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Predictors of caregiver burden across the home-based palliative care trajectory in Ontario, Canada
Open accessAbstract
Family caregivers of patients enrolled in home-based palliative care programmes provide unpaid care and assistance with daily activities to terminally ill family members. Caregivers often experience caregiver burden, which is an important predictor of anxiety and depression that can extend into bereavement. We conducted a longitudinal, prospective cohort study to comprehensively assess modifiable and non-modifiable patient and caregiver factors that account for caregiver burden over the palliative care trajectory. Caregivers (n = 327) of patients with malignant neoplasm were recruited from two dedicated home-based palliative care programmes in Southern Ontario, Canada from 1 July 2010 to 31 August 2012. Data were obtained from bi-weekly telephone interviews with caregivers from study admission until death, and from palliative care programme and home-care agency databases. Information collected comprised patient and caregiver demographics, utilisation of privately and publicly financed resources, patient clinical status and caregiver burden. The average age of the caregivers was 59.0 years (SD: 13.2), and almost 70% were female. Caregiver burden increased over time in a non-linear fashion from study admission to patient death. Increased monthly unpaid care-giving time costs, monthly public personal support worker costs, emergency department visits and low patient functional status were associated with higher caregiver burden. Greater use of hospice care was associated with lower burden. Female caregivers tended to report more burden compared to men as death approached, and burden was higher when patients were male. Low patient functional status was the strongest predictor of burden. Understanding the influence of modifiable and non-modifiable factors on the experience of burden over the palliative trajectory is essential for the development and targeting of programmes and policies to support family caregivers and reduce burden. Supporting caregivers can have benefits such as improved caregiver health outcomes, and enhancing their ability to meet care-giving demands, thereby potentially allowing for longer patient care in the home setting.
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“Guerriere et al., también encontró una asociación entre el uso de cuidados paliativos y una menor CdC(Guerriere et al., 2016).”
From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Guerriere et al., 2016
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“A su vez la sobrecarga del cuidador también es considerado un predictor de depresión y ansiedad capaz de extenderse hasta la etapa de duelo (Guerriere et al., 2016)”
From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Guerriere et al., 2016
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“la CdC es un importante predictor de depresión y ansiedad que puede llegar a manifestarse hasta la etapa de duelo (Guerriere et al., 2016).”
From Sobrecarga de trabajo en cuidadores de pacientes en cuidados paliativos oncológicos: Una revisión bibliográfica (2023) · cites this paper as Guerriere et al., 2016
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Cites
Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence
Singer, J. D., & Willett, J. B. (2003) · doi:10.1093/acprof:oso/9780195152968.001.0001 · Cited by 10,647
Caregiving as a Risk Factor for Mortality: The Caregiver Health Effects Study
Schulz, R., & Beach, S. R. (1999) · JAMA · doi:10.1001/jama.282.23.2215 · Cited by 3,340 · cited 1×
“Furthermore, many of these outcomes extend into bereavement, increasing morbidity and mortality (Schulz & Beach 1999, Schulz et al. 2008, Kapari et al. 2010).”
