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Impact on caregiver burden of a patient-focused palliative care intervention for patients with advanced cancer.
Palliat Support Care 2010; 8(4):395-404PS

Abstract

OBJECTIVE

Caregivers of patients with advanced cancer experience physical and emotional strain that can raise their own risk for morbidity and mortality. This analysis was performed to determine whether ENABLE II, a patient-focused palliative care intervention that increased patients' quality of life, reduced symptom intensity, and lowered depressed mood compared to usual care, would affect caregiver burden.

METHOD

Caregivers of patients with advanced cancer from the parent study completed a caregiver burden scale and patients completed quality of life, symptom intensity, and depressed mood measures. Data were collected at baseline, 1 month, and every 3 months thereafter until patient death or the study ended. Decedents' caregivers were asked to complete an after-death interview regarding the quality of care that the patient received.

RESULTS

There were no significant differences in caregiver burden between intervention and usual care conditions. Follow-up analyses showed that higher caregiver objective burden and stress burden were related to lower patient quality of life, higher symptom intensity, and higher depressed mood. Caregivers who perceived that patients had unmet needs at end of life reported higher objective burden, and those who perceived that patients were not treated with respect reported higher demand burden.

SIGNIFICANCE OF RESULTS

The results indicate that a successful patient-focused intervention did not have a similar beneficial effect on caregiver burden. Future interventions should focus on caregivers as well as patients, with particular attention to caregivers' perceptions of patient care, and seek to change both negative and positive effects of informal caregiving.

Authors+Show Affiliations

Department of Psychological and Brain Sciences, Dartmouth College, Hanover, New Hampshire 03755, USA. ross.ohara@dartmouth.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

20875202

Citation

O'Hara, Ross E., et al. "Impact On Caregiver Burden of a Patient-focused Palliative Care Intervention for Patients With Advanced Cancer." Palliative & Supportive Care, vol. 8, no. 4, 2010, pp. 395-404.
O'Hara RE, Hull JG, Lyons KD, et al. Impact on caregiver burden of a patient-focused palliative care intervention for patients with advanced cancer. Palliat Support Care. 2010;8(4):395-404.
O'Hara, R. E., Hull, J. G., Lyons, K. D., Bakitas, M., Hegel, M. T., Li, Z., & Ahles, T. A. (2010). Impact on caregiver burden of a patient-focused palliative care intervention for patients with advanced cancer. Palliative & Supportive Care, 8(4), pp. 395-404. doi:10.1017/S1478951510000258.
O'Hara RE, et al. Impact On Caregiver Burden of a Patient-focused Palliative Care Intervention for Patients With Advanced Cancer. Palliat Support Care. 2010;8(4):395-404. PubMed PMID: 20875202.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact on caregiver burden of a patient-focused palliative care intervention for patients with advanced cancer. AU - O'Hara,Ross E, AU - Hull,Jay G, AU - Lyons,Kathleen D, AU - Bakitas,Marie, AU - Hegel,Mark T, AU - Li,Zhongze, AU - Ahles,Tim A, Y1 - 2010/09/28/ PY - 2010/9/30/entrez PY - 2010/9/30/pubmed PY - 2011/2/15/medline SP - 395 EP - 404 JF - Palliative & supportive care JO - Palliat Support Care VL - 8 IS - 4 N2 - OBJECTIVE: Caregivers of patients with advanced cancer experience physical and emotional strain that can raise their own risk for morbidity and mortality. This analysis was performed to determine whether ENABLE II, a patient-focused palliative care intervention that increased patients' quality of life, reduced symptom intensity, and lowered depressed mood compared to usual care, would affect caregiver burden. METHOD: Caregivers of patients with advanced cancer from the parent study completed a caregiver burden scale and patients completed quality of life, symptom intensity, and depressed mood measures. Data were collected at baseline, 1 month, and every 3 months thereafter until patient death or the study ended. Decedents' caregivers were asked to complete an after-death interview regarding the quality of care that the patient received. RESULTS: There were no significant differences in caregiver burden between intervention and usual care conditions. Follow-up analyses showed that higher caregiver objective burden and stress burden were related to lower patient quality of life, higher symptom intensity, and higher depressed mood. Caregivers who perceived that patients had unmet needs at end of life reported higher objective burden, and those who perceived that patients were not treated with respect reported higher demand burden. SIGNIFICANCE OF RESULTS: The results indicate that a successful patient-focused intervention did not have a similar beneficial effect on caregiver burden. Future interventions should focus on caregivers as well as patients, with particular attention to caregivers' perceptions of patient care, and seek to change both negative and positive effects of informal caregiving. SN - 1478-9523 UR - https://www.unboundmedicine.com/medline/citation/20875202/Impact_on_caregiver_burden_of_a_patient_focused_palliative_care_intervention_for_patients_with_advanced_cancer_ L2 - https://www.cambridge.org/core/product/identifier/S1478951510000258/type/journal_article DB - PRIME DP - Unbound Medicine ER -