Online Information and Support for Distance Caregivers

The primary goal of this randomized clinical trial is to compare outcomes (anxiety, distress,
depression, health status) for distant care givers (DCGs) of patients with advanced cancer
who are randomly assigned to either the full intervention arm (Closer), the video-only
intervention arm (Video-C Only) or the control group (Web-Only). the goal is to determine
which is most efficacious in improving outcomes over time for these caregivers. In addition,
this study will examine the indirect effects of each arm of the intervention on DCG outcomes
over time as well as explore the nature of relationships between patient and DCG distress,
anxiety and depression over time.

The specific research questions include:

1. Is there a difference in DCG outcomes (anxiety, distress, depression, health status)
over time between caregivers in the Closer, Video-C Only, and Web-Only groups,
controlling for DCG demographic variables?

2. Are there significant indirect effects of Closer, Video-C Only, and Web-Only on DCG
outcomes (anxiety, distress, depression, health status) over time, controlling for DCG
demographic variables?

3. Are there significant relationships between DCG distress, anxiety, depression and health
status and patient distress, anxiety and depression over time?

Patient Inclusion Criteria:

- a new diagnosis (within 3 months) of advanced cancer and/or patients receiving ongoing
care from a medical oncologist (solid tumors) or a new recurrence of the primary
cancer in an advanced stage

- receives ongoing care from a medical oncologist at the Seidman Cancer Center

- Has English as the primary language

- Has a life expectancy of >6 months

- Provides consent for his/her own treatment and procedures

- Identifies a distant care giver (DCG) involved in his/her care, support or planning

Patient Exclusion Criteria:

- The patient sample is limited to patients with advanced cancer and/or patients
receiving ongoing care from a medical oncologist because the full intervention is
tailored to meet the needs of DCGs of patients with advanced cancer and/or patients
receiving ongoing care from a medical oncologist

Caregiver Inclusion Criteria

- Is an adult family member (at least 18 years old) of a patient with an advanced-stage
cancer

- Identifies himself/herself as a DCG for the patient

- Lives >1 hour travel time away from the patient

- Has English as his/her primary language

- Is capable of providing informed consent

- Will be able to access the internet (phone, computer, etc.)

Caregiver Exclusion Criteria

- Cognitive Impairment