Cited by 16Nursing care and researchPalliative Care and End-of-Life IssuesCancer survivorship and care

Mediating role of self‐efficacy between unmet needs and quality of life in palliative cancer caregivers

Cheng, Hui‐Lin, Leung, Doris Yin Ping, Ko, Po Shan, Lam, Wai Man, Lam, Po Tin, Luk, Andrew Leung, Chung, Ming Wai, Lam, Simon Ching·2023·Psycho-Oncology

Abstract

Objective Although unmet support needs are associated with health-related quality of life (HRQOL) in cancer caregivers, little is known about the mechanism underlying the relationship between two variables. The self-efficacy (SE) theory and literature suggest that caregiving SE is important in the perception of and reaction to caregiving demands, which in turn affects HRQOL. The aim of this study was to examine whether caregiving SE mediates the relationship between unmet support needs and HRQOL in family caregivers of palliative cancer patients. Methods This secondary analysis used the data from 125 family caregivers of palliative cancer patients who were recruited from two public hospitals in Hong Kong. The caregivers completed a survey questionnaire that covered socio-demographic characteristics, unmet support needs, caregiving SE, and HRQOL. Parallel mediation analyses were conducted via SPSS PROCESS macro (Model 4) to test the hypothesized models. Results The direct effect of unmet support needs on mental HRQOL was significant (effect = -0.49, 95% CI = -0.06 to -0.92). For the indirect effect, only caregiving SE in the domain of 'care for the care recipient' mediated the relationship between unmet support needs and mental HRQOL (effect = -0.32, 95% CI = -0.08 to -0.59). Conclusion The findings suggest that caregiving SE may function as a mechanism through which unmet support needs influence mental HRQOL in family caregivers of palliative cancer patients. Healthcare provi…

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Crossref · 10.1002/pon.6099

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Authors
Cheng, H., Leung, D. Y. P., Ko, P. S., Lam, W. M., Lam, P. T., Luk, A. L., Chung, M. W., & Lam, S. C.
Affiliations
  • School of Nursing The Hong Kong Polytechnic University Hong Kong Hong Kong
  • Hong Kong Polytechnic University (HK)
  • United Christian Hospital (CN)
  • Department of Medicine Haven of Hope Hospital Kowloon Hong Kong
  • Nethersole Institute of Continuing Holistic Health Education Hong Kong
  • Tung Wah College (HK)
Venue
Psycho-Oncology
Publisher
Wiley
Published
2023-02-03
Volume
32
Issue
3
Pages
457-464
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
OpenAlex
W4317360512
Cited by
16
References
4
Citations by year
2026: 4 · 2025: 6 · 2024: 3 · 2023: 3
FWCI
6.60
Type
journal article
Language
en
Open access
closed
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
caregiver self-efficacy, unmet support needs, health-related quality of life, family caregivers, mediation, caregiver burden, mental health, supportive care interventions
MeSH terms
Humans, Neoplasms, Quality of Life, Surveys and Questionnaires, Social Support, Caregivers, Self Efficacy

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