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What We Talk about When We Talk about Caregiving: The Distribution of Roles in Cancer Patient Caregiving in a Family-Oriented Culture
Ansuk Jeong, Dongwook Shin, Jong Hyock Park, Keeho Park
Cancer Res Treat. 2019;51(1):141-149.   Published online March 21, 2018
DOI: https://doi.org/10.4143/crt.2017.557
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
When it comes to cancer care, the psychological well-being of family caregivers has gotten its deserved attention. However, the specific roles that the family caregivers take have not been examined as much. The current study aimed to investigate the distribution of family caregivers’ roles, particularly in a family-oriented culture, Korea.
Materials and Methods
A sample of 439 participants was recruited from 11 national and regional cancer centers in Korea. The participants who were 60 years old or above went through treatments for their gastric, colorectal, or lung cancer. The individual survey included questions regarding the family type, living arrangement, and the sources of support when it comes to their physical, emotional, financial, and decision-making needs.
Results
The responses from the participants showed that cancer caregiving is shared by multiple family caregivers; the major source of support for elderly cancer patients on diverse domains was their spouse; patients’ reliance on their daughter(s) increased for emotional support; and patients’ reliance on their son(s) stood out for financial support and decision-making support. Also, the older the patients were, the heavier their reliance was on the adult children, including sons, daughters, and daughters-in-law.
Conclusion
Future support programs for elderly cancer patients are suggested to involve multiple family caregivers to encourage effective and efficient intervention. Also, the limitations of the current study and the suggestions for future research are discussed.

Citations

Citations to this article as recorded by  
  • Exploring the Lived Experiences of Caregiving for Older Family Members by Young Caregivers in Singapore: Transition, Trials, and Tribulations
    Araviinthansai Subramaniam, Kalyani Kirtikar Mehta
    International Journal of Environmental Research and Public Health.2024; 21(2): 182.     CrossRef
  • Good Together Makes it Better?
    Carolina Blom, Ana Catarina Reis, Leonor Lencastre
    European Journal of Psychology Open.2024; 83(3): 119.     CrossRef
  • Caregiving Strain, family functioning, and effort to change diet for patients with gastrointestinal cancer: A cross-sectional descriptive study
    Myung Kyung Lee
    European Journal of Oncology Nursing.2023; 62: 102264.     CrossRef
  • Preferred and actual involvement of caregivers in oncologic treatment decision-making: A systematic review
    Laura M.L. Tielemans, Kirsten D. van Heugten, Marije E. Hamaker, Inez C. van Walree
    Journal of Geriatric Oncology.2023; 14(6): 101525.     CrossRef
  • Effectiveness of Nursing Interventions for Patients With Cancer and their Family Members: A Systematic Review
    Cristina Alfaro-Díaz, Erla Kolbrun Svavarsdottir, Nuria Esandi, Marianne E. Klinke, Ana Canga-Armayor
    Journal of Family Nursing.2022; 28(2): 95.     CrossRef
  • Active Engagement, Protective Buffering, and Depressive Symptoms in Young-Midlife Couples Surviving Cancer: The Roles of Age and Sex
    Karen S. Lyons, Jessica R. Gorman, Brandon S. Larkin, Grace Duncan, Brandon Hayes-Lattin
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • Exploring positive experiences of primary and secondary caregivers of older persons in resource-limited urban settings in Accra, Ghana
    Frank Kyei-Arthur, Samuel Nii Ardey Codjoe, Delali Margaret Badasu, Vijayaprasad Gopichandran
    PLOS ONE.2022; 17(4): e0266269.     CrossRef
  • Health practices in Europe towards families of older patients with cancer: a scoping review
    Hanne Konradsen, Anne Brødsgaard, Birte Østergaard, Erla Svavarsdóttir, Karin B. Dieperink, Lorenz Imhof, Marie Louise Luttik, Romy Mahrer‐Imhof, Cristina García‐Vivar
