| Content Provider |
World Health Organization (WHO)-Global Index Medicus |
| Author |
Tanco, Kimberson Vidal, Marieberta Arthur, Joseph Guay, Marvin Delgado Hui, David Liu, Diane Chisholm, Gary Bruera, Eduardo |
| Description |
Author Affiliation: Tanco K ( Department of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.); Vidal M ( Department of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.); Arthur J ( Department of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.); Guay MD ( Department of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.); Hui D ( Department of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.); Liu D ( Department of Biostatistics,The University of Texas MD Anderson Cancer Center,Houston,Texas.); Chisholm G ( Department of Gynecologic Oncology and Reproductive Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.); Bruera E ( Department of Palliative, Rehabilitation, and Integrative Medicine,The University of Texas MD Anderson Cancer Center,Houston,Texas.) |
| Abstract |
OBJECTIVE: Caregiver symptom assessment is not part of regular clinical cancer care. The ESAS (Edmonton Symptom Assessment System) is a multidimensional tool regularly used to measure symptom burden in patients but not caregivers. The objectives of the present study were to determine the feasibility of the ESAS in caregiver completion (defined as ≥ 9 of 12 items) and determine its concurrent validity with the Zarit Burden Interview-12 (ZBI-12). METHOD: We conducted a prospective study on 90 patient-primary caregiver dyads seen in an outpatient supportive care center in a cancer center. The 12 item ESAS-FS (financial-spiritual) was completed by the dyads along with other clinical and psychosocial measures. RESULTS: The caregiver ESAS was found to be feasible (90/90 caregivers, 100% completed ≥ 9/12 items) and useful (66/90 caregivers, 73%) by caregivers to report their symptom burden. Some 68 of 90 (76%) caregivers had symptom distress scores ≥ 4 on at least one symptom. A significant association was found between the ESAS scores of caregivers and patients for fatigue (0.03), depression (<0.01), anxiety (<0.01), sleep (0.05), well-being (<0.01), financial distress (<0.01), spiritual pain (<0.01), and total ESAS score (<0.01). Concurrent validity with the ZBI-12 was not achieved (r = 0.53, p = 0.74). A significant correlation was found between caregiver ESAS scores and time spent feeding, housekeeping, total combined caregiver activities, and total ZBI-12 scores. SIGNIFICANCE OF RESULTS: The caregiver ESAS is a feasible tool and was found useful by our caregivers. Further research is needed to modify the ESAS based on caregivers' recommendations, and further psychometric studies need to be conducted. |
| File Format |
HTM / HTML |
| ISSN |
14789515 |
| Journal |
Palliative and Supportive Care |
| e-ISSN |
14789523 |
| Language |
English |
| Publisher |
Cambridge University Press |
| Publisher Date |
2017-03-07 |
| Publisher Place |
Great Britain (UK) |
| Access Restriction |
One Nation One Subscription (ONOS) |
| Subject Keyword |
Discipline Palliative Care Discipline Psychology |
| Content Type |
Text |
| Resource Type |
Article |
| Subject |
Nursing Clinical Psychology Psychiatry and Mental Health |