BackgroundUsing SAS PROC MIXED to Fit Multilevel Models, Hierarchical Models, and Individual Growth Models
Singer, J. D. (1998) · Journal of Educational and Behavioral Statistics · doi:10.2307/1165280 · Cited by 1,092
Grunfeld, E. (2004) · Canadian Medical Association Journal · doi:10.1503/cmaj.1031205 · Cited by 963
Gomes, B., Calanzani, N., Curiale, V., McCrone, P., Higginson, I. J., & de Brito, M. F. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007760.pub2 · Cited by 848
Gelman, A., Carlin, J. B., Stern, H. S., Dunson, D. B., Vehtari, A., & Rubin, D. B. (2013) · Chapman & Hall/CRC eBooks · doi:10.1201/b16018-21 · Cited by 631
Burden and Depression Among Caregivers of Patients With Cancer at the End of Life
Given, B. A., Wyatt, G. K., Given, C. W., Sherwood, P. R., Gift, A. G., DeVoss, D. N., & Rahbar, M. H. (2004) · Oncology nursing forum · doi:10.1188/04.onf.1105-1117 · Cited by 487
Emanuel, E. J., Fairclough, D. L., Slutsman, J., & Emanuel, L. L. (2000) · Annals of Internal Medicine · doi:10.7326/0003-4819-132-6-200003210-00005 · Cited by 433
Analysis of the Reliability of the Modified Caregiver Strain Index
Thornton, M., & Travis, S. S. (2003) · The Journals of Gerontology Series B · doi:10.1093/geronb/58.2.s127 · Cited by 413
Burden in Caregivers of Older Adults with Advanced Illness
Garlo, K. G., O’Leary, J. R., Ness, P. H. V., & Fried, T. R. (2010) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2010.03177.x · Cited by 309
Rhee, Y. S., Yun, Y. H., Park, S., Shin, D. O., Lee, K. M., Yoo, H. J., Kim, J. H., Kim, S. O., Lee, R., Lee, Y. O., et al. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.15.3957 · Cited by 268
Relationship Between Caregiver Burden and Health-Related Quality of Life
Hughes, S. L., Giobbie‐Hurder, A., Weaver, F. M., Kubal, J. D., & Henderson, W. G. (1999) · The Gerontologist · doi:10.1093/geront/39.5.534 · Cited by 204
Severens, J. L., Mulder, J., Laheij, R. J. F., & Verbeek, A. L. M. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00452-9 · Cited by 196
Williams, A.-L., & McCorkle, R. (2011) · Palliative & Supportive Care · doi:10.1017/s1478951511000265 · Cited by 193
A reliability and validity study of the Palliative Performance Scale
Ho, F. C. H., Lau, F., Downing, M. G., & Lesperance, M. (2008) · BMC Palliative Care · doi:10.1186/1472-684x-7-10 · Cited by 193
Factors Associated with Caregiver Burden among Caregivers of Terminally Ill Patients with Cancer
Goldstein, N. E., Concato, J., Fried, T. R., Kasl, S. V., Johnson-Hurzeler, R., & Bradley, E. H. (2004) · Journal of Palliative Care · doi:10.1177/082585970402000108 · Cited by 190 · cited 1×
“…stages of illness, sites of care, and both palliative and non-palliative settings (Emanuel et al. 2000, Brazil et al. 2003, Hwang et al. 2003, Goldstein et al. 2004, Rhee et al. 2008, Papastavrou et al. 2009, Francis et al. 2010, Burton et al. 2012, Park et al. 2012, Shieh et al. 2012,…”
BackgroundKnight, B. G., Robinson, G. S., Longmire, C. F., Chun, M., Nakao, K., & Kim, J. H. (2002) · Ageing International · doi:10.1007/s12126-003-1003-y · Cited by 188
Family Caregivers and Palliative Care: Current Status and Agenda for the Future
Hudson, P., & Payne, S. A. (2011) · Journal of Palliative Medicine · doi:10.1089/jpm.2010.0413 · Cited by 187
Meta-analysis of Survival Prediction with Palliative Performance Scale
Downing, M. G., Lau, F., Lesperance, M., Karlson, N., Shaw, J., Kuziemsky, C. E., Bernard, S., Hanson, L. C., Olajide, L., Head, B. J., et al. (2007) · Journal of Palliative Care · doi:10.1177/082585970702300402 · Cited by 142
Exploring the other side of cancer care: The informal caregiver
Papastavrou, E., Charalambous, A., & Tsangari, H. (2009) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2009.02.003 · Cited by 140
Quality of life and mental health in family caregivers of patients with terminal cancer
Song, J. I., Shin, D. W., Choi, J. Y., Kang, J., Baik, Y. J., Mo, H. N., Park, M., Choi, S. E., Kwak, J. H., & Kim, E. J. (2011) · Supportive Care in Cancer · doi:10.1007/s00520-010-0977-8 · Cited by 134
Hwang, S. S., Chang, V. T.-S., Alejandro, Y., Osenenko, P., DAVIS, C., COGSWELL, J., Srinivas, S., & Kasimis, B. S. (2003) · Palliative & Supportive Care · doi:10.1017/s1478951503030475 · Cited by 115
The American Cancer Society challenge goals
Byers, T., Mouchawar, J., Marks, J. S., Cady, B., Lins, N., Swanson, G. M., Bal, D. G., & Eyre, H. J. (1999) · Cancer · doi:10.1002/(sici)1097-0142(19990815)86:4 · Cited by 112
Burton-Chase, A. M., Sautter, J. M., Tulsky, J. A., Lindquist, J. H., Hays, J. C., Olsen, M. K., Zimmerman, S. I., & Steinhauser, K. E. (2012) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2011.09.018 · Cited by 107
Family caregivers in palliative care
Hauser, J. M., & Kramer, B. J. (2004) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2004.07.003 · Cited by 102
Park, C., Shin, D. W., Choi, J. Y., Kang, J., Baek, Y. J., Mo, H. N., Lee, M., Park, S., Park, S. M., & Park, S. (2010) · Psycho-Oncology · doi:10.1002/pon.1893 · Cited by 91
Which carers of family members at the end of life need more support from health services and why?
