Family caregiving challenges in advanced colorectal cancer: patient and caregiver perspectives

Catherine E. Mosher, Rebecca N. Adams, Paul Helft, Bert H. O’Neil, Safi Shahda, Nicholas A. Rattray, Victoria Champion

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Purpose: Family caregivers of advanced colorectal cancer patients may be at increased risk for psychological distress. Yet their key challenges in coping with the patient’s illness are not well understood. Soliciting both patient and caregiver perspectives on these challenges would broaden our understanding of the caregiving experience. Thus, the purpose of this research was to identify caregivers’ key challenges in coping with their family member’s advanced colorectal cancer from the perspective of patients and caregivers. Methods: Individual, semi-structured qualitative interviews were conducted with 23 advanced colorectal cancer patients and 23 primary family caregivers. Interview data were analyzed via thematic analysis. Results: In nearly all cases, patient and caregiver reports of the caregiver’s key challenge were discrepant. Across patient and caregiver reports, caregivers’ key challenges included processing emotions surrounding the patient’s initial diagnosis or recurrence and addressing the patient’s practical and emotional needs. Other challenges included coping with continual uncertainty regarding the patient’s potential functional decline and prognosis and observing the patient suffer from various physical symptoms. Conclusions: Findings suggest that eliciting the perspectives of both patients and caregivers regarding caregivers’ challenges provides a more comprehensive understanding of their experience. Results also point to the need to assist caregivers with the emotional and practical aspects of caregiving.

Original languageEnglish (US)
JournalSupportive Care in Cancer
DOIs
StateAccepted/In press - Nov 4 2015

Fingerprint

Caregivers
Colorectal Neoplasms
Interviews
Uncertainty
Emotions
Psychology
Recurrence

Keywords

  • Colorectal cancer
  • Coping
  • Distress
  • Family caregivers
  • Psychological
  • Qualitative

ASJC Scopus subject areas

  • Oncology

Cite this

Family caregiving challenges in advanced colorectal cancer : patient and caregiver perspectives. / Mosher, Catherine E.; Adams, Rebecca N.; Helft, Paul; O’Neil, Bert H.; Shahda, Safi; Rattray, Nicholas A.; Champion, Victoria.

In: Supportive Care in Cancer, 04.11.2015.

Research output: Contribution to journalArticle

Mosher, Catherine E. ; Adams, Rebecca N. ; Helft, Paul ; O’Neil, Bert H. ; Shahda, Safi ; Rattray, Nicholas A. ; Champion, Victoria. / Family caregiving challenges in advanced colorectal cancer : patient and caregiver perspectives. In: Supportive Care in Cancer. 2015.
@article{fa917f1da7fe46d3a9bce39bf964127f,
title = "Family caregiving challenges in advanced colorectal cancer: patient and caregiver perspectives",
abstract = "Purpose: Family caregivers of advanced colorectal cancer patients may be at increased risk for psychological distress. Yet their key challenges in coping with the patient’s illness are not well understood. Soliciting both patient and caregiver perspectives on these challenges would broaden our understanding of the caregiving experience. Thus, the purpose of this research was to identify caregivers’ key challenges in coping with their family member’s advanced colorectal cancer from the perspective of patients and caregivers. Methods: Individual, semi-structured qualitative interviews were conducted with 23 advanced colorectal cancer patients and 23 primary family caregivers. Interview data were analyzed via thematic analysis. Results: In nearly all cases, patient and caregiver reports of the caregiver’s key challenge were discrepant. Across patient and caregiver reports, caregivers’ key challenges included processing emotions surrounding the patient’s initial diagnosis or recurrence and addressing the patient’s practical and emotional needs. Other challenges included coping with continual uncertainty regarding the patient’s potential functional decline and prognosis and observing the patient suffer from various physical symptoms. Conclusions: Findings suggest that eliciting the perspectives of both patients and caregivers regarding caregivers’ challenges provides a more comprehensive understanding of their experience. Results also point to the need to assist caregivers with the emotional and practical aspects of caregiving.",
keywords = "Colorectal cancer, Coping, Distress, Family caregivers, Psychological, Qualitative",
author = "Mosher, {Catherine E.} and Adams, {Rebecca N.} and Paul Helft and O’Neil, {Bert H.} and Safi Shahda and Rattray, {Nicholas A.} and Victoria Champion",
year = "2015",
month = "11",
day = "4",
doi = "10.1007/s00520-015-2995-z",
language = "English (US)",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",