    Scandinavian Journal of Caring Sciences.2021; 35(2): 375.     CrossRef
  • Family Caregivers' Emotional Preparedness for Death is Distinct from Their Cognitive Prognostic Awareness for Cancer Patients
    Siew Tzuh, Wen-Cheng Chang, Wen-Chi Chou, Chia-Hsun Hsieh, Jen-Shi Chen, Fur-Hsing Wen
    Journal of Palliative Medicine.2021; 24(3): 405.     CrossRef
  • Exploring perceptions and practices of cancer care among caregivers and care recipients of breast cancer in India
    Shradha S. Parsekar, Ajay Bailey, Binu V. S., Suma Nair
    Psycho-Oncology.2020; 29(4): 737.     CrossRef
  • 8,527 View
  • 183 Download
  • 11 Web of Science
  • 10 Crossref
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Patient’s Cognitive Function and Attitudes towards Family Involvement in Cancer Treatment Decision Making: A Patient-Family Caregiver Dyadic Analysis
Dong Wook Shin, Juhee Cho, Debra L. Roter, So Young Kim, Jong Hyock Park, Hyung Kook Yang, Hyun Woo Lee, Sun-Seog Kweon, Yune Sik Kang, Keeho Park
Cancer Res Treat. 2018;50(3):681-690.   Published online July 4, 2017
DOI: https://doi.org/10.4143/crt.2017.201
AbstractAbstract PDFPubReaderePub
Purpose
Older patient populations commonly have cognitive impairment, which might impact decisional capacity. We examined patients and family caregivers preferences for family involvement in treatment decision making assuming different level of cognitive impairment, and sought to explore the factors associated with the preferences and the degree to which patients and family members agree on preferences.
Materials and Methods
A total of 358 elderly cancer patient and caregiver dyads were recruited from the 11 cancer centers in Korea andwere asked to express their preferences forfamily involvement in treatment decision making using hypothetical scenarios with three different levels of cognitive status (intact, mild impairment, and severe impairment).
Results
Both patients and family caregivers preferred greater family dominance in treatment decision makingwith the increasing the level of cognitive impairment (39.7%, 60.9%, and 86.6% for patients and 45.0%, 66.2%, and 89.7% for caregivers in each scenarios). Patient and family caregiver concordance in decisional control preference was small for all three scenarios (weighted κ=0.32, κ=0.26, and κ=0.36, respectively). Higher patient education was associated with preference for patient dominance in treatment decision in conditions of both mild and severe cognitive impairment. The association of higher patient education and patient-caregiver preference concordance was positive with intact cognition, while it was negative with severe cognitive impairment.
Conclusion
Decision control preferences were affected by hypothesized cognitive status of the patients. Findings from our study would be helpful to develop effective strategy for optimizing family involvement in cancer treatment decision in the context of deteriorating cognitive function of the patients.

Citations

Citations to this article as recorded by  
  • Comorbid Dementia and Cancer Therapy Decision-Making: A Scoping Review
    Sean N. Halpin, Gabriel Alain, Aaron Seaman, Erin E. Stevens, Hui Zhao, Mackenzie E. Fowler, Qiuyang Zhang, Tamara Cadet, Minzhi Ye, Jessica L. Krok-Schoen
    Journal of Applied Gerontology.2024; 43(8): 1132.     CrossRef
  • Assessing the association between quantity and quality of family caregiver participation in decision-making clinical encounters on patient activation in the metastatic breast cancer setting
    Nicole L. Henderson, Tanvi Padalkar, Garrett Bourne, Emma K. Hendrix, Courtney P. Williams, J. Nicholas Odom, Kristen Triebel, Gabrielle B. Rocque
    Supportive Care in Cancer.2024;[Epub]     CrossRef
  • Fatalism and metaphor in Confucianism: A qualitative study of barriers to genetic testing among first‐degree relatives of hereditary cancer patients from China
    Chaonan Jiang, Li Liu, Ye Wang, Liangzheng Wu, Wenxia Zhang, Xiaodan Wu
    Psycho-Oncology.2023; 32(2): 275.     CrossRef
