Well-being and Perceptions of Supportive Resources among Caregivers of Patients with Bladder Cancer

Author:

Jung Ahrang12,Song Lixin123,Snyder Elizabeth23,Louwers Renata K.4,Sachse Karen4,Chisolm Stephanie5,Gore John L.6,Smith Angela B.23

Affiliation:

1. School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

2. Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

3. Department of Urology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

4. Research Patient Advocate, Bladder Cancer Advocacy Network, Bethesda, MD, USA

5. Director of Education & Research, Bladder Cancer Advocacy Network, Bethesda, MD, USA

6. Department of Urology, University of Washington, Seattle, WA, USA

Abstract

BACKGROUND: The unique burden of treatment and survivorship of patients with bladder cancer can negatively impact caregiver experience and their use of supportive care resources. OBJECTIVE: To assess caregivers’ well-being and their perception of potential supportive resources. METHODS: In this cross-sectional survey, caregivers of patients with bladder cancer (N = 630) were recruited through the nationwide Bladder Cancer Advocacy Network Patient Survey Network. We used stakeholder-developed questionnaires to examine caregiver well-being (i.e., physical well-being, tiredness, fear, worry, sadness), the perceived helpfulness of potential resources (i.e., web-based and print-based information, specialized support, personal stories of other caregivers, phone-call and online chat with other caregivers), and influencing factors. RESULTS: Caregivers more frequently reported emotional well-being as a moderate to serious problem (67% for fear, 78% for worry, 66% for sadness) compared with physical well-being (30%) and tiredness (47%). Decreased well-being was associated with female gender of the caregiver, higher than high school education, or caring for a patient with advanced (versus non-invasive) bladder cancer. Of six potential resources, “web-based information” was perceived as “very helpful” among 79% of respondents, followed by “personal stories from other caregivers” (62%). Caregiver preferences for “web-based information” was not associated with any specific demographic or clinical factors. CONCLUSIONS: Caregivers reported moderate to serious problems with emotional and physical well-being. Web-based platforms were perceived as beneficial supportive resources for bladder cancer caregivers. Future intervention research should target the influencing factors identified in this study to optimize the health outcomes of caregivers and enhance the supportive care resources for improving their well-being.

Publisher

IOS Press

Subject

Urology,Oncology

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