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RecruitingLast updated: 27 May 2026

FOCUSau: A digital health intervention to improve the wellbeing of people with advanced cancer and their carersImproving the Wellbeing of People With Advanced Cancer and Their Family Carers: An Effectiveness Implementation Trial of an Australian Dyadic Digital Health Intervention

Trial purpose

Medical clipboardSide effect and wellbeing

Tumor type

Multi-Cancer Multi-Cancer

Age

People18+

Trial acronym

FOCUSau

Clinical summary

Summary

A primary support person or carer is someone chosen by a person with advanced cancer to provide physical, social, or emotional support. This person does not have to be a family member or partner. In this study, the patient and their primary support person or carer are referred to as a "dyad".

FOCUS is a program originally developed in the USA to help people with advanced cancer and their carers. Research has shown it can improve wellbeing and quality of life. The program has five key areas, represented by the letters in FOCUS:

  • F - Family involvement
  • O - Outlook and meaning
  • C - Coping effectiveness
  • U - Uncertainty reduction
  • S - Symptom management

The goal of this study is to see how effective and sustainable the digital version of FOCUS (called FOCUSau) is at improving the wellbeing and confidence of patients with advanced cancer and their primary support person or carer.

What participation invovles

Eligible dyads will be randomly assigned to one of two groups: FOCUSau + usual care, or usual care only. Usual care may include support from specialists, doctors, nurses or other health care progessionals that patients usually engage with.

Dyads in the FOCUSau group will complete four online sessions over a period of 12 weeks. Each session is completed together at a computer and can be done at any time within the 12-week period. 

The program provides personalised messages based on the information you provide at the start and during the session. Dyads receive an online workbook with the results of interactive exercises completed in the sessions, and links to evidence-based information and local resources relevant to advanced cancer. 

For more information about the project, including how to self-refer, please visit https://medicine.unimelb.edu.au/focusau

Conditions

This trial is treating people with advanced cancer and their carers

Eligibility

Inclusion

Patient Inclusion Criteria:

  • Diagnosis of advanced cancer
  • Over 18 years of age
  • Able to comprehend written or spoken English
  • No visual, hearing, and/or cognitive impairment that would preclude participation
  • Able to commit to research participation requirements (including data collection and completion of the FOCUSau intervention if randomised to that group)
  • Able to access the internet (on desktop computer, laptop computer or tablet device)
  • Able to identify a primary support person/carer, who is an unpaid individual (not necessarily a partner or family member) who is providing physical, social or emotional support.

Family carer Inclusion Criteria:

  • Identified by the patient as their primary support person who is related to them biologically, legally or emotionally, and is willing to accept this support role
  • Aged over 18 years
  • No visual, hearing, and/or cognitive impairment that would preclude participation
  • Able to commit to research participation requirements
  • Able to access the internet

Exclusion

Patient Exclusion Criteria:

- Involvement in an advanced cancer non-drug trial that focuses on improving QoL

Dyad Inclusion Criteria:

- Capacity to effectively utilise the internet (as determined through a short practical online exercise as part of the screening and consent process).

Inclusion

  • You have had treatment, but your cancer has come back (relapsed or recurrent).
  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • Your cancer has not spread to other parts of the body, but it is not possible to perform surgery to remove it (unresectable).
  • You have the type of cancer, symptoms, or health risks that this clinical trial is focused on.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

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Recruiting hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

University of Melbourne

Scientific Title

Improving the Wellbeing of People With Advanced Cancer and Their Family Carers: An Effectiveness Implementation Trial of an Australian Dyadic Digital Health Intervention

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