CAREGIVER: A Trial to Improve the Burden and Distress of Caring for Persons With Decompensated Cirrhosis
CAREGIVER: A Trial to Improve the Burden and Distress of Caring for Persons With Decompensated Cirrhosis
The goal of this study is to enroll caretakers of patients with decompensated cirrhosis to
 determine if written emotional disclosure or resilience training interventions reduce
 distress and burden among primary informal caregivers.

 Caretakers that meet eligibility will complete baseline assessments in person, or if
 necessary, over the phone and be randomized to be in one of three arms of this study.
 Materials specific to each study arm will be mailed to the caretakers home along with
 instructions. Overall, the study will take approximately 2 months and a qualitative interview
 will also be completed around 3-6 months post-baseline.
Inclusion Criteria:

 -  Primary informal caregiver for a patient with a clinical diagnosis of decompensated
 cirrhosis with either of the following three clinical criteria:

 1. Child-Turcotte Pugh (CTP) Class A/B/C cirrhosis with an all cause hospitalization
 within the previous 30 days.

 2. CTP Class B or C cirrhosis with one of the following within the prior 6 months
 from the date of enrollment:

 1. Ascites (requiring paracentesis or diuretics)

 2. Overt Hepatic Encephalopathy (requiring lactulose or
 rifaximin/flagyl/neomycin)

 3. Spontaneous Bacterial Peritonitis (SBP)

 4. Hepatic Hydrothorax (requiring diuretics or thoracentesis)

 5. Variceal Bleed (with 1 or more recurrences)

 3. Hepatocellular Carcinoma (HCC)

 1. Any Barcelona Clinic Liver Cancer (BCLC) Stage with CTP Class B or C

 2. BCLC Stage C or D with CTP Class A

 Exclusion Criteria:

 -  Non-English speaking

 -  Unable or unwilling to provide verbal consent

 -  Severe cognitive impairment

 -  Caregiver is participating in another interventional study

 -  Caregiver has used a personal diary within the past 12 months