Impact of caregiver activities and social supports on multidimensional caregiver burden: analyses from nationally-representative surveys of cancer patients and their caregivers.

Purpose: Informal caregivers of individuals with cancer may experience substantial burdens. To develop interventions to support these caregivers, it is crucial to quantify and understand the domains of burdens potentially experienced by caregivers and factors contributing to each domain.Methods: Usi...

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Publicado en:Quality of Life Research Vol. 26; no. 6; pp. 1587 - 1596
Autores principales: Halpern, Michael, Fiero, Mallorie, Bell, Melanie, Halpern, Michael T, Fiero, Mallorie H, Bell, Melanie L
Formato: Journal Article
Publicado: Springer Nature Jun2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2017
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      pub: Springer Nature
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        atl: Impact of caregiver activities and social supports on multidimensional caregiver burden: analyses from nationally-representative surveys of cancer patients and their caregivers.
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          Halpern, Michael
          Fiero, Mallorie
          Bell, Melanie
          Halpern, Michael T
          Fiero, Mallorie H
          Bell, Melanie L
        affil: Health Services Administration and Policy , Temple University College of Public Health , 1301 Cecil B. Moore Ave., #533 Philadelphia 19122 USA
      sug:
        subj:
          Neoplasms Therapy
          Caregivers Psychosocial Factors
          Quality of Life Psychosocial Factors
          Support, Psychosocial
          Aged
          Young Adult
          Female
          Aged, 80 and Over
          Middle Age
          Male
          United States
          Health Services
          Adult
          Interview Guides
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: Purpose: Informal caregivers of individuals with cancer may experience substantial burdens. To develop interventions to support these caregivers, it is crucial to quantify and understand the domains of burdens potentially experienced by caregivers and factors contributing to each domain.Methods: Using data from two national surveys, the National Survey of Caregiving (NSOC) linked to the National Health and Aging Trends Survey (NHATS), we identified all participants in the NHATS diagnosed with cancer who had a caregiver participating in the NSOC. Guided by a theoretical model, twenty-two items in the NSOC related to caregiver health, mood and outlook were included in factor analysis to develop scales capturing domains of burden. Multivariable regression analyses examined whether activities performed by caregivers and supports for caregivers were associated with these burden scales.Results: Analysis of responses from 373 caregivers of cancer patients identified three scales: emotional burden; psychological burden; and relationship with the patient. Providing assistance managing medical care was associated with increased emotional and psychological burden, while assistance with non-medical issues increased psychological burden and worsened relationships with patients. Caregiver provision of direct patient care activities was also associated with increased burden but improved relationships with patients. Use of caregiver supports showed mixed associations with burden.Conclusions: Using a nationally-representative sample of cancer patients and their caregivers and brief publicly-available survey questions, we present three scales addressing different aspects of caregiver burden that are responsive to caregiver activities and social supports. This may assist in developing and evaluating intervention to decrease caregiver burden.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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