Critical appraisal:Badr H, Smith CB, Goldstein NE, Gomez JE, Redd WH 2015

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Critical Appraisal

Article being appraised

Badr H, Smith CB, Goldstein NE, Gomez JE, Redd WH. Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: results of a randomized pilot trial. Cancer 2015 Jan 1;121(1):150-8 Available from: http://www.ncbi.nlm.nih.gov/pubmed/25209975.


Applicable clinical question

Key Facts

Study Design

randomised controlled trial

Study aims:

The study examined the feasibility, acceptability and preliminary efficacy of a six session telephone-based dyadic psycho-social intervention developed for advanced lung cancer patients and their care-givers. The intervention program was based on Self-Determination Theory.

Number of Patients:

78

The study included 39 patients with advance lung cancer and 30 care-givers
Reported outcome(s):

Primary outcomes were depression/anxiety in patients with lung cancer and their care-givers and care-giver burden.

Results of outcome(s):

Participants in the intervention had significant improvements in depression, anxiety, and caregiver burden compared to those in the treatment as usual group

Includes an economic evaluation

no

Evidence ratings

Level of evidence

II

Risk of bias
Moderate risk of bias Comments: Please replace this text and include any additional comments in regards to your quality rating

Risk of bias assessment: randomised controlled trial

Was the trial double-blinded?
No response
Was the treatment allocation schedule concealed?
No response
Were all randomised participants included in the analysis?
No response
The field below is not considered when calculating the risk of bias rating
How was the allocation schedule generated?
Inadequate or not reported
Size of effect
1 Reason for decision: Participants receiving the intervention had significant improvements in depression, anxiety, and caregiver burden compared to the treatment as usual group. The overall sample size was small.
Relevance of evidence
1 Additional comments: The study examined clinical relevant patient outcomes inluding depression, anxiety and carer burden which impact on wellbeing.
Result of appraisal

Jutta's tick icon.png Included



Comments

The study had a number of limitations including that the sample size was small and it had limited generalizability. However, the findings support that the intervention was feasible and acceptable and led to positive patient outcomes in terms of depression and anxiety.

Completed by

Dr Maria Ftanou BAppSc(Hons) Dpsych Clinical


Jutta's tick icon.png This appraisal has been completed.


Article
Badr H, Smith CB, Goldstein NE, Gomez JE, Redd WH. Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: results of a randomized pilot trial. Cancer 2015 Jan 1;121(1):150-8 Available from: http://www.ncbi.nlm.nih.gov/pubmed/25209975.
Assigned to
User:Maria.ftanou
Topic area
Guidelines:Lung cancer/Treatment/Non-small-cell stage IV inoperable
Clinical question
Form
Form:Critical appraisal


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