Understanding social network support, composition, and structure among cancer caregivers

Author:

Bouchard Elizabeth G.1,Prince Mark A.2,McCarty Christopher3,Vincent Paula C.1,Patel Hital1,LaValley Susan A.1,Collins R. Lorraine4,Sahler Olle Jane Z.5,Krenz Till6,Kelly Kara M.78

Affiliation:

1. Department of Cancer Prevention and Control Roswell Park Comprehensive Cancer Center Buffalo New York USA

2. Department of Psychology Colorado State University Fort Collins Colorado USA

3. Department of Anthropology University of Florida Gainesville Florida USA

4. Department of Community Health and Health Behavior University at Buffalo Buffalo New York USA

5. Department of Pediatrics University of Rochester Rochester New York USA

6. UHealth Information Technology Sylvester Comprehensive Cancer Center Miami Florida USA

7. Department of Pediatric Oncology Roswell Park Comprehensive Cancer Center Buffalo New York USA

8. Department of Pediatrics University at Buffalo Buffalo New York USA

Abstract

AbstractObjectiveWe examined the social network support, composition, and structure of pediatric cancer caregivers.MethodsWe used a self‐report survey to collect egocentric social network data from 107 caregivers of pediatric cancer patients and calculated descriptive statistics to examine cancer‐related support network composition, function, and structure. We then ran logistic regressions to examine the relationships between network characteristics and overall satisfaction with social support.ResultsFamily members were the most common source of emotional support and logistical support, and health care providers were the most common source of informational support. Participants perceived the “most helpful” forms of support as being: (1) emotional support from family and health care providers; (2) informational support from health care providers and other cancer caregivers; and (3) logistical support from family. Overall, caregivers wished that 9.8% of their network ties had provided more support, with family members being the most common alter type to disappoint caregivers and offer less support than needed/expected. Caregivers who reported higher network disappointment (having network members who offered less support than needed/expected) were significantly less satisfied with emotional support than those with lower network disappointment (Odds Ratio = 0.18, p = 0.02), and caregivers with higher network disappointment were significantly less satisfied with logistical support compared to those with lower network disappointment (Odds Ratio = 0.14, p = 0.01).ConclusionOur results show differences in the nature of social support provided by different types of network members. These findings have implications for tailoring social network interventions to improve caregiver and family outcomes.

Funder

Division of Cancer Prevention, National Cancer Institute

Publisher

Wiley

Subject

Psychiatry and Mental health,Oncology,Experimental and Cognitive Psychology

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