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Dublin Core
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Title
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2019 Oncology List
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Citation List Month
Oncology 2019 List
URL Address
<a href="http://doi.org/10.1089/jpm.2019.0078" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/jpm.2019.0078</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Effects of the Values and Options in Cancer Care Communication Intervention on Personal Caregiver Experiences of Cancer Care and Bereavement Outcomes
Publisher
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Journal of Palliative Medicine
Date
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2019
Subject
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bereavement; cancer; caregiving; communication interventions; patient-physician communication; prolonged grief; purpose in life; satisfaction with care
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Duberstein P R; Maciejewski P K; Epstein R M; Fenton J J; Chapman B; Norton S A; Hoerger M; Wittink M N; Tancredi D J; Xing G; Mohile S; Kravitz R L; Prigerson H G
Description
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Background: Care teams are increasingly expected to attend to the needs of patient's personal caregivers (e.g., family members). Improving communication among oncologists, patients with advanced cancer, and their personal caregivers might enhance caregivers' experiences of end-of-life (EoL) cancer care and bereavement outcomes. Objective: To explore the effects of the Values and Options in Cancer Care intervention on caregivers' experiences of EoL care and bereavement outcomes. Design: We developed a brief behavioral intervention to improve communication among oncologists, patients with advanced cancer, and their personal caregivers. The intervention was designed to help patients/caregivers ask questions, express concerns, and help oncologists respond effectively. We randomly assigned oncologists (and their patients/caregivers) to the intervention or usual care. Setting/Subjects: Medical oncologists in NY and CA; patients/personal caregivers with advanced cancer. Measurements: Two months after the patient's death, caregivers completed three instruments assessing their experiences of EoL care. Seven months after the patient's death, caregivers completed the Prolonged Grief Disorder-13 (PG-13; primary prespecified outcome), the Purpose-in-Life scale, and scales assessing mental health function, depression, and anxiety. Results: The intervention did not significantly improve caregivers' scores on the PG-13 (p = 0.21), mental health function, depression, or anxiety, but it did improve purpose-in-life scores (p = 0.018). Cohen's d (95% confidence interval) for all three experiences of EoL care outcomes were promising, ranging from 0.22 (-0.19 to 0.63) to 0.39 (-0.07 to 0.86) although none was statistically significant. Conclusion: Preliminary findings show promise that scalable interventions in cancer care settings may improve caregiver experiences with cancer care and some bereavement outcomes.
Identifier
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<a href="http://doi.org/10.1089/jpm.2019.0078" target="_blank" rel="noreferrer noopener">10.1089/jpm.2019.0078</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Bereavement
Cancer
Caregiving
Chapman B
communication interventions
Duberstein P R
Epstein R M
Fenton J J
Hoerger M
Journal of Palliative Medicine
Kravitz R L
Maciejewski P K
Mohile S
Norton S A
Oncology 2019 List
patient-physician communication
Prigerson H G
prolonged grief
purpose in life
satisfaction with care
Tancredi D J
Wittink M N
Xing G