Impact of family caregivers’ awareness of the prognosis on their quality of life/depression and those of patients with advanced cancer: a prospective cohort study

Kang, EunKyo; Keam, Bhumsuk; Lee, Na Ri; Kang, Jung Hun; Kim, Yu Jung; Shim, Hyun Jeong; Jung, Kyung Hae; Koh, Su Jin; Ryu, Hyewon; Lee, Jihye; Choo, Jiyeon; Yoo, Seong Ho; Yun, Young Ho

doi:10.1007/s00520-020-05489-8

Cited by 15 publications

(7 citation statements)

References 46 publications

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“…Some studies found family caregivers reporting more accurate prognostic awareness compared to their patients, 11 suggesting that prognostic awareness in caregivers is not associated with their anxiety, depression or emotional preparedness for death 18,19 . On the other hand, Kang et al 20 . found that better prognostic awareness in family caregivers can positively impact the patients' quality of life but can also lead to worse quality of life and more depression in caregivers themselves.…”

Section: Introductionmentioning

confidence: 99%

Prognostic awareness in advanced cancer patients and their caregivers: A longitudinal cohort study

et al. 2021

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Objective The aim of this study was to analyse longitudinal development of prognostic awareness in advanced cancer patients and their families. Methods This was a longitudinal cohort study, involving 134 adult cancer patients, 91 primary family caregivers and 21 treating oncologists. Key eligibility criterion for patients was life expectancy less than 1 year (estimated by their oncologists using the 12‐month surprised question). Structured interviews, including tools to measure prognostic awareness, health information needs, and demographics were conducted face to face or via phone three times over 9 months. Forty‐four patients completed all three phases of data collection. Results Only 16% of patients reported accurate prognostic awareness, 58% being partially aware. Prognostic awareness of both patients and family caregivers remained stable over the course of the study, with only small non‐significant changes. Gender, education, type of cancer, spirituality or health information needs were not associated with the level of prognostic awareness. Family caregivers reported more accurate prognostic awareness, which was not associated with patients' own prognostic awareness (agreement rate 59%, weighted kappa 0.348, CI = 0.185–0.510). Conclusions Prognostic awareness appears to be a stable concept over the course of the illness. Clinicians must focus on the initial patients' understanding of the disease and be able to communicate the prognostic information effectively from the early stages of patients' trajectory.

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Section: Introductionmentioning

confidence: 99%

Prognostic awareness in advanced cancer patients and their caregivers: A longitudinal cohort study

et al. 2021

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“…Since most caregivers had estimated a longer patients’ life expectancy than oncologists, they may have been unaware of the oncologists’ estimates of the patients’ prognoses. Previous studies have found that caregivers who do not adequately understand the limited prognosis of patients with advanced cancer report better existential well‐being and lower depression [42]. Caregiver‐oncologist discordance was also associated with better caregiver psychological health (as they may view the illness more positively) [9, 43].…”

Section: Discussionmentioning

confidence: 99%

Association BetweenCaregiver-OncologistDiscordance in Patient's Life Expectancy Estimates and Caregiver Perceived Autonomy Support by the Oncologist

et al. 2021

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WilmotResearch Fellowship Award (grant number is not applicable; to KPL). This work was made possible by the generous donors to the Wilmot Cancer Institute (WCI) geriatric oncology philanthropy fund. All statements in this report, including its findings and conclusions, are solely those of the authors, do not necessarily represent the official views of the funding agencies, and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors, or Methodology Committee.

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“…The mentioned authors identi ed the sociodemographic and psychosocial factors that predict resilience in family caregivers of children with cancer and mentioned face-to-face training as an important factor in the improvement of psychological distress of family caregivers [35]. Kang et al, (2021), furthermore, examined the impact of family caregivers' prognostic awareness on the quality of life and emotional state of both patients with advanced cancer and their caregiver. Their results showed that a face-to-face intervention which is based on the assessed needs had a signi cant impact on improving the symptoms of psychological distress in clients [36].…”

Section: Discussionmentioning

confidence: 99%

“…Kang et al, (2021), furthermore, examined the impact of family caregivers' prognostic awareness on the quality of life and emotional state of both patients with advanced cancer and their caregiver. Their results showed that a face-to-face intervention which is based on the assessed needs had a signi cant impact on improving the symptoms of psychological distress in clients [36]. Our ndings are consistent with the results of the study conducted by Sun and Qin (2021) who in their research maintained that face-to-face intervention can strongly support the mental health needs of family caregivers of cancer patients [37].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Need-Based Program in Relieving Psychological Distress of Family Caregivers of Leukemia Patients: A Randomized Clinical Trial

Abdullahzadeh

Khosravi

2021

Preprint

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PurposeThe family of leukemia patients, due to their caring role, often feel psychological distress. This paper describes the efficacy of a designed family-need-based program on relieving depression, anxiety, and stress of family caregivers of leukemia patients by meeting the specific psychological needs of caregivers.MethodsIn this clinical trial, 64 family caregivers of leukemia patients referring to a medical center in Iran were recruited by convenience sampling and divided into study and control groups randomly. The study group attended a designed need-based program. The control group did not receive the intervention. Stress, anxiety, and depression before, right after, and one month after the intervention in family caregivers were compared using DASS-42. Data were analyzed using descriptive and inferential statistics; the significance level adopted was 5%.ResultsBefore the intervention, the mean score of depression, anxiety, and stress scale in both study and control groups showed no considerable difference (P > 0.05). After the intervention, the mean score of DASS-42 revealed a significant difference between the two groups and the study group did better on outcomes (P < 0.001).ConclusionThis family-need-based program can decrease the level of stress, anxiety, and depression of the family caregivers of leukemia patients and may potentially alleviate the psychological distress of family caregivers over their caring role.Trial registration number: IRCT2013093011895N2. Date of registration: 2014-05-06

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Impact of family caregivers’ awareness of the prognosis on their quality of life/depression and those of patients with advanced cancer: a prospective cohort study

Cited by 15 publications

References 46 publications

Prognostic awareness in advanced cancer patients and their caregivers: A longitudinal cohort study

Prognostic awareness in advanced cancer patients and their caregivers: A longitudinal cohort study

Association BetweenCaregiver-OncologistDiscordance in Patient's Life Expectancy Estimates and Caregiver Perceived Autonomy Support by the Oncologist

Effectiveness of a Need-Based Program in Relieving Psychological Distress of Family Caregivers of Leukemia Patients: A Randomized Clinical Trial

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