Expanding Caregiving Capacities for Caregivers of Older Adults With Newly Diagnosed Advanced Lung Cancer: A Study of Current Status and Evaluation of the Integrating Nurse-Led and Resource Utilization-Based Caregiver Support Model (ICSM)
This two-phase study aims to examine the current status of older adults with newly diagnosed locally advanced or advanced non-small cell lung cancer and their primary family caregivers, and to evaluate the effects of the Integrating Nurse-Led and Resource Utilization-Based Caregiver Support Model (ICSM). Phase I is a cross-sectional correlational study assessing distress, unmet care needs, resource awareness and utilization, social support, and health promotion practice. Phase II is a two-group randomized controlled trial comparing ICSM plus oncology case manager care with oncology case manager care and usual hospital care. The intervention includes nurse-led education and counseling, symptom management, emotional coping, problem-solving, social resource use, caregiving activity arrangement, and use of a web-based or LINE-based integrated resource system.
⁃ Patient inclusion criteria:
• Older adults with newly diagnosed locally advanced or advanced non-small cell lung cancer.
• Stage III or stage IV non-small cell lung cancer.
• Aware of their cancer diagnosis.
• Preparing to receive anti-cancer medical treatment.
• Able to communicate verbally and complete study assessments.
• Willing to participate in the study and provide written informed consent.
⁃ Caregiver inclusion criteria:
• Adult aged 18 years or older.
• Identified by the eligible patient as the fixed primary family caregiver.
• Able to participate in the study together with the patient as a patient-caregiver dyad.
• Willing to participate in the study and provide written informed consent.