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Journal of Child and Family Studies

Gepubliceerd in:

19-04-2019 | Original Paper

The Benefits of Family-Centered Care for Parental Self-Efficacy and Psychological Well-being in Parents of Children with Cancer

Auteurs: Ágata Salvador, Carla Crespo, Luísa Barros

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 7/2019

Abstract

Objectives

The purpose of this study was to examine the direct and indirect links between the perception of family-centered care (FCC) and psychological well-being via the perceived self-efficacy of parents of children with cancer. This study also sought to identify the potential moderators of these links (treatment status and patient age).

Methods

This cross-sectional study was conducted at the pediatric oncology wards of two Portuguese public hospitals. The consecutive sample comprised 251 parents (87.6% mothers) of children/adolescents (8−20 years old) diagnosed with cancer. Participants completed self-report questionnaires measuring their perception of family-centered care (family-centered services and providing general information), perceived self-efficacy (regarding healthcare and parenting role) and psychological wellbeing.

Results

Results from the Structural Equation Modeling suggested that parents’ perception of FCC was indirectly, but not directly, linked to psychological well-being via perceived self-efficacy. Multi-group analyses suggested that this mediation model was valid across treatment status (on vs. off-treatment) and patient age groups (children vs. adolescents).

Conclusions

These findings highlighted that, through the implementation of FCC, healthcare professionals may promote parents’ perceived self-efficacy and, consequently, their psychological well-being. Results also suggest that FCC may equally operate on parents’ psychosocial functioning, regardless of treatment status or patient age. Overall, our findings reinforced the benefits of FCC practices in pediatric oncology wards.

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Alderfer, M. A., & Kazak, A. E. (2006). Family issues when a child is on treatment for cancer. In B. R. Brown (Ed.), Comprehensive handbook of childhood cancer and sickle cell disease: A biopsychosocial approach (pp. 53–74). New York: Oxford University Press.

Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.

Best, M., Streisand, R., Catania, L., & Kazak, A. E. (2001). Parental distress during pediatric leukemia and posttraumatic stress symptoms (PTSS) after treatment ends. Journal of Pediatric Psychology, 26, 299–307. https://doi.org/10.1093/jpepsy/26.5.299.CrossRefPubMed

Boman, K. K., Lindahl, A., & Björk, O. (2003). Disease-related distress in parents of children with cancer at various stages after the time of diagnosis. Acta Oncologica, 42, 137–146. https://doi.org/10.1080/02841860310004995.CrossRefPubMed

Byrne, B. M. (2010). Structural Equation Modeling with Amos: Basic concepts, applications, and programming. 2nd ed New York: Taylor and Francis Group.

Caroli, M. E., & Sagone, E. (2014). Stress and support in relation to parental self: A comparison between mothers of children in cancer treatment and mothers of healthy children. Procedia - Social and Behavioral Sciences, 114, 211–215. https://doi.org/10.1016/j.sbspro.2013.12.687.CrossRef

Clarke, J. N., Fletcher, P. C., & Schneider, M. A. (2005). Mothers’ home health care work when their children have cancer. Journal of Pediatric Oncology Nursing, 22, 365–373. https://doi.org/10.1177/1043454205281834.CrossRefPubMed

Crespo, C., Santos, S., Tavares, A., & Salvador, A. (2016). Care that matters: Family-centered care, caregiving burden, and adaptation in parents of children with cancer. Families, Systems & Health, 34, 31–40. https://doi.org/10.1037/fsh0000166.CrossRef

Dix, D. B., Klassen, A. F., Papsdorf, M., Klaassen, R. J., Pritchard, S., & Sung, L. (2009). Factors affecting the delivery of family-centered care in pediatric oncology. Pediatric Blood & Cancer, 53, 1079–1085. https://doi.org/10.1002/pbc.22168.CrossRef

Dunst, C. J., & Trivette, C. M. (2009). Meta-analytic structural equation modeling of the influences of family-centered care on parent and child psychological health. International Journal of Pediatrics, 2009, 1–9. https://doi.org/10.1155/2009/576840.CrossRef

Eden, O. B., Black, I., MacKinlay, G. A., & Emery, A. E. H. (1994). Communication with parents of children with cancer. Palliative Medicine, 8, 105–114. https://doi.org/10.1177/026921639400800203.CrossRefPubMed

Fiese, B. H., & Everhart, R. S. (2006). Medical adherence and childhood chronic illness: Family daily management skills and emotional climate as emerging contributors. Current Opinion in Pediatrics, 18, 551–557. https://doi.org/10.1097/01.mop.0000245357.68207.9b.CrossRefPubMed

Hair, J., Tatham, R., Anderson, R., & Black, W. (1998). Multivariate data analysis. 5th ed. New Jersey: Prentice Hall.

