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24-02-2018

The impact of caregiver’s role preference on decisional conflicts and psychiatric distresses in decision making to help caregiver’s disclosure of terminal disease status

Auteurs: Shin Hye Yoo, Young Ho Yun, Kyoung-Nam Kim, Jung Lim Lee, Jeanno Park, Youn Seon Choi, Yeun Keun Lim, Samyong Kim, Hyun Sik Jeong, Jung Hun Kang, Ho-Suk Oh, Ji Chan Park, Si-Young Kim, Hong Suk Song, Keun Seok Lee, Dae Seog Heo, Young Seon Hong

Gepubliceerd in: Quality of Life Research | Uitgave 6/2018

Abstract

Purpose

The objective of this study was to investigate the impact of caregivers’ role preference in decision making on conflicts and psychiatric distresses.

Methods

The responses of 406 caregivers of terminal cancer patients enrolled in a trial determining the efficacy of a decision aid focused on the disclosure of terminal disease status were included in this secondary analysis. The outcomes include the change scores of the Decision Conflict Scale (DCS) and depression and anxiety subscales of the Hospital Anxiety and Depression Scale (HADS) at the 1 and 3 months from baseline. The linear mixed model was employed to discover the impact of caregivers’ decisional role preference on the outcomes.

Findings

Of the 406, 137 (33.7%) showed an active role preference and 269 (66.3%) showed a passive role preference. In the post hoc analysis of the adjusted differences of change scores between passive caregivers who received decision aid (passive-decision aid) and active caregivers with decision aid (active-decision aid), non-significant differences were observed in the DCS. However, at the 3-month, the change scores of the HADS depression subscale increased by 4.43 (effect size, 0.71) and those of the HADS anxiety subscale increased by 4.14 (effect size, 0.61) in the passive-decision aid group than in active-decision aid group, showing moderate to large difference.

Conclusions

These findings suggest that information might be ethically recommended in a format that is interactive and tailored to how much an individual wishes to be involved in the decision-making process.

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Titel: The impact of caregiver’s role preference on decisional conflicts and psychiatric distresses in decision making to help caregiver’s disclosure of terminal disease status
Auteurs: Shin Hye Yoo
Young Ho Yun
Kyoung-Nam Kim
Jung Lim Lee
Jeanno Park
Youn Seon Choi
Yeun Keun Lim
Samyong Kim
Hyun Sik Jeong
Jung Hun Kang
Ho-Suk Oh
Ji Chan Park
Si-Young Kim
Hong Suk Song
Keun Seok Lee
Dae Seog Heo
Young Seon Hong
Publicatiedatum: 24-02-2018
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 6/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-1814-7

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Abstract

Purpose

Methods

Findings

Conclusions

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