Exploring Differences in Caregiver Communication in Serious Illness.

Autor: Wittenberg E; Department of Communication Studies, California State University, Los Angeles, Los Angeles, California, USA., Goldsmith JV; Department of Communication and Film, University of Memphis, Memphis, Tennessee, USA., Savage MW; School of Communication, San Diego State University, San Diego, California, USA., Sullivan SS; School of Nursing, University at Buffalo, State University of New York, Buffalo, New York, USA.
Jazyk: angličtina
Zdroj: Journal of palliative medicine [J Palliat Med] 2023 Jul; Vol. 26 (7), pp. 922-929. Date of Electronic Publication: 2023 Jan 05.
DOI: 10.1089/jpm.2022.0406
Abstrakt: Background: Demographic factors, such as disease context and family relationships, are communication mediators and moderators; however, little is known about how understanding these factors can improve caregiver communication with providers. Recognition of communication differences among caregivers may aid the development of approaches to improve serious illness communication. Objective: To explore whether caregiver communication differs by disease context (cancer vs. dementia) and caregiver communication type (Manager, Carrier, Partner, and Lone). Caregiver communication type is based on communication patterns between the care recipient and caregiver. Design and Measurements: Caregivers of persons with cancer and/or dementia were surveyed from a U.S. national research registry website. Measures of caregiver communication included information needs, communication confidence, perception of provider understanding of the caregiver, perceived frequency of caregiver assessment, and caregiver stress. Analysis of variance (ANOVA) determined significant differences between caregiver communication ( p  < 0.05) based on disease context and caregiver communication type. Results: Cancer caregivers reported higher unrecognized-demanded information states (i.e., not recognizing information was needed), more communication confidence, and more frequent caregiver assessment compared to dementia caregivers. Among caregiver communication types, Manager caregiver types were more confident communicating than other caregiver types and perceived greater understanding by providers than the Lone caregiver type. Manager caregivers reported significantly less stress than other caregiver communication types. Conclusions: Understanding disease context and caregiver communication type may help improve caregiver communication with health care providers.
Databáze: MEDLINE