RNOtherWorldviews on evidence-based nursing2025

Communication Interventions for Families with Parental Cancer With Dependents: Findings from a Scoping Review.

Cinzia Caparso, Zoe Bowen, Sung Won Choi

PMID 39981585

WHAT IT FOUND

For nurses, existing family communication interventions for parents with cancer often target the parent or child separately, occur at diagnosis or end of life, and rarely test coparent or family communication outcomes.

Key findings

01The review included 35 articles and described 24 different family communication interventions for parents with cancer with dependent children.

02Fourteen articles had one whole-family session; eight targeted the parent with cancer only, six targeted the child only, three targeted the parent and coparent, three targeted the coparent and child, and one targeted the parent and child.

03The interventions focused mainly on end-of-life communication or early-diagnosis communication, and no study examined how the interventions impacted dyadic or family outcomes.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This is a scoping review, so it maps intervention types and gaps rather than answering whether an intervention works. Relevant studies may have been missed because terms used to describe parents with cancer and dependent children were inconsistent. Many included studies were qualitative, feasibility, pilot, or intervention development work, so they do not establish treatment effects. The reviewed studies often did not include all family members, did not use family theory, and did not analyse dyadic or family outcomes. The evidence base was narrow, with 19 articles limited to female participants and 19 limited to breast cancer diagnoses; race was not reported in 22 articles. Only three interventions were web-based, so the review does not show digital delivery is feasible or effective. Parents with cancer often reported better communication after intervention when coparents and children did not, which limits conclusions about whole-family benefit. The review did not include grey literature.

The easy way to misread this

Do not read this as evidence that family communication interventions improve communication or psychological outcomes for parents, coparents, or children. It is a scoping review of intervention types and gaps, and no study examined how the interventions impacted dyadic or family outcomes.

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