  • The Role of Nurse on the Treatment Decision Support for Older People with Cancer: A Systematic Review
    Hiroko Komatsu, Yasuhiro Komatsu
    Healthcare.2023; 11(4): 546.     CrossRef
  • A prospective cohort study of decision‐making role preferences of patients with advanced cancer and their family caregivers
    Semra Ozdemir, Sean Ng, Isha Chaudhry, Chetna Malhotra, Eric Andrew Finkelstein
    Cancer.2023; 129(9): 1443.     CrossRef
  • Cancer literacy among Jordanian colorectal cancer survivors and informal carers: Qualitative explorations
    Samar J. Melhem, Shereen Nabhani-Gebara, Reem Kayyali
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Preferred and actual involvement of caregivers in oncologic treatment decision-making: A systematic review
    Laura M.L. Tielemans, Kirsten D. van Heugten, Marije E. Hamaker, Inez C. van Walree
    Journal of Geriatric Oncology.2023; 14(6): 101525.     CrossRef
  • Factors Affecting Patient and Caregiver Preferences for Treatment of Myeloma and Indolent Lymphoma
    Chia Jie Tan, Melinda Si Yun Tan, Chandramouli Nagarajan, Wee Joo Chng, Yen-Lin Chee, Melissa Ooi, Lawrence Cheng Kiat Ng, Yunxin Chen, Joanne Su Yin Yoong, Xin Yi Wong, Wei-Ying Jen
    JCO Oncology Practice.2023; 19(12): 1168.     CrossRef
  • The Association Between Mild Cognitive Impairment Diagnosis and Patient Treatment Preferences: a Survey of Older Adults
    Deborah A. Levine, Andrzej T. Galecki, Brenda L. Plassman, Angela Fagerlin, Lauren P. Wallner, Kenneth M. Langa, Rachael T. Whitney, Brahmajee K. Nallamothu, Lewis B. Morgenstern, Bailey K. Reale, Emilie M. Blair, Bruno Giordani, Kathleen Anne Welsh-Bohme
    Journal of General Internal Medicine.2022; 37(8): 1925.     CrossRef
  • Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers’ involvement
    Chiara Acquati, Judith H. Hibbard, Ellen Miller-Sonet, Anao Zhang, Elena Ionescu
    Journal of Cancer Survivorship.2022; 16(5): 929.     CrossRef
  • Factors influencing family involvement in treatment decision-making for older patients with cancer: A scoping review
    Bea L. Dijkman, Marie Louise Luttik, Hanneke Van der Wal-Huisman, Wolter Paans, Barbara L. van Leeuwen
    Journal of Geriatric Oncology.2022; 13(4): 391.     CrossRef
  • The role of caregivers in the clinical pathway of patients newly diagnosed with breast and prostate cancer: A study protocol
    Clizia Cincidda, Serena Oliveri, Virginia Sanchini, Gabriella Pravettoni
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • Treatment decision-making for older adults with cancer: A qualitative study
    Ni Gong, Qianqian Du, Hongyu Lou, Yiheng Zhang, Hengying Fang, Xueying Zhang, Xiaoyu Wu, Ya Meng, Meifen Zhang
    Nursing Ethics.2021; 28(2): 242.     CrossRef
  • Family Caregiving Situations and Engagement in Advance Care Planning
    Kyeongmo Kim, Michin Hong, Thomas Buckley
    Journal of Palliative Medicine.2020; 23(1): 125.     CrossRef
  • What We Talk about When We Talk about Caregiving: The Distribution of Roles in Cancer Patient Caregiving in a Family-Oriented Culture
    Ansuk Jeong, Dongwook Shin, Jong Hyock Park, Keeho Park
    Cancer Research and Treatment.2019; 51(1): 141.     CrossRef
  • Experience with age discrimination and attitudes toward ageism in older patients with cancer and their caregivers: A nationwide Korean survey
    Dong Wook Shin, Keeho Park, Ansuk Jeong, Hyung Kook Yang, So Young Kim, Mihee Cho, Jong Hyock Park
    Journal of Geriatric Oncology.2019; 10(3): 459.     CrossRef
  • How family caregivers of persons with advanced cancer assist with upstream healthcare decision-making: A qualitative study
    J. Nicholas Dionne-Odom, Deborah Ejem, Rachel Wells, Amber E. Barnato, Richard A. Taylor, Gabrielle B. Rocque, Yasemin E. Turkman, Matthew Kenny, Nataliya V. Ivankova, Marie A. Bakitas, Michelle Y. Martin, Mojtaba Vaismoradi
    PLOS ONE.2019; 14(3): e0212967.     CrossRef
  • 10,772 View
  • 233 Download
  • 17 Web of Science
  • 17 Crossref
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