Caregivers and their patients must agree to participate. The interventions will last 8-10 weeks and study participation will 12 months. Caregivers in all 3 groups (TAU, Virtual-PEPRR, or Pep-Pal) will provide biomarker samples (hair and saliva) that they will collect themselves at home, to maintain social distancing, throughout the year (study start and months 3, 6, 9 and 12). Materials will be mailed to the participants homes with instructions. All participants (caregivers and patients) will also fill out surveys/questionnaires at each of these 5 sample time points ( baseline, m3, m6, m9, m12) that will assess psychological measures (depression, anxiety and stress levels) and employment factors such as status, satisfaction, insurance and accommodations.More
Caregivers: 1) A primary caregiver for a patient with a diagnosis of solid tumor cancer at any stage who are within 8 weeks of starting radiation, infusions, or oral anti-cancer treatment. 2) Spouse or partner of the patient for at least a year and live with patient 3) Must be employed at the time of the patient's diagnosis for a minimum of 20 hours/week with plans to remain employed and working during their patient's adjuvant treatment. Caregivers that were furloughed or laid off due to Covid-19 who are actively looking for work will be included. 4) Ages 18-64 Patients: 1) Patients who have a primary diagnosis of solid tumor cancer at any stage that are within 8 weeks of starting radiation, infusions, or oral anti-cancer treatment. 2) Patient must be spouse or partner of the caregiver for at least a year. 3) 18 years of age or older.
Exclusion criteria: 1) Having a serious medical condition likely to influence neuroendocrine parameters 2) use of steroid medications 3) if female, pregnant or planning to become pregnant in the next year 4) history of a psychiatric illness unrelated to their experience as a caregiver within the past 18 months.
Department Specific Free Standing Clinic
University of Colorado Hospital
Cathy Bradley, PhD, MPA
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