Skip to main content
Erschienen in: Supportive Care in Cancer 10/2013

01.10.2013 | Original Article

Social support provided by and strain experienced by African-American cancer caregivers

verfasst von: Dexter L. Cooper, Barbara D. Powe, Tenbroeck Smith

Erschienen in: Supportive Care in Cancer | Ausgabe 10/2013

Einloggen, um Zugang zu erhalten

Abstract

Background

Cancer is the second most common condition among people over 50, behind only dementia, associated with caregiving. As treatments improve, the number of cancer caregivers will increase. However, there is limited research about African-American cancer caregivers (AACCs).

Purpose

The purpose of this mixed methods study is to describe (1) the types of social support provided by and (2) the levels of strain reported by AACCs.

Methods

Cancer patients from a regional safety net hospital nominated family caregivers who helped them after their cancer diagnosis. Consented caregivers were interviewed in the waiting room while the patient received treatment or later by phone using the Modified Caregiver Strain Index (MCSI), five structured interview questions, and demographic questions—20 min. Responses to the interview questions were processed using Miles and Huberman’s content analysis guide. Descriptive statistics for demographics and the MCSI were performed using SPSS.

Results

Of the 45 AACCs, 64 % had medical conditions. Caregivers reported patients’ pain (31 %), stress (9 %), and nausea (7 %) as the most common symptoms. AACCs most commonly provided instrumental (67 %) or emotional (42 %) support; spiritual (20 %) and informational (20 %) support were less common.

