Do carer’s levels of unmet needs change over time when caring for patients diagnosed with high-grade glioma and how are these needs correlated with distress?
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Purpose The aim of the current study was to determine how carer needs changed longitudinally and understand associations between unmet needs and distress. Methods Family carers of patients with high-grade glioma (HGG) were recruited. Carers completed questionnaires during patients' chemoradiotherapy (T1), 3 months (T2) and 6 months (T3) including the following: the Distress Thermometer, the General Health Questionnaire-12, the Partner and Carer Supportive Care (PCS) Needs Scale and its supplement the Access to Services Needs Scale and the Brain Tumour Specific Supportive Care Needs Scale. Linear latent growth models were applied. Results The time 1 questionnaire was completed by 118 carers; 70 carers provided responses at time 3. While the mean numbers of elevated (moderate to high) needs remained stable over time, the specific needs changed. The most frequently reported PCS needs included the impact of caring on the carer's working life or usual activities, finding more accessible parking, making life decisions in the context of uncertainty, reducing stress in the patient's life and understanding the patient's experience. The most frequently reported need unique to carers of a brain tumour patient was for information on adjusting to cognitive changes in the patient. Other prominent needs included managing difficult aspects of the patient's behaviour and adjusting to changes in the patient's personality, both of which increased over time. Higher numbers of unmet needs were associated cross-sectionally with higher distress levels. Conclusion Carers of people with HGG remain highly distressed and their needs evolve over time, indicating a requirement for ongoing evaluation of unmet needs and interventions to address carer psychological morbidities.
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Caregiver needs fall into social, cognitive, and psychological categories.
“These needs fall into social, cognitive, and psychological categories [2].”
From Exploring the Unmet Needs of Cancer Caregivers in India: A Cross-Sectional Survey (2024) · cites this paper as [2]
The Carer needs section describes work and social needs, psychological and emotional needs, and needs related to patients’ cognitive changes. It does not classify caregiver needs into the three categories stated: the supportive-care scale has four domains, and cognitive changes appear as an item in a separate brain-tumor-specific scale. No page number is available in our copy. (LLM, conf=0.85)
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- Authors
- Halkett, G. K. B., Lobb, E. A., Shaw, T., Sinclair, M. M., Miller, L., Hovey, E., & Nowak, A. K.
- Affiliations
- Curtin University (AU)
- The University of Notre Dame Australia (AU)
- The Kids Research Institute Australia (AU)
- Government of Western Australia Department of Health (AU)
- UNSW Sydney (AU)
- The University of Western Australia (AU)
- Corresponding author
- Halkett, G. K. B.
- Venue
- Supportive Care in Cancer
- Published
- 2017-08-14
- Volume
- 26
- Issue
- 1
- Pages
- 275-286
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2745344069
- Cited by
- 81
- References
- 46
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 10 · 2023: 11 · 2022: 11 · 2021: 10 · 2020: 16 · 2019: 5 · 2018: 4
- FWCI
- 3.03
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, other-oa)
- eSpace (Curtin University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- family caregivers, high-grade glioma, unmet needs, caregiver distress, chemoradiotherapy, carer support services
- MeSH terms
- Adult, Aged, Brain Neoplasms, Cross-Sectional Studies, Emotions, Empathy, Female, Glioma, Health Services Needs and Demand, Humans, Longitudinal Studies, Male, Middle Aged, Caregivers
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