Sharing in care: engaging care partners in the care and communication of breast cancer patients.
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ABSTRACT:
SUBMITTER: Wolff JL
PROVIDER: S-EPMC6640103 | biostudies-literature | 2019 Aug
REPOSITORIES: biostudies-literature
Publications
Sharing in care: engaging care partners in the care and communication of breast cancer patients.
Wolff Jennifer L JL Aufill Jennifer J Echavarria Diane D Heughan JaAlah-Ai JA Lee Kimberley T KT Connolly Roisin M RM Fetting John H JH Jelovac Danijela D Papathakis Katie K Riley Carol C Stearns Vered V Thorner Elissa E Zafman Nelli N Levy Howard P HP Dy Sydney M SM Wolff Antonio C AC
Breast cancer research and treatment 20190604 1
<h4>Purpose</h4>Family is often overlooked in cancer care. We developed a patient-family agenda setting intervention to engage family in cancer care communication.<h4>Methods</h4>We conducted a pilot randomized controlled trial (NCT03283553) of patients on active treatment for breast cancer and their family "care partner." Intervention dyads (n = 69) completed a self-administered checklist to clarify care partner roles, establish a shared visit agenda, and facilitate MyChart patient portal acces ...[more]
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Project description:ObjectiveTo test the psychometric properties of the Dutch 45-item Supportive Care Needs Survey-Partners and Caregivers (SCNS-P&C45-D) among partners of women with breast cancer living in the Netherlands.MethodsIn this cross-sectional validation study, partners of patients with breast cancer were invited to complete a survey on the patient's cancer and the caregiver's level of unmet needs (SCNS-P&C45-D), psychological distress (HADS) and burden (EDIZ).Results43% of the invited informal caregivers responded (n?=?302). Flooring effects were identified for three items of the SCNS-P&C45-D,which were then deleted from further analysis. The original factor structure and loading pattern of the SCNS-P&C45-D was not replicated. Internal consistency of the SCNS-P&C45-D and all subscales' (emotional and relational needs, health care and illness related needs, practical needs, work and social needs) Cronbach's alpha coefficients exceeded 0.80, the entire measure's Cronbach's alpha is 0.98. Most SCNS-P&C45-D subscales showed moderate correlations with distress and burden from informal care which was in line with expectations based on validity. The domain 'Work and Social needs' showed a high correlation with burden from informal care. Participants reported significantly more or higher unmet needs if they were younger (25.5% vs. 20.3% in older patients, p?=?0.004), if diagnosis was less than 1?year ago in one subscale (Health Care and Illness related needs; 19.5% and 18%, p?=?0.029, and the total SCNS-P&C45-D; 23.2% vs. 22.4%, p?=?0.018).ConclusionsThe SCNS-P&C45-D is able to identify those partners of patients with breast cancer in need and those who are not.
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