}

TY - JOUR

T1 - Family caregiving challenges in advanced colorectal cancer

T2 - patient and caregiver perspectives

AU - Mosher, Catherine E.

AU - Adams, Rebecca N.

AU - Helft, Paul

AU - O’Neil, Bert H.

AU - Shahda, Safi

AU - Rattray, Nicholas A.

AU - Champion, Victoria

PY - 2015/11/4

Y1 - 2015/11/4

N2 - Purpose: Family caregivers of advanced colorectal cancer patients may be at increased risk for psychological distress. Yet their key challenges in coping with the patient’s illness are not well understood. Soliciting both patient and caregiver perspectives on these challenges would broaden our understanding of the caregiving experience. Thus, the purpose of this research was to identify caregivers’ key challenges in coping with their family member’s advanced colorectal cancer from the perspective of patients and caregivers. Methods: Individual, semi-structured qualitative interviews were conducted with 23 advanced colorectal cancer patients and 23 primary family caregivers. Interview data were analyzed via thematic analysis. Results: In nearly all cases, patient and caregiver reports of the caregiver’s key challenge were discrepant. Across patient and caregiver reports, caregivers’ key challenges included processing emotions surrounding the patient’s initial diagnosis or recurrence and addressing the patient’s practical and emotional needs. Other challenges included coping with continual uncertainty regarding the patient’s potential functional decline and prognosis and observing the patient suffer from various physical symptoms. Conclusions: Findings suggest that eliciting the perspectives of both patients and caregivers regarding caregivers’ challenges provides a more comprehensive understanding of their experience. Results also point to the need to assist caregivers with the emotional and practical aspects of caregiving.

AB - Purpose: Family caregivers of advanced colorectal cancer patients may be at increased risk for psychological distress. Yet their key challenges in coping with the patient’s illness are not well understood. Soliciting both patient and caregiver perspectives on these challenges would broaden our understanding of the caregiving experience. Thus, the purpose of this research was to identify caregivers’ key challenges in coping with their family member’s advanced colorectal cancer from the perspective of patients and caregivers. Methods: Individual, semi-structured qualitative interviews were conducted with 23 advanced colorectal cancer patients and 23 primary family caregivers. Interview data were analyzed via thematic analysis. Results: In nearly all cases, patient and caregiver reports of the caregiver’s key challenge were discrepant. Across patient and caregiver reports, caregivers’ key challenges included processing emotions surrounding the patient’s initial diagnosis or recurrence and addressing the patient’s practical and emotional needs. Other challenges included coping with continual uncertainty regarding the patient’s potential functional decline and prognosis and observing the patient suffer from various physical symptoms. Conclusions: Findings suggest that eliciting the perspectives of both patients and caregivers regarding caregivers’ challenges provides a more comprehensive understanding of their experience. Results also point to the need to assist caregivers with the emotional and practical aspects of caregiving.

KW - Colorectal cancer

KW - Coping

KW - Distress

KW - Family caregivers

KW - Psychological

KW - Qualitative

UR - http://www.scopus.com/inward/record.url?scp=84946149065&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84946149065&partnerID=8YFLogxK

U2 - 10.1007/s00520-015-2995-z

DO - 10.1007/s00520-015-2995-z

M3 - Article

C2 - 26530227

AN - SCOPUS:84946149065

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

ER -