participants, enrolment)

  
  1. aFor T1, questionnaires can be filled in between T0 + 12 weeks minimum and T0 + 16 weeks maximum. For T2, questionnaires can be filled in between T0 + 24 weeks minimum and T0 + 28 weeks maximum
  2. bAll measures were validated in each of the participating countries