Purpose
Families provide crucial support, yet their own needs often go unrecognised and, as a consequence, remain unmet. The purpose
of this study was to evaluate a newly developed supportive intervention for family members of patients with lung cancer.
Materials and methods
A consecutive convenience sample of 25 family members of people with lung cancer received an individualised supportive intervention
from a support nurse over a period of 12 weeks. This involved in-depth assessment followed up with a tailored plan of ongoing
support to address informational, emotional, social and practical needs. A concurrent mixed method design explored perceptions
and outcomes of those receiving the intervention and assess its appropriateness, acceptability and feasibility. Data were
collected through a semi structured telephone interview with family members, and support nurses maintained a contact log.
A questionnaire addressed emotional well-being [general health questionnaire (GHQ-12)], quality of life [quality of life family
version (Family QoL)] and needs for care [family inventory of needs (FIN)]—at baseline and week 12.
Results
Family members perceived they had derived benefit from the intervention. Certain elements clearly emerged as important for
participants, including being listened to by someone who could facilitate emotional expression, being provided with individually
tailored information and receiving practical help and advice. Outcomes mapped to five main areas: information needs, communication
between family members, emotional well-being, being supported and facilitating family member’s role. There was a trend for
more needs to be met and quality of life and emotional well-being to improve at week 12.
Conclusion
This study has demonstrated that a supportive intervention for family members of patients with lung cancer can be delivered
to good effect by experienced cancer nurses. The active components of the intervention have been distinguished and provide
the basis for development of a larger sufficiently powered trial.
Keywords Carers - Family members - Cancer - Supportive care - Quality of life - Needs assessment