Harper, F. W. K., Peterson, A. M., Uphold, H., Albrecht, T. L., Taub, J. W., Orom, H., & Penner, L. A. (2013). Longitudinal study of parent caregiving self-efficacy and parent stress reactions with pediatric cancer treatment procedures. Psycho-Oncology, 22, 1658–1664. https://doi.org/10.1002/pon.3199.CrossRefPubMed

Holm, K. E., Patterson, J. M., & Gurney, J. G. (2003). Parental Involvement and family-centered care in the diagnostic and treatment phases of childhood cancer: Results from a qualitative study. Journal of Pediatric Oncology Nursing, 20, 301–313. https://doi.org/10.1177/1043454203254984.CrossRefPubMed

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118.CrossRef

Johnston, C., & Mash, E. J. (1989). A Measure of parenting satisfaction and efficacy. Journal of Clinical Child Psychology, 18, 167–175. https://doi.org/10.1207/s15374424jccp1802_8.CrossRef

Kazak, A. E., Rourke, M. T., & Navsaria, N. (2009). Families and other systems in pediatric psychology. In M. Roberts & R. Steele (Eds.), Handbook of pediatric psychology (pp. 656–671). New York: Guilford.

King, S., Teplicky, R., King, G., & Rosenbaum, P. (2004). Family-centered service for children with cerebral palsy and their families: A review of the literature. Seminars in Pediatric Neurology, 11, 78–86. https://doi.org/10.1016/j.spen.2004.01.009.CrossRefPubMed

Klassen, A. F., Dix, D., Cano, S. J., Papsdorf, M., Sung, L., & Klaassen, R. J. (2009). Evaluating family-centred service in paediatric oncology with the measure of processes of care (MPOC-20). Child: Care, Health & Development, 35, 16–22. https://doi.org/10.1111/j.1365-2214.2008.00887.x.CrossRef

Klassen, A. F., Dix, D., Papsdorf, M., Klaassen, R. J., Yanofsky, R., & Sung, L. (2012). Impact of caring for a child with cancer on single parents compared with parents from two-parent families. Pediatric Blood & Cancer, 58, 74–79. https://doi.org/10.1002/pbc.22952.CrossRef

Klassen, A., Raina, P., Reineking, S., Dix, D., Pritchard, S., & O’Donnell, M. (2007). Developing a literature base to understand the caregiving experience of parents of children with cancer: A systematic review of factors related to parental health and well-being. Supportive Care in Cancer, 15, 807–818. https://doi.org/10.1007/s00520-007-0243-x.CrossRefPubMed

Kline, R. B. (2011). Principles and Practice of Structural Equation Modeling. New York: Guilford Press.

Kuo, D. Z., Houtrow, A. J., Arango, P., Kuhlthau, K. A., Simmons, J. M., & Neff, J. M. (2012). Family-centered care: Current applications and future directions in pediatric health care. Maternal and Child Health Journal, 16, 297–305. https://doi.org/10.1007/s10995-011-0751-7.CrossRefPubMed

Kupst, M. J., & Bingen, K. (2006). Stress and coping in the pediatric cancer experience. In R. T. Brown (Ed.), Comprehensive handbook of childhood cancer and sickle cell disease: A biopsychosocial approach (pp. 35–52). New York, NY: Oxford University Press.

Long, K. A., & Marsland, A. L. (2011). Family adjustment to childhood cancer: A systematic review. Clinical Child and Family Psychology Review, 14, 57–88. https://doi.org/10.1007/s10567-010-0082-z.CrossRefPubMed

Mikkelsen, G., & Frederiksen, K. (2011). Family-centred care of children in hospital: A concept analysis. Journal of Advanced Nursing, 67, 1152–1162. https://doi.org/10.1111/j.1365-2648.2010.05574.x.CrossRefPubMed

Okado, Y., Long, A. M., & Phipps, S. (2014). Association between parent and child distress and the moderating effects of life events in families with and without a history of pediatric cancer. Journal of Pediatric Psychology, 39, 1049–1060. https://doi.org/10.1093/jpepsy/jsu058.CrossRefPubMedPubMedCentral

Patterson, J. M., Holm, K. E., & Gurney, J. G. (2004). The impact of childhood cancer on the family: A qualitative analysis of strains, resources, and coping behaviors. Psycho-Oncology, 13, 390–407. https://doi.org/10.1002/pon.761.CrossRefPubMed

