{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T17:42:07Z","timestamp":1776015727686,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rural residents are more likely to be caregivers and face significant burdens in caring for cancer patients. Rural caregivers can benefit from tailored interventions addressing their unique and complex needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This single\u2010arm study evaluated the feasibility, acceptability, and preliminary outcomes of an adapted social support intervention, enCompass Carolina, for caregivers of rural cancer patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>EnCompass Carolina is an 8\u2010week one\u2010on\u2010one caregiver coaching program paired with a web\u2010based support mapping tool (Clinical Trials #NCT05828927). Caregivers were recruited via patients treated in infusion clinics. Caregiver outcomes captured at enrollment, 4\u00a0weeks, and 8\u00a0weeks included coping self\u2010efficacy, burden, anxiety, depression, and social support. Patient outcomes captured at enrollment and 8\u00a0weeks were anxiety, depression, and distress. Feasibility was measured using caregiver participation and completion rates and acceptability ratings. Generalized estimating equation methods accounted for repeated measures per person and were used to evaluate scores over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 137 invited caregivers, 59 (44%) participated. 73% were female, 79% were non\u2010Hispanic White, and average age was 60. 52 caregivers completed the support tool and 1+ coaching session, 46 (78%) completed post\u2010intervention measures at 4\u00a0weeks, and 44 (75%) completed post\u2010intervention measures at 8\u00a0weeks. Average acceptability ratings were 4.6 out of 5. Caregiver coping self\u2010efficacy, anxiety, and depression significantly improved from pre\u2010to post\u2010intervention. No significant effects were seen on caregiver burden, support, or patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This one\u2010on\u2010one caregiver coaching program is feasible and acceptable for rural cancer caregivers, and it appears to be a promising intervention suitable for efficacy testing in future larger studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70341","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T04:02:53Z","timestamp":1764302573000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Acceptability of an 8\u2010Week Supportive Care Intervention for Cancer Caregivers Adapted for Rural Settings"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2503-2191","authenticated-orcid":false,"given":"Erin E.","family":"Kent","sequence":"first","affiliation":[{"name":"Department of Health Policy and Management Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Cecil G. Sheps Health Services Research Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3526-3938","authenticated-orcid":false,"given":"Allison M.","family":"Deal","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0410-1448","authenticated-orcid":false,"given":"Stephanie S.","family":"Sperry","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9695-1457","authenticated-orcid":false,"given":"Zev M.","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0692-8286","authenticated-orcid":false,"given":"Mindy","family":"Gellin","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4992-9570","authenticated-orcid":false,"given":"Jesse","family":"Kovacs","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5128-7474","authenticated-orcid":false,"given":"Caroline","family":"Martin","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3108-465X","authenticated-orcid":false,"given":"Maija","family":"Reblin","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Larner College of Medicine University of Vermont  Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2019.06.002"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2021.04.002"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10071155"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/23337214211025124"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102024\u2010095815"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010018\u20104293\u2010z"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.70187"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010022\u201007394\u20108"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11060\u2010018\u20102909\u20102"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010021\u201006372\u2010w"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010022\u201006977\u20109"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2196\/humanfactors.7845"},{"key":"e_1_2_10_14_1","unstructured":"Rural\u2010Urban Continuum Codes.2024. 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