View in EDS HTML Full Text PDF Full Text

Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers: Effects and mediation in a randomized controlled trial.

Saved in:
Bibliographic Details
Title: Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers: Effects and mediation in a randomized controlled trial.
Authors: Heymann‐Horan, Annika, Bidstrup, Pernille Envold, Johansen, Christoffer, Rottmann, Nina, Andersen, Elisabeth Anne Wreford, Sjøgren, Per, Maase, Hans, Timm, Helle, Kjellberg, Jakob, Guldin, Mai‐Britt, von Heymann-Horan, Annika, von der Maase, Hans, Guldin, Mai-Britt
Source: Psycho-Oncology. Feb2019, Vol. 28 Issue 2, p264-270. 7p. 1 Diagram, 2 Charts.
Subjects: Palliative treatment, Randomized controlled trials, Burden of care, Home care services, Cancer patients, Mediation, Path analysis (Statistics)
Abstract: Objective: Specialized palliative care (SPC) interventions increasingly include patient-caregiver dyads, but their effects on dyadic coping are unknown. We investigated whether an SPC and dyadic psychological intervention increased aspects of dyadic coping in patients with advanced cancer and their caregivers, whether dyad characteristics moderated effects and whether aspects of dyadic coping mediated significant intervention effects on caregivers' anxiety and depression.Methods: We randomized 258 patients with incurable cancer and their caregivers to care as usual or accelerated transition from oncological treatment to home-based SPC and dyadic psychological support. In secondary outcome analyses, using mixed-effects models, we estimated intervention effects and 95% confidence intervals (CIs) for communication of stress and common coping, and moderation by dyad type and demographics. In path analyses, we investigated whether stress communication and common coping mediated intervention effects on caregivers' symptoms of anxiety and depression. (Clinicaltrials.gov NCT01885637).Results: The intervention significantly increased common coping in patients and caregivers in couples (estimated difference, 0.68; 95% CI, 0.11 to 1.24) and stress communication by partner caregivers (0.97; 0.24 to 1.24). We found some support for different intervention effects for spouses and other dyads, but no evidence of mediation.Conclusions: Specialized palliative care and dyadic psychological intervention may affect aspects of dyadic coping. Common coping and stress communication did not mediate the previously found significant intervention effects on caregiver anxiety and depression, indicating that other mechanisms may have been central in the intervention. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 134738721
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers: Effects and mediation in a randomized controlled trial.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Heymann‐Horan%2C+Annika%22">Heymann‐Horan, Annika</searchLink><br /><searchLink fieldCode="AR" term="%22Bidstrup%2C+Pernille+Envold%22">Bidstrup, Pernille Envold</searchLink><br /><searchLink fieldCode="AR" term="%22Johansen%2C+Christoffer%22">Johansen, Christoffer</searchLink><br /><searchLink fieldCode="AR" term="%22Rottmann%2C+Nina%22">Rottmann, Nina</searchLink><br /><searchLink fieldCode="AR" term="%22Andersen%2C+Elisabeth+Anne+Wreford%22">Andersen, Elisabeth Anne Wreford</searchLink><br /><searchLink fieldCode="AR" term="%22Sjøgren%2C+Per%22">Sjøgren, Per</searchLink><br /><searchLink fieldCode="AR" term="%22Maase%2C+Hans%22">Maase, Hans</searchLink><br /><searchLink fieldCode="AR" term="%22Timm%2C+Helle%22">Timm, Helle</searchLink><br /><searchLink fieldCode="AR" term="%22Kjellberg%2C+Jakob%22">Kjellberg, Jakob</searchLink><br /><searchLink fieldCode="AR" term="%22Guldin%2C+Mai‐Britt%22">Guldin, Mai‐Britt</searchLink><br /><searchLink fieldCode="AR" term="%22von+Heymann-Horan%2C+Annika%22">von Heymann-Horan, Annika</searchLink><br /><searchLink fieldCode="AR" term="%22von+der+Maase%2C+Hans%22">von der Maase, Hans</searchLink><br /><searchLink fieldCode="AR" term="%22Guldin%2C+Mai-Britt%22">Guldin, Mai-Britt</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Feb2019, Vol. 28 Issue 2, p264-270. 7p. 1 Diagram, 2 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Burden+of+care%22">Burden of care</searchLink><br /><searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Mediation%22">Mediation</searchLink><br /><searchLink fieldCode="DE" term="%22Path+analysis+%28Statistics%29%22">Path analysis (Statistics)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Objective: </bold>Specialized palliative care (SPC) interventions increasingly include patient-caregiver dyads, but their effects on dyadic coping are unknown. We investigated whether an SPC and dyadic psychological intervention increased aspects of dyadic coping in patients with advanced cancer and their caregivers, whether dyad characteristics moderated effects and whether aspects of dyadic coping mediated significant intervention effects on caregivers' anxiety and depression.<bold>Methods: </bold>We randomized 258 patients with incurable cancer and their caregivers to care as usual or accelerated transition from oncological treatment to home-based SPC and dyadic psychological support. In secondary outcome analyses, using mixed-effects models, we estimated intervention effects and 95% confidence intervals (CIs) for communication of stress and common coping, and moderation by dyad type and demographics. In path analyses, we investigated whether stress communication and common coping mediated intervention effects on caregivers' symptoms of anxiety and depression. (Clinicaltrials.gov NCT01885637).<bold>Results: </bold>The intervention significantly increased common coping in patients and caregivers in couples (estimated difference, 0.68; 95% CI, 0.11 to 1.24) and stress communication by partner caregivers (0.97; 0.24 to 1.24). We found some support for different intervention effects for spouses and other dyads, but no evidence of mediation.<bold>Conclusions: </bold>Specialized palliative care and dyadic psychological intervention may affect aspects of dyadic coping. Common coping and stress communication did not mediate the previously found significant intervention effects on caregiver anxiety and depression, indicating that other mechanisms may have been central in the intervention. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=134738721
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/pon.4932
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 264
    Subjects:
      – SubjectFull: Palliative treatment
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Burden of care
        Type: general
      – SubjectFull: Home care services
        Type: general
      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Mediation
        Type: general
      – SubjectFull: Path analysis (Statistics)
        Type: general
    Titles:
      – TitleFull: Dyadic coping in specialized palliative care intervention for patients with advanced cancer and their caregivers: Effects and mediation in a randomized controlled trial.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Heymann‐Horan, Annika
      – PersonEntity:
          Name:
            NameFull: Bidstrup, Pernille Envold
      – PersonEntity:
          Name:
            NameFull: Johansen, Christoffer
      – PersonEntity:
          Name:
            NameFull: Rottmann, Nina
      – PersonEntity:
          Name:
            NameFull: Andersen, Elisabeth Anne Wreford
      – PersonEntity:
          Name:
            NameFull: Sjøgren, Per
      – PersonEntity:
          Name:
            NameFull: Maase, Hans
      – PersonEntity:
          Name:
            NameFull: Timm, Helle
      – PersonEntity:
          Name:
            NameFull: Kjellberg, Jakob
      – PersonEntity:
          Name:
            NameFull: Guldin, Mai‐Britt
      – PersonEntity:
          Name:
            NameFull: von Heymann-Horan, Annika
      – PersonEntity:
          Name:
            NameFull: von der Maase, Hans
      – PersonEntity:
          Name:
            NameFull: Guldin, Mai-Britt
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2019
              Type: published
              Y: 2019
          Identifiers:
            – Type: issn-print
              Value: 10579249
          Numbering:
            – Type: volume
              Value: 28
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Psycho-Oncology
              Type: main
ResultId 1