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. https://doi.org/10.3758/brm.40.3.879.CrossRefPubMed

Raina, P., O’Donnell, M., Schwellnus, H., Rosenbaum, P., King, G., Brehaut, J., & Wood, E. (2004). Caregiving process and caregiver burden: Conceptual models to guide research and practice. BMC Pediatrics, 4, 1–13. https://doi.org/10.1186/1471-2431-4-1.CrossRefPubMedPubMedCentral

Rodrigue, J. R., Geffken, G. R., Clark, J. E., Hunt, F., & Fishel, P. (1994). Parenting satisfaction and efficacy among caregivers of children with diabetes. Children’s Health Care, 23, 181–191. https://doi.org/10.1207/s15326888chc2303_3.CrossRefPubMed

Rolland, J. S. (1987). Chronic illness and the life cycle: A conceptual framework. Family Process, 26, 203–221. https://doi.org/10.1111/j.1545-5300.1987.00203.x.CrossRefPubMed

Rosenbaum, P., King, S., Law, M., King, G., & Evans, J. (1998). Family-centred service: A conceptual framework and research review. Physical & Occupational Therapy In Pediatrics, 18(1), 1–20. https://doi.org/10.1080/J006v18n01_01.CrossRef

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069–1081. https://doi.org/10.1037//0022-3514.57.6.1069.CrossRef

Ryff, C. D., & Keyes, C. L. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719–727. https://doi.org/10.1037//0022-3514.69.4.719.CrossRefPubMed

Russel, L. T., Beckmeyer, J. J., & Su-Russell, C. (2018). Family-centeres care and positive developmental outcomes for youth with special health care needs: Variations across family structures. Journal of Family Nursing, 24, 29–59. https://doi.org/10.1177/1074840717745520.CrossRef

Simões, M. (1994). Investigações no âmbito da aferição nacional do teste das Matrizes Progressivas de Raven [Raven’s Progressive Matrices: Aferition studies]. PhD Thesis, University of Coimbra, Portugal.

Sloper, P. (2000). Predictors of distress in parents of children with cancer: A prospective study. Journal of Pediatric Psychology, 25, 79–91. https://doi.org/10.1093/jpepsy/25.2.79.CrossRefPubMed

Smith, J., Swallow, V., & Coyne, I. (2015). Involving parents in managing their child’s long-term condition-a concept synthesis of family-centered care and partnership-in-care. Journal of Pediatric Nursing, 30, 143–159. https://doi.org/10.1016/j.pedn.2014.10.014.CrossRefPubMed

Vrijmoet-Wiersma, C. M. J., van Klink, J. M. M., Kolk, A. M., Koopman, H. M., Ball, L. M., & Egeler, R. M. (2008). Assessment of parental psychological stress in pediatric cancer: A review. Journal of Pediatric Psychology, 33, 694–706. https://doi.org/10.1093/jpepsy/jsn007.CrossRefPubMed

Wakefield, C. E., McLoone, J. K., Butow, P., Lenthen, K., & Cohn, R. J. (2011). Parental adjustment to the completion of their child’s cancer treatment. Pediatric, Blood & Cancer, 56, 524–531. https://doi.org/10.1002/pbc.22725.CrossRef

Washington, K., & Schwartz, I. S. (1996). Maternal perceptions of the effexts of physical and occupational therapy services on caregiving competency. Physical & Occupational Therapy In Pediatrics, 16, 33–54. https://doi.org/10.1080/J006v16n03_03.CrossRef

Watt, L., Dix, D., Gulati, S., Sung, L., Klaassen, R. J., Shaw, N. T., & Klassen, A. F. (2013). Family-centred care: A qualitative study of Chinese and South Asian immigrant parents’ experiences of care in paediatric oncology. Child: Care, Health and Development, 39, 185–193. https://doi.org/10.1111/j.1365-2214.2011.01342.x.CrossRef

Young, B., Dixon-Woods, M., Findlay, M., & Heney, D. (2002). Parenting in a crisis: Conceptualising mothers of children with cancer. Social Science & Medicine, 55, 1835–1847. https://doi.org/10.1016/s0277-9536(01)00318-5.CrossRef

Titel: The Benefits of Family-Centered Care for Parental Self-Efficacy and Psychological Well-being in Parents of Children with Cancer
Auteurs: Ágata Salvador
Carla Crespo
Luísa Barros
Publicatiedatum: 19-04-2019
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 7/2019
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-019-01418-4

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Abstract

Objectives

Methods

Results

Conclusions

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