McNamara, B. A., & Rosenwax, L. K. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2009.11.029 · Cited by 85
Yoon, S., Kim, J.-S., Jung, J. G., Kim, S., & Kim, S. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-013-2077-z · Cited by 84
Caregiving and its impact on families of the terminally ill
Brazil, K., Bédard, M., Willison, K. B., & Hode, M. (2003) · Aging & Mental Health · doi:10.1080/1360786031000150649 · Cited by 74
Self-citationRelationship quality and burden among caregivers for late-stage cancer patients
Francis, L. E., Worthington, J., Kypriotakis, G., & Rose, J. H. (2010) · Supportive Care in Cancer · doi:10.1007/s00520-009-0765-5 · Cited by 71
Gender differences among Canadian spousal caregivers at the end of life
Brazil, K., Thabane, L., Foster, G., & Bédard, M. (2008) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2008.00813.x · Cited by 71
Self-citationThe influence of end‐of‐life cancer care on caregivers
Doorenbos, A. Z., Given, B. A., Given, C. W., Wyatt, G. K., Gift, A. G., Rahbar, M. H., & Jeon, S. (2007) · Research in Nursing & Health · doi:10.1002/nur.20217 · Cited by 71
Informal Caregiving of Hospice Patients
Pottie, C. G., Burch, K. A., Thomas, L. P. M., & Irwin, S. A. (2014) · Journal of Palliative Medicine · doi:10.1089/jpm.2013.0196 · Cited by 70
Association between hope and burden reported by family caregivers of patients with advanced cancer
Utne, I., Miaskowski, C. A., Paul, S. M., & Rustøen, T. (2013) · Supportive Care in Cancer · doi:10.1007/s00520-013-1824-5 · Cited by 66
Shieh, S., Tung, H., & Liang, S. (2012) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2012.01453.x · Cited by 62
Lee, K. C., Chang, W., Chou, W., Su, P., Hsieh, C., Chen, J., & Tang, S. T. (2013) · Journal of Palliative Medicine · doi:10.1089/jpm.2012.0499 · Cited by 62
Schulz, R., Hebert, R. S., & Boerner, K. (2008) · PubMed · Cited by 60
Chai, H., Guerriere, D. N., Zagorski, B., & Coyte, P. C. (2013) · Health & Social Care in the Community · doi:10.1111/hsc.12058 · Cited by 58
Self-citationHospice Care: What Services Do Patients and Their Families Receive?
