Evidence map›Paper›PMID 34425211›Full record

ArticleJournal of pain and symptom management2022

Balancing Work and Hospice Caregiving-A Closer Look at Burden, Preparedness, and Mental Health.

Megan C Thomas Hebdon, Jiayun Xu, Maija Reblin, Margaret F Clayton, Kathi Mooney, Lee Ellington

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Megan C Thomas HebdonUniversity of Utah College of Nursing (M.C.T.H., M.F.C., K.M., L.E.), Salt Lake City, Utah, USA. Electronic address: megan.hebdon@nursing.utexas.edu.
Jiayun XuPurdue University School of Nursing (J.X.), West Lafayette, Indiana, USA.
Maija ReblinUniversity of Vermont Larner College of Medicine (M.R.), Burlington, Vermont, USA.
Margaret F ClaytonUniversity of Utah College of Nursing (M.C.T.H., M.F.C., K.M., L.E.), Salt Lake City, Utah, USA.
Kathi MooneyUniversity of Utah College of Nursing (M.C.T.H., M.F.C., K.M., L.E.), Salt Lake City, Utah, USA.
Lee EllingtonUniversity of Utah College of Nursing (M.C.T.H., M.F.C., K.M., L.E.), Salt Lake City, Utah, USA.
University of Utah · USPurdue University West Lafayette · USUniversity of Vermont · US

Funding

Symptom Care by Phone for Hospice Caregiver Support and Cancer Symptom ReliefP01CA138317 · NCI · UNIVERSITY OF UTAH · PI MOONEY, KATHLEEN H · 2010 to 2015
$7.0M
Interdisciplinary Training in Cancer, Caregiving and End-of-Life CareT32NR013456 · NINR · UNIVERSITY OF UTAH · PI ELLINGTON, LEE A, MOONEY, KATHLEEN H · 2013 to 2022
$3.4M
NCI NIH HHS P01 CA138317NINR NIH HHS T32 NR013456
6 · The paper itself

Abstract

contextNavigating end-of-life is stressful and many caregivers feel unprepared for caregiving tasks. Being employed may further increase caregiver burden.

objectivesStudy objectives were 1) to examine the relationships among caregiver burden (financial burden, daily schedule disruption, lack of family support) and mental health (depression and anxiety), and 2) explore if preparedness for caregiving mediates these relationships in employed hospice caregivers.

methodsThis was a secondary analysis of baseline data from a prospective multi-site project of hospice family caregivers of cancer patients. Employed hospice caregivers (n = 166) completed items assessing burden, mental health, and preparedness for caregiving. Hierarchical linear regression and mediation analysis were conducted.

resultsCaregivers were primarily White (n = 155, 93%) and female (n = 116, 70%), with a mean age of 55 (SD = 11.7). After controlling for demographic variables, financial burden was significantly related to anxiety (b =.16[.001, .32], P <.05), lack of family support was significantly related to depression (b = 1.27[.76, 1.79], P <.01), and daily schedule disruption was significantly related to both anxiety (b = 1.92[1.07, 2.77], P <.01), and depression (b =.70[.14, 1.26], P <.05) in regression analyses. In mediation analysis, financial burden, daily schedule disruption, and lack of family support were indirectly related to both depression and anxiety through preparedness for caregiving.

conclusionTo better support employed caregivers, hospice team members should be ready to address concerns about finances, daily schedule changes, and family support and screen for preparedness for caregiving. Developing strategies to help employed hospice caregivers feel more prepared may mitigate adverse mental health outcomes.

Indexed as

Hospice CareHospicesCaregiversDepressionFemaleHumansMental HealthMiddle AgedProspective Studiesand depressionAnxietyBurdenEmploymentHospice caregiversPreparedness for caregiving

Identifiers

PMID34425211
PMCPMC13043107
OpenAlexW3195474487

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.