Participants will receive a geriatric assessment which consists of validated questionnaires that are used to assess health status of older adults with cancer. Based on participant responses, tailored recommendations will be provided.

The Delphi method, a process used to arrive at a group opinion or decision by surveying a panel of experts, will be used with experts in geriatric oncology to develop a supportive care management intervention for older caregivers of older adults with cancer.

Experimental (Delphi Surveys)

Focus group qualitative interviews will be conducted with key stakeholders consisting of older adults with cancer and their caregivers.

Experimental (Focus Groups)

Qualitative interviews will be conducted with older caregivers of older adults with cancer to inquire about their experience with caregiving and unmet supportive care needs.

Qualitative interviews

Sindhuja Kadambi

This project assesses the feasibility of utilizing the geriatric assessment as a tool to identify distressed older caregivers of older adults with cancer. The investigator will engage key stakeholders including older caregivers of older adults with cancer, experts in geriatric oncology and primary care physicians to develop and pilot a supportive care intervention to improve outcomes in older caregivers.

Older caregivers of older adults with cancer (described here-on as "older caregivers") are at high risk for increased burden and negative physical and psychological outcomes. Despite this, identification of older caregivers at risk for burden remains a challenge and evaluation of supportive care interventions and guidelines for this population remains limited. Health outcomes of older adults with cancer and their caregivers are inter-related and it is important to evaluate and support the health of both. The geriatric assessment (GA) is a valuable tool to evaluate health and age-related conditions (e.g., physical and cognitive function) of older adults with cancer and guide supportive care. Identifying older adults with age-related conditions can help to identify caregivers who are at increased risk for the negative impacts of caregiving. This project seeks to gather preliminary data on the health of older caregivers and to develop and pilot high priority supportive care interventions for this population. The investigator will examine the feasibility of utilizing the GA as a tool to identify distressed older caregivers. The investigator will engage key stakeholders including, older caregivers and older adults with cancer, experts in geriatric oncology and primary care physicians to develop and pilot a supportive care intervention to improve outcomes in older caregivers.

A Supportive Care Intervention for Older Caregivers of Older Adults With Advanced Cancer

Development and Feasibility of a Supportive Care Intervention for Older Caregivers of Older Adults With Advanced Cancer

A complete and final study protocol will be made publicly available through the University of Rochester Cancer Center Community Oncology Research Program Research Base Protocol and Data Sharing Committee. The full protocol and data will be made publicly available no later than the publication date of the study findings from the final dataset. The protocol will include a detailed description of the study population, hypotheses tested, measurement and assessment information, data definitions and codes, and the analysis plan utilized. We will be collecting identifying information. The final dataset will be stripped of identifiers prior to release for sharing. Published papers will be made available in portable document format.

Percentage of participants who were approached, enrolled in the study and completed the GA will be determined.

Time to complete the GA per caregiver will be determined by summing the time to complete self-administered and clinic portions of GA.

Caregivers will complete a questionnaire to assess satisfaction with completing the GA

Caregivers will be surveyed to determined number and types of supportive care they received from their clinical providers compared to the supportive care recommendations that were provided to their clinical providers.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
A Supportive Care Intervention for Older Caregivers of Older Adults With Advanced Cancer	NCT05244915	Cancer	Experimental (D... Experimental (F... Qualitative int...	65 Years -	University of Rochester
A Supportive Care Intervention for Older Caregivers of Older Adults With Advanced Cancer	NCT05244915	Cancer	Experimental (D... Experimental (F... Qualitative int...	65 Years -	University of Rochester

Spots Global Cancer Trial Database for experimental (delphi surveys)