Self-efficacy in caregivers of adults diagnosed with cancer: An integrative review

Hebdon, Megan; Coombs, Lorinda A; Reed, Pamela G.; Crane, Tracy E.; Badger, Terry A.

doi:10.1016/j.ejon.2021.101933

Cited by 37 publications

(48 citation statements)

References 90 publications

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“…6 Low self-efficacy (ie, one’s confidence in capacity to engage in a particular behavior) among cancer caregivers has been shown to be associated with worse caregiver distress, strain, coping, quality of life, adaptation, caregiver functioning, and physical health, as well as patient physical and emotional symptom burden. 9-11…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Multi-Modality Self-Management Intervention for Head and Neck Cancer Caregivers: A Pilot Randomized Trial

et al. 2022

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Background: Head and neck cancer (HNC) patients undergoing radiation therapy (RT) experience significant side effects, presenting challenging care tasks for their informal (unpaid) caregivers. HNC caregivers report low caregiving self-efficacy, high distress, and interest in supportive care interventions. Objective: This randomized pilot trial assessed the feasibility and acceptability of a 6 to 7 week supported self-management intervention (Prepare to Care) offering psychoeducation and stress management skills building for caregivers of patients receiving RT for HNC. Methods: Caregivers were randomized to Prepare to Care or standard of care. Primary feasibility measures included participation and retention percentages. Assessments were completed before the intervention, at intervention completion, and 6-weeks later after intervention completion. Results: Caregivers (N = 38) were predominantly female (88.6%), an average age of 56 years old, and a spouse/partner to the patient (71.4%). Participation percent was 42.2%; retention at intervention conclusion was 80% and 77% at the 6-week follow-up. Quantitative and qualitative results support acceptability, with 64% to 88% reporting each intervention module was helpful (quite a bit or very). Intervention caregivers reported a significantly greater improvement in self-efficacy for progressive muscle relaxation (PMR). Conclusions: Prepare to Care and the randomized pilot trial methods are feasible and acceptable for HNC caregivers of patients receiving RT. A significant treatment effect was observed for self-efficacy for PMR, and findings were in the expected direction regarding improved caregiving self-efficacy. Further research is necessary to determine the efficacy of this intervention with a focus on increased engagement strategies and longer-term outcomes. Trial Registration: NCT03032250

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Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Multi-Modality Self-Management Intervention for Head and Neck Cancer Caregivers: A Pilot Randomized Trial

et al. 2022

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“…These findings are consistent with findings from prior studies involving local caregivers of cancer patients [ 18 , 19 , 20 ]. As a result of findings with local cancer caregivers, interventional studies aimed at reducing the burden of caregivers of local cancer patients have been developed and have focused upon psychoeducational strategies (primarily focused on improving caregivers’ self-efficacy) or supportive care strategies (focused on providing emotional support to caregivers) [ 21 , 22 , 23 ]. Given the current study’s findings, the implementation and testing of psychoeducational and supportive care interventions for DCGs of patients with cancer should be undertaken to identify existing interventions that could benefit DCGs.…”

Section: Discussionmentioning

confidence: 99%

Caregiver Burden in Distance Caregivers of Patients with Cancer

et al. 2022

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Distance caregivers (DCGs), those who live more than an hour away from the care recipient, often play a significant role in patients’ care. While much is known about the experience and outcomes of local family caregivers of cancer patients, little is known about the experience and outcomes of distance caregiving upon DCGs. The purpose of this study was to identify the relationships among stressors (patient cancer stage, anxiety, and depression), mediators (DCG emotional support and self-efficacy), and burden in DCGs’ of patients with cancer. This study was a descriptive cross-sectional study and involved a secondary data analysis from a randomized clinical trial. The study sample consisted of 314 cancer patient–DCG dyads. The results of this study were: (1) 26.1% of DCGs reported elevated levels of burden; (2) significant negative relationships were found between mediators (DCG emotional support and self-efficacy) and DCG burden; and (3) significant positive relationships were found between patient anxiety, depression, and DCG burden. The prevalence of burden in DCGs, and its related factors, were similar to those of local caregivers of cancer patients, which suggests that interventions to reduce burden in local caregivers could be effective for DCGs as well.

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“…The results of similar studies on caregivers' QoL and care burden also showed that interventions (psychoeducation, skills education, psychosocial intervention, individualized education, palliative care counseling, etc.) could promote coping behaviors and selfefficacy (i.e., perceived confidence, readiness, and/or skills to provide care) [39][40][41] and increase their stress coping skills [42], decrease care burden [11,21,43], and make improvements in some sub-skills of QoL [21,42,43]. Therefore, the study results show that healthcare professionals should contribute to increasing QoL of caregivers of cancer patients and decrease their care burden.…”

Section: Discussionmentioning

confidence: 99%

The effect of an educational palliative care intervention on the quality of life of patients with incurable cancer and their caregivers

Çalık

Küçük

Halimoğlu³

2021

Support Care Cancer

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PurposeThe study aims to determine the effect of educational intervention provided to caregivers of hospitalized patients with terminal cancer theoretically, practically, and visually on their own and patients' quality of life. Methods This quasi-experimental study was conducted at a palliative care unit in Turkey between January and June 2019. The study included 35 hospitalized patients with cancer and 35 caregivers. Caregivers were provided with educational intervention three times a week apart. The data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, Friedman test, and iterative analysis of variance. Results After the educational intervention, there was an increase in cancer patients' emotional function sub-scale and global health and decrease in their fatigue and nausea-vomiting symptoms (p<0.05). The mean scores of caregivers from role difficulty, pain, vitality, social function, emotional, and mental health sub-scales were high (positively) (p<0.001). Conclusions Educational intervention has a positive effect on caregiver burden and recovery in some quality of life subscales of both patients and caregivers.

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Self-efficacy in caregivers of adults diagnosed with cancer: An integrative review

Cited by 37 publications

References 90 publications

Feasibility and Acceptability of a Multi-Modality Self-Management Intervention for Head and Neck Cancer Caregivers: A Pilot Randomized Trial

Feasibility and Acceptability of a Multi-Modality Self-Management Intervention for Head and Neck Cancer Caregivers: A Pilot Randomized Trial

Caregiver Burden in Distance Caregivers of Patients with Cancer

The effect of an educational palliative care intervention on the quality of life of patients with incurable cancer and their caregivers

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