Conclusion

Emphasis is needed in providing care assistance information to the AACCs to ensure effective support for their loved ones. This study highlights areas of support where assistance can be useful among AACCs.
Literatur
2.
Zurück zum Zitat Hamilton JB, Sandelowski M (2004) Types of social support in African Americans with cancer. Oncol Nurs Forum 31(4):792–800CrossRefPubMed Hamilton JB, Sandelowski M (2004) Types of social support in African Americans with cancer. Oncol Nurs Forum 31(4):792–800CrossRefPubMed
4.
Zurück zum Zitat Deshields TL, Rihanek A, Potter P et al (2012) Psychosocial aspects of caregiving: perceptions of cancer patients and family caregivers. Support Care Cancer Off J Multinatl Assoc Support Care Cancer 20(2):349–356CrossRef Deshields TL, Rihanek A, Potter P et al (2012) Psychosocial aspects of caregiving: perceptions of cancer patients and family caregivers. Support Care Cancer Off J Multinatl Assoc Support Care Cancer 20(2):349–356CrossRef
5.
Zurück zum Zitat Teschendorf B, Schwartz C, Ferrans CE, O’Mara A, Novotny P, Sloan J (2007) Caregiver role stress: when families become providers. Cancer control J Moffitt Cancer Center 14(2):183–189 Teschendorf B, Schwartz C, Ferrans CE, O’Mara A, Novotny P, Sloan J (2007) Caregiver role stress: when families become providers. Cancer control J Moffitt Cancer Center 14(2):183–189
7.
Zurück zum Zitat Cohen S, Underwood LG, Gottlieb BH (2000) Social relationships and health. In: Cohen S, Underwood LG, Gottlieb BH (eds) Social support measurement and intervention. Oxford, New York, pp 3–25 Cohen S, Underwood LG, Gottlieb BH (2000) Social relationships and health. In: Cohen S, Underwood LG, Gottlieb BH (eds) Social support measurement and intervention. Oxford, New York, pp 3–25
8.
Zurück zum Zitat Heaney CA, Israel BA (1997) Social networks and social support. In: Glanz K, Lewis FM, Rimer BK (eds) Health behavior and health education—theory, research, and practice, 2nd edn. Jossey-Bass, San Francisco, pp 179–205 Heaney CA, Israel BA (1997) Social networks and social support. In: Glanz K, Lewis FM, Rimer BK (eds) Health behavior and health education—theory, research, and practice, 2nd edn. Jossey-Bass, San Francisco, pp 179–205
9.
Zurück zum Zitat Golant M, Haskins NV (2008) “Other cancer survivors”: the impact on family and caregivers. Cancer J 14(6):420–424CrossRefPubMed Golant M, Haskins NV (2008) “Other cancer survivors”: the impact on family and caregivers. Cancer J 14(6):420–424CrossRefPubMed
10.
Zurück zum Zitat Houldin AD (2007) A qualitative study of caregivers’ experiences with newly diagnosed advanced colorectal cancer. Oncol Nurs Forum 34(2):323–330CrossRefPubMed Houldin AD (2007) A qualitative study of caregivers’ experiences with newly diagnosed advanced colorectal cancer. Oncol Nurs Forum 34(2):323–330CrossRefPubMed
11.
Zurück zum Zitat Mellon S, Northouse LL, Weiss LK (2006) A population-based study of the quality of life of cancer survivors and their family caregivers. Cancer Nurs 29(2):120–131CrossRefPubMed Mellon S, Northouse LL, Weiss LK (2006) A population-based study of the quality of life of cancer survivors and their family caregivers. Cancer Nurs 29(2):120–131CrossRefPubMed
12.
Zurück zum Zitat Bowman KF, Rose JH, Deimling GT (2006) Appraisal of the cancer experience by family members and survivors in long-term survivorship. Psychooncology 15(9):834–845CrossRefPubMed Bowman KF, Rose JH, Deimling GT (2006) Appraisal of the cancer experience by family members and survivors in long-term survivorship. Psychooncology 15(9):834–845CrossRefPubMed
15.
Zurück zum Zitat Martin MY, Sanders S, Griffin JM et al (2012) Racial variation in the cancer caregiving experience: a multisite study of colorectal and lung cancer caregivers. Cancer nursing 35(4):249–256CrossRefPubMed Martin MY, Sanders S, Griffin JM et al (2012) Racial variation in the cancer caregiving experience: a multisite study of colorectal and lung cancer caregivers. Cancer nursing 35(4):249–256CrossRefPubMed
16.
Zurück zum Zitat Smith T, Stein K, Kim Y, Cooper D, Virgo K, Corral I, Landrine H (2012) Racial, ethnic and socioeconomic health disparities among cancer survivors and informal caregivers. In: Elk, Landrine (eds) Cancer disparities: causes and evidence-based solutions. Springer, New York Smith T, Stein K, Kim Y, Cooper D, Virgo K, Corral I, Landrine H (2012) Racial, ethnic and socioeconomic health disparities among cancer survivors and informal caregivers. In: Elk, Landrine (eds) Cancer disparities: causes and evidence-based solutions. Springer, New York
17.
Zurück zum Zitat Walker KO, Calmes D, Hanna N, Baker R (2008) The impact of public hospital closure on medical and residency education: implications and recommendations. J Natl Med Assoc 100(12):1377–1383PubMed Walker KO, Calmes D, Hanna N, Baker R (2008) The impact of public hospital closure on medical and residency education: implications and recommendations. J Natl Med Assoc 100(12):1377–1383PubMed
18.
19.
Zurück zum Zitat Miles M, Huberman A (1994) Qualitative data analysis. Sage, Thousand Oaks Miles M, Huberman A (1994) Qualitative data analysis. Sage, Thousand Oaks
20.
Zurück zum Zitat Dilworth-Anderson P, Goodwin PY, Williams SW (2004) Can culture help explain the physical health effects of caregiving over time among African American caregivers? J Gerontol B Psychol Sci Soc Sci 59(3):S138–S145CrossRefPubMed Dilworth-Anderson P, Goodwin PY, Williams SW (2004) Can culture help explain the physical health effects of caregiving over time among African American caregivers? J Gerontol B Psychol Sci Soc Sci 59(3):S138–S145CrossRefPubMed
21.
Zurück zum Zitat Scharlach AE, Kellam R, Ong N, Baskin A, Goldstein C, Fox PJ (2006) Cultural attitudes and caregiver service use: lessons from focus groups with racially and ethnically diverse family caregivers. J Gerontol Soc Work 47(1–2):133–156CrossRefPubMed Scharlach AE, Kellam R, Ong N, Baskin A, Goldstein C, Fox PJ (2006) Cultural attitudes and caregiver service use: lessons from focus groups with racially and ethnically diverse family caregivers. J Gerontol Soc Work 47(1–2):133–156CrossRefPubMed
22.
Zurück zum Zitat Navaie-Waliser M, Feldman PH, Gould DA, Levine C, Kuerbis AN, Donelan K (2001) The experiences and challenges of informal caregivers: common themes and differences among Whites, Blacks, and Hispanics. Gerontologist 41(6):733–741CrossRefPubMed Navaie-Waliser M, Feldman PH, Gould DA, Levine C, Kuerbis AN, Donelan K (2001) The experiences and challenges of informal caregivers: common themes and differences among Whites, Blacks, and Hispanics. Gerontologist 41(6):733–741CrossRefPubMed
23.
Zurück zum Zitat Glajchen M (2004) The emerging role and needs of family caregivers in cancer care. J Support Oncol 2(2):145–155PubMed Glajchen M (2004) The emerging role and needs of family caregivers in cancer care. J Support Oncol 2(2):145–155PubMed
24.
Zurück zum Zitat Bullock K, Crawford SL, Tennstedt SL (2003) Employment and caregiving: exploration of African American caregivers. Soc Work 48(2):150–162CrossRefPubMed Bullock K, Crawford SL, Tennstedt SL (2003) Employment and caregiving: exploration of African American caregivers. Soc Work 48(2):150–162CrossRefPubMed
25.
Zurück zum Zitat Kim Y, Kashy DA, Spillers RL, Evans TV (2010) Needs assessment of family caregivers of cancer survivors: three cohorts comparison. Psychooncology 19(6):573–582PubMed Kim Y, Kashy DA, Spillers RL, Evans TV (2010) Needs assessment of family caregivers of cancer survivors: three cohorts comparison. Psychooncology 19(6):573–582PubMed
26.
Zurück zum Zitat Siefert ML, Williams AL, Dowd MF, Chappel-Aiken L, McCorkle R (2008) The caregiving experience in a racially diverse sample of cancer family caregivers. Cancer Nurs 31(5):399–407CrossRefPubMed Siefert ML, Williams AL, Dowd MF, Chappel-Aiken L, McCorkle R (2008) The caregiving experience in a racially diverse sample of cancer family caregivers. Cancer Nurs 31(5):399–407CrossRefPubMed
27.
Zurück zum Zitat Knight BG, Sayegh P (2010) Cultural values and caregiving: the updated sociocultural stress and coping model. J Gerontol B Psychol Sci Soc Sci 65B(1):5–13CrossRefPubMed Knight BG, Sayegh P (2010) Cultural values and caregiving: the updated sociocultural stress and coping model. J Gerontol B Psychol Sci Soc Sci 65B(1):5–13CrossRefPubMed
28.
Zurück zum Zitat Rozario PA, DeRienzis D (2008) Familism beliefs and psychological distress among African American women caregivers. Gerontologist 48(6):772–780CrossRefPubMed Rozario PA, DeRienzis D (2008) Familism beliefs and psychological distress among African American women caregivers. Gerontologist 48(6):772–780CrossRefPubMed
29.
Zurück zum Zitat Pinquart M, Sorensen S (2005) Ethnic differences in stressors, resources, and psychological outcomes of family caregiving: a meta-analysis. Gerontologist 45(1):90–106CrossRefPubMed Pinquart M, Sorensen S (2005) Ethnic differences in stressors, resources, and psychological outcomes of family caregiving: a meta-analysis. Gerontologist 45(1):90–106CrossRefPubMed
30.
Zurück zum Zitat Francis LE, Bowman KF, Kypriotakis G, Rose JH (2011) Relationships and emotional wellbeing among African American and White advanced cancer caregivers. Patient Educ Couns 85(3):446–453CrossRefPubMed Francis LE, Bowman KF, Kypriotakis G, Rose JH (2011) Relationships and emotional wellbeing among African American and White advanced cancer caregivers. Patient Educ Couns 85(3):446–453CrossRefPubMed
Metadaten
Titel
Social support provided by and strain experienced by African-American cancer caregivers
verfasst von
Dexter L. Cooper
Barbara D. Powe
Tenbroeck Smith
Publikationsdatum
01.10.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 10/2013
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-013-1849-9

