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Communication between Advanced Cancer Patients and Their Family Caregivers: Relationship with Caregiver Burden and Preparedness for Caregiving.
Otto, Amy K; Ketcher, Dana; Heyman, Richard E; Vadaparampil, Susan T; Ellington, Lee; Reblin, Maija.
Afiliação
  • Otto AK; Department of Health Outcomes & Behavior, Moffitt Cancer Center.
  • Ketcher D; Department of Health Outcomes & Behavior, Moffitt Cancer Center.
  • Heyman RE; Faculty of Health, New York University.
  • Vadaparampil ST; Department of Health Outcomes & Behavior, Moffitt Cancer Center.
  • Ellington L; College of Nursing, University of Utah.
  • Reblin M; Department of Health Outcomes & Behavior, Moffitt Cancer Center.
Health Commun ; 36(6): 714-721, 2021 05.
Article em En | MEDLINE | ID: mdl-31910681
ABSTRACT
Cancer impacts spouse caregivers, especially when couples engage in dyadic coping around the cancer. Communication is a key factor in this process. Our goals were to describe cancer-related communication between advanced cancer patients and their spouse caregivers, and to describe how dyadic communication patterns are related to caregivers' reported burden and preparedness for caregiving. Caregivers completed measures of caregiver burden and preparedness for caregiving. Then, the patient and caregiver were asked to interact with each other in two structured discussions a neutral discussion and a problem discussion focused on cancer. Discussions were coded using the Rapid Marital Interaction Coding System (RMICS2). Caregivers reported moderate levels of preparation and burden. Greater caregiver hostility communication predicted higher levels of caregiver burden, whereas greater caregiver dysphoric affect communication predicted lower levels of caregiver burden. Whereas positivity was more common than hostility in couples' communication, patient hostility was a significant predictor of caregiver preparedness. Patient neutral constructive problem discussion was also associated with increased caregiver preparedness. Caregiver outcomes are an understudied component to dyadic cancer research. Our paper describes observational data on cancer-related communication between caregivers and advanced cancer patients and communication's influence on caregiver outcomes. This work provides the foundation for future evidence-based communication interventions that may influence both patient and caregiver outcomes.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidadores / Neoplasias Tipo de estudo: Observational_studies / Prognostic_studies / Qualitative_research Limite: Humans Idioma: En Revista: Health Commun Assunto da revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidadores / Neoplasias Tipo de estudo: Observational_studies / Prognostic_studies / Qualitative_research Limite: Humans Idioma: En Revista: Health Commun Assunto da revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Ano de publicação: 2021 Tipo de documento: Article