Access to support for Australian cancer caregivers: in-depth qualitative interviews exploring barriers and preferences for support
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Abstract Introduction: Caregivers are critical to patient-centered care and can benefit from supportive care interventions such as counseling. However, the barriers to supportive care for caregivers are poorly understood. This Australian study explores caregivers’ experiences when accessing care to support their own wellbeing. Method: Semi-structured telephone interviews were conducted with a diverse sample of distressed caregivers who contacted the Cancer Council New South Wales and Victoria helpline. Grounded theory framework informed the generation of themes with data analyzed by two independent coders. Results: Caregivers (n = 14) included: partners (n = 8), parents (n = 3), child (n = 1), sibling (n = 1), and friend (n = 1). Two major themes emerged. First, caregivers face multiple barriers when accessing supportive care including: deprioritization of their needs; limited opportunity to express needs; poor availability; lack of time and lack of local services. Secondly, caregivers preferred the delivery of support to be: via face-to-face or telephone; separate to patient; and to occur while the patient receives treatment. Conclusions: Tailored pathways for new and existing services that are flexible and accessible are important in supporting caregiver's wellbeing. Caregivers must be encouraged to acknowledge and discuss their own needs.
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Caregivers often cannot access services due to constraints such as time, finances, travel, patient-focused view, lack of resources, negative perceptions of mental health professionals and services, and stigma avoidance.
“caregivers often cannot access services due to a variety of constraints (e.g., time, finances, travel, patient-focused view, lack of resources, negative perceptions of mental health professionals and services, stigma avoidance) [23–25].”
From It is time to address fear of cancer recurrence in family caregivers: protocol for the feasibility and acceptability of a randomized pilot study of the online version of the Family Caregiver–Fear Of Recurrence Therapy (FC-FORT) (2024) · cites this paper as [24]
The Results and Discussion describe time constraints, travel distance, unavailable services, and caregivers putting patients’ needs ahead of their own as barriers to support. The Results mention difficulty accessing financial assistance, but do not establish that lack of money prevented access to supportive services. The passages do not identify negative perceptions of mental health professionals or stigma avoidance as barriers. (LLM, conf=0.88)
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Smith, A. ‘., Wu, V. S., Lambert, S., Lamarche, J., Lebel, S., Leske, S., & Girgis, A. (2022) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01109-4 · Cited by 48 · see citing works
Lamarche, J., Nissim, R., Avery, J., Wong, J., Maheu, C., Lambert, S. D., Laizner, A. M., Jones, J., Esplen, M. J., & Lebel, S. (2024) · Pilot and Feasibility Studies · doi:10.1186/s40814-024-01567-4 · Cited by 4 · see citing works
- Authors
- Taylor, J., Fradgley, E. A., Clinton-McHarg, T., Byrnes, E., & Paul, C. L.
- Affiliations
- University of Newcastle Australia (AU)
- Cancer Institute of New South Wales (AU)
- Priority Research Centre for Health Behavior, University of Newcastle, Callaghan, Australia
- Hunter Medical Research Institute (AU)
- Corresponding author
- Taylor, Jo
- Venue
- Journal of Psychosocial Oncology Research & Practice
- Published
- 2021-04
- Volume
- 3
- Issue
- 2
- Pages
- e047
- ISSN
- 2637-5974 (ISSN-L)
- OpenAlex
- W3163166136
- Cited by
- 10
- References
- 9
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2022: 1 · 2021: 2
- FWCI
- 1.56
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of Psychosocial Oncology Research and Practice (publishedVersion, cc-by-nd)
- Figshare (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- cancer caregivers, caregiver well-being, caregiver support services, caregiver distress, telephone helpline, caregiver needs, family caregivers, Australia
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