Carlson, M. D. A., Morrison, R. S., Holford, T. R., & Bradley, E. H. (2007) · Health Services Research · doi:10.1111/j.1475-6773.2006.00685.x · Cited by 55
Stress processes in caring for an end-of-life family member: Application of a theoretical model
Bainbridge, D. B., Krueger, P. D., Lohfeld, L. H., & Brazil, K. (2009) · Aging & Mental Health · doi:10.1080/13607860802607322 · Cited by 54
Self-citationA New Tool to Assess Family Caregivers’ Burden during End-of-Life Care
Dumont, S., Fillion, L., Gagnon, P. R., & Bernier, N. (2008) · Journal of Palliative Care · doi:10.1177/082585970802400304 · Cited by 53
Costs and determinants of privately financed home-based health care in Ontario, Canada
Guerriere, D. N., Wong, A. Y. M., Croxford, R., Leong, V. W.-S., McKeever, P. D., & Coyte, P. C. (2007) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2007.00732.x · Cited by 44
Self-citationGuerriere, D. N., & Coyte, P. C. (2011) · Journal of Aging Research · doi:10.4061/2011/374237 · Cited by 44
Self-citationTeixeira, R. J., & Pereira, M. G. (2012) · Psycho-Oncology · doi:10.1002/pon.3173 · Cited by 34
Risk Factors for Common Mental Disorder in Caregiving and Bereavement
Kapari, M., Addington-Hall, J. M., & Hotopf, M. H. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.03.014 · Cited by 34
Economic Burden of Ambulatory and Home-Based Care for Adults with Cystic Fibrosis
Guerriere, D. N., Tullis, E. D., Ungar, W. J., Tranmer, J. E., Corey, M. L., Gaskin, L., Carpenter, S., & Coyte, P. C. (2006) · Treatments in Respiratory Medicine · doi:10.2165/00151829-200605050-00006 · Cited by 30
Self-citationAvailability of Services in Ontario Hospices and Hospitals Providing Inpatient Palliative Care
Towns, K., Dougherty, E., Kevork, N., Wiljer, D., Seccareccia, D., Rodin, G., Le, L. W., & Zimmermann, C. (2012) · Journal of Palliative Medicine · doi:10.1089/jpm.2011.0453 · Cited by 22
Research works printed but not linked: 1
- Guerriere, 2016, Predictors of place of death across the home based care trajectory, Journal of Palliative Care, 24, 428
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Lindt, N., van Berkel, J., & Mulder, B. C. (2020) · BMC Geriatrics · doi:10.1186/s12877-020-01708-3 · Cited by 377
Factors Associated With Higher Caregiver Burden Among Family Caregivers of Elderly Cancer Patients
Ge, L., & Mordiffi, S. Z. (2016) · Cancer Nursing · doi:10.1097/ncc.0000000000000445 · Cited by 149
Ahn, S., Romo, R. D., & Campbell, C. L. (2020) · Patient Education and Counseling · doi:10.1016/j.pec.2020.03.012 · Cited by 155
Analysis of caregiver burden in palliative care: An integrated review
Choi, S., & Seo, J. (2019) · Nursing Forum · doi:10.1111/nuf.12328 · Cited by 124
Bijnsdorp, F. M., Onwuteaka-Philipsen, B. D., Boot, C. R. L., van der Beek, A. J., & Pasman, H. R. W. (2022) · BMC Palliative Care · doi:10.1186/s12904-022-01031-1 · Cited by 111
Metadata
- Authors
- Guerriere, D., Husain, A., Zagorski, B., Marshall, D., Seow, H., Brazil, K., Kennedy, J., Burns, S., Brooks, H., & Coyte, P. C.
- Affiliations
- University of Toronto (CA)
- Mount Sinai Hospital (CA)
- McMaster University (CA)
- Juravinski Cancer Centre (CA)
- Queen's University Belfast (GB)
- St. Joseph’s Healthcare Hamilton (CA)
- Queen's University (CA)
- Corresponding author
- Guerriere, Denise
- ORCID
- Venue
- Health & Social Care in the Community
- Publisher
- Wiley
- Published
- 2015-03-25
- Volume
- 24
- Issue
- 4
- Pages
- 428-438
- ISSN
- 0966-0410 (ISSN-L)
- OpenAlex
- W1983137016
- Cited by
- 107
- References
- 48
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 6 · 2023: 15 · 2022: 10 · 2021: 17 · 2020: 12 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 4 · 2015: 2
- FWCI
- 6.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health & Social Care in the Community (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Funders
- Canadian Institutes of Health Research (PHE-101530)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Keywords
- caregiver burden, family caregivers, home-based palliative care, cancer, patient functional status, hospice care, personal support workers, emergency department visits, gender differences in caregiving, caregiver support programmes
- MeSH terms
- Family Health, Female, Home Care Services, Humans, Male, Middle Aged, Ontario, Palliative Care, Prospective Studies, Caregivers
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