Relationship quality and burden among caregivers for late-stage cancer patients
Abstract
Objective This study explores how caregiver relationship quality with family, patient, and patient's health care provider (HCP) is associated with subjective caregiver burden during the early treatment phase for late-stage cancer.Method Burden and relationship quality were assessed in telephone interviews with family caregivers (FCGs) of advanced cancer patients. The five subscales of the Caregiver Reaction Assessment measured burden, while relationships were measured with the Family Relationship Index, the Family Inventory of Needs subscale of met needs, and a scale assessing family discord in cancer communication.Results Multiple linear regression analyses in SPSS (v16) of 420 FCGs showed that higher quality relationship with family was associated with lower burden in FCG abandonment, health, scheduling (p < 0.001) and finances (p < 0.01). Higher quality relationship with patients' HCPs was associated with lower burden in FCG abandonment (p < 0.05), health, and finances (p < 0.001). More discordant communication in patient relationship was associated with lower financial burden (p < 0.05). Relationship quality was not associated with caregiver self-esteem.Conclusions Findings demonstrate that caregiver relationship quality with family and with HCP are important factors in understanding caregiver burden during the early treatment phase of late-stage cancer care.
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The survivor-carer cancer communication scale demonstrated a reliability coefficient of 0.63.
“The scale demonstrated a reliability coefficient of 0.63 (Francis et al., 2010).”
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- Authors
- Francis, L. E., Worthington, J., Kypriotakis, G., & Rose, J. H.
- Affiliations
- MetroHealth (US)
- East Tennessee State University (US)
- Corresponding author
- Francis, Linda E.
- ORCID
- Francis, Linda E.
- Venue
- Supportive Care in Cancer
- Published
- 2009-11-08
- Volume
- 18
- Issue
- 11
- Pages
- 1429-1436
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2112473728
- Cited by
- 71
- References
- 41
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 7 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 11 · 2014: 5 · 2013: 2 · 2012: 11
- FWCI
- 14.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - East Tennessee State University (East Tennessee State University) (submittedVersion)
- EngagedScholarship @ Cleveland State University (Cleveland State University) (submittedVersion)
- Funders
- National Cancer Institute (R01-CA10282)
- 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
- family caregivers, caregiver burden, relationship quality, late-stage cancer, family conflict, cancer communication, caregiver self-esteem, financial burden, caregiver health
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Communication, Family Relations, Female, Humans, Male, Middle Aged, Neoplasm Staging, Neoplasms, Self Concept, Linear Models, Caregivers, Cost of Illness, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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