Predicting family caregiver psychosocial functioning in palliative care

J Palliat Care. 2006 Autumn;22(3):133-40.

Abstract

Background: Health professionals are expected to support family caregivers of patients requiring palliative care. However, there is a dearth of empirical evidence to help clinicians identify caregivers who might be at risk of poor psychosocial functioning.

Purpose: This secondary analysis of baseline data from a larger study sought to determine if it was possible to predict the psychosocial functioning of family caregivers who were supporting a relative with advanced incurable cancer.

Method: Data from 35 primary family caregivers obtained at the start of home-based palliative care services and five weeks later was used in the analysis. Instruments to measure caregiver preparedness, competence, mastery, social support, anxiety, and self-efficacy were used.

Results: Cluster and logistic analyses revealed that self-reported "anxiety" and "competence" subscale total scores at time of commencement of home-based palliative care services were associated with caregivers at risk of lower levels of psychosocial functioning five weeks later.

Conclusions: This study suggests that it may be possible to identify family caregivers who are at risk for poorer psychosocial functioning. However, replication in a larger sample is required before this screening approach can be recommended for clinical use.

Publication types

  • Validation Study

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Health
  • Caregivers / psychology*
  • Cluster Analysis
  • Factor Analysis, Statistical
  • Family / psychology*
  • Female
  • Home Nursing / psychology
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Neoplasms / nursing
  • Neoplasms / psychology
  • Nursing Assessment / methods*
  • Nursing Evaluation Research
  • Nursing Methodology Research
  • Palliative Care / psychology*
  • Predictive Value of Tests
  • Risk Assessment / methods
  • Self Efficacy
  • Surveys and Questionnaires / standards*
  • Victoria