Weitere Artikel der Ausgabe 10/2013

Supportive Care in Cancer 10/2013 Zur Ausgabe

„Überwältigende“ Evidenz für Tripeltherapie beim metastasierten Prostata-Ca.

22.05.2024 Prostatakarzinom Nachrichten

Patienten mit metastasiertem hormonsensitivem Prostatakarzinom sollten nicht mehr mit einer alleinigen Androgendeprivationstherapie (ADT) behandelt werden, mahnt ein US-Team nach Sichtung der aktuellen Datenlage. Mit einer Tripeltherapie haben die Betroffenen offenbar die besten Überlebenschancen.

So sicher sind Tattoos: Neue Daten zur Risikobewertung

22.05.2024 Melanom Nachrichten

Das größte medizinische Problem bei Tattoos bleiben allergische Reaktionen. Melanome werden dadurch offensichtlich nicht gefördert, die Farbpigmente könnten aber andere Tumoren begünstigen.

CAR-M-Zellen: Warten auf das große Fressen

22.05.2024 Onkologische Immuntherapie Nachrichten

Auch myeloide Immunzellen lassen sich mit chimären Antigenrezeptoren gegen Tumoren ausstatten. Solche CAR-Fresszell-Therapien werden jetzt für solide Tumoren entwickelt. Künftig soll dieser Prozess nicht mehr ex vivo, sondern per mRNA im Körper der Betroffenen erfolgen.

Blutdrucksenkung könnte Uterusmyome verhindern

Frauen mit unbehandelter oder neu auftretender Hypertonie haben ein deutlich erhöhtes Risiko für Uterusmyome. Eine Therapie mit Antihypertensiva geht hingegen mit einer verringerten Inzidenz der gutartigen Tumoren einher.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.