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Background: Carers often assume key roles in cancer care. However, many carers report feeling disempowered and ill -equipped to support patients. Our group published evidence -based guidelines (the Triadic Oncology [TRIO] Guidelines) to improve oncology clinician engagement with carers and the management of challenging situations involving carers. Objective: To facilitate implementation of the TRIO Guidelines in clinical practice, we aimed to develop, iteratively refine, and conduct user testing of a suite of evidence -based and interactive web -based education modules for oncology clinicians (e -Triadic Oncology [eTRIO]), patients with cancer, and carers (eTRIO for Patients and Carers [eTRIO -pc]). These were designed to improve carer involvement, communication, and shared decision -making in the cancer management setting. Methods: The eTRIO education modules were based on extensive research, including systematic reviews, qualitative interviews, and consultation analyses. Guided by the person -based approach, module content and design were reviewed by an expert advisory group comprising academic and clinical experts (n=13) and consumers (n=5); content and design were continuously and iteratively refined. User experience testing (including "think -aloud" interviews and administration of the System Usability Scale [SUS]) of the modules was completed by additional clinicians (n=5), patients (n=3), and carers (n=3). Results: The final clinician module comprises 14 sections, requires approximately 1.5 to 2 hours to complete, and covers topics such as carer -inclusive communication and practices; supporting carer needs; and managing carer dominance, anger, and conflicting patient -carer wishes. The usability of the module was rated by 5 clinicians, with a mean SUS score of 75 (SD 5.3), which is interpreted as good. Clinicians often desired information in a concise format, divided into small "snackable" sections that could be easily recommenced if they were interrupted. T, QC 20240524

OBJECTIVE: Informal family caregivers play a crucial role in cancer care. Effective caregiver involvement in cancer care can improve both patient and caregiver outcomes. Despite this, interventions improving the caregiver involvement are sparse. This protocol describes a randomised controlled trial evaluating the combined effectiveness of novel online caregiver communication education modules for: (1) oncology clinicians (eTRIO) and (2) patients with cancer and caregivers (eTRIO-pc).METHODS AND ANALYSIS: Thirty medical/radiation/surgical oncology or haematology doctors and nurses will be randomly allocated to either intervention (eTRIO) or control (an Australian State Government Health website on caregivers) education conditions. Following completion of education, each clinician will recruit nine patient-caregiver pairs, who will be allocated to the same condition as their recruiting clinician. Eligibility includes any new adult patient diagnosed with any type/stage cancer attending consultations with a caregiver. Approximately 270 patient-caregiver pairs will be recruited. The primary outcome is caregiver self-efficacy in triadic (clinician-patient-caregiver) communication. Patient and clinician self-efficacy in triadic communication are secondary outcomes. Additional secondary outcomes for clinicians include preferences for caregiver involvement, perceived module usability/acceptability, analysis of module use, satisfaction with the module, knowledge of strategies and feedback interviews. Secondary outcomes for caregivers and patients include preferences for caregiver involvement, satisfaction with clinician communication, distress, quality of life, healthcare expenditure, perceived module usability/acceptability and analysis of module use. A subset of patients and caregivers will complete feedback interviews. Secondary outcomes for caregivers include preparedness for caregiving, patient-caregiver communication and caring experience. Assessments will be

Aim: Family carers play an important role in cancer care. However, many carers report feeling disempowered and ill‐equipped to support patients. Our group published the evidence‐based ‘TRIO Guidelines’ to improve clinician's engagement with carers and management of challenging situations in the cancer setting. To facilitate implementation of these guidelines into clinical practice, we have developed two novel online education modules: for oncology clinicians (eTRIO) and for cancer patients and carers (eTRIO‐pc). Methods: The eTRIO modules were based on extensive prior research by our group (systematic reviews, qualitative interviews, consultation analyses and Delphi consensus guidelines). Draft module content was iteratively reviewed by an expert advisory group involving academic/clinical experts (n = 13) and consumers (n = 5). User experience testing of the modules was completed by clinicians (n = 5), patients (n = 5) and carers (n = 5). Results: Both programs utilise interactive web‐technology to promote learners’ engagement and uptake of key skills. The clinician module includes nine professionally produced short films (with embedded trigger activities) modelling effective clinician behaviours. Reflective practice is encouraged via self‐assessments and clinical scenarios. The patient‐carer module includes three professionally produced films which model key carer skills (such as advocating for a patient's unmet needs), as well as experiential content provided via video messages from consumers and clinicians. Interactive activities such as a consultation question list builder are also included. A national RCT is currently evaluating the effectiveness of the combined modules in improving: (a) carer involvement in consultations, (b) stakeholders’ self‐efficacy in clinician‐patient‐family communication, (c) patient/carer psychosocial outcomes and (d) healthcare costs. Conclusions: The eTRIO programs have been rigorously devel