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Perez MN, Deatrick JA, Barakat LP. Caregiver condition management and family functioning after pediatric cancer treatment: Moderation by race and ethnicity. Psychooncology 2024; 33:e6263. [PMID: 38040486 DOI: 10.1002/pon.6263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 11/03/2023] [Accepted: 11/15/2023] [Indexed: 12/03/2023]
Abstract
OBJECTIVE End of pediatric cancer treatment requires family adjustment. Caregivers who struggle to incorporate the child's condition into family life have poorer family outcomes. To better understand factors that contribute to successful transition off active childhood cancer treatment, we sought to examine caregiver perceived management ability of the youth's condition and family functioning as predictors of caregiver distress, evaluate family functioning as a mediator between perceived ability and distress, and explore race and ethnicity as a moderator between perceived ability and family functioning. METHODS Caregivers (N = 141) completed measures assessing family management (condition management ability; CMA), family functioning, and distress as part of a clinical education and screening program within 1 year of the end of treatment. Bias-corrected bootstrap regression analyses examined mediation and moderated mediation models with patient race and ethnicity as the moderator. RESULTS The overall mediation model was statistically significant for CMA→family functioning→distress. Race and ethnicity moderated the relationship between CMA and family functioning, but the full model was not significant. CMA was related to family functioning for caregivers of non-Hispanic white youth, but not caregivers of Hispanic youth. Family functioning was related to distress for all caregivers. CONCLUSIONS Family functioning serves as an initial intervention target to reduce caregiver distress. Caregiver perceived management ability of their child's condition is a meaningful predictor of family functioning and distress for caregivers of non-Hispanic white youth, yet CMA may be limited as a screener of family management patterns for diverse populations, and other family management dimension may be more applicable.
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Affiliation(s)
- Megan N Perez
- Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Janet A Deatrick
- School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Lamia P Barakat
- Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
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Cetin N. Examining the Role of Post-Treatment Family Support in Pediatric and Adolescent Cancer Survivors: A Systematic Review. J Adolesc Young Adult Oncol 2023; 12:1-8. [PMID: 35100040 DOI: 10.1089/jayao.2021.0179] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Purpose: Families play a critical role in the health and well-being of adolescent and young adult (AYA)-aged survivors (13-39 years) of pediatric and AYA cancers during cancer treatment. However, little is known about the roles that families play post-treatment. It is important to expand an understanding on the roles of family support on post-treatment psychosocial health outcomes. This review aims to synthesize the current literature on family support on post-treatment psychosocial health outcomes. Methods: A systematic literature search utilizing PubMed returned n = 15 peer-reviewed journal articles investigating parent and family psychosocial support roles post-treatment. Results: Parental support, family functioning, parental knowledge, and education in survivorship care are critical factors in lowering psychological and emotional distress, increasing identification of long-term risks associated with cancer treatment, and increasing autonomy and psychological growth and development. Conclusion: Results suggest that health care professionals should consider integrating factors such as assessment of family functioning and increasing parent education in post-treatment clinical assessments. Integrating family support when assessing a survivor's post-treatment supportive care needs may strengthen psychosocial survivorship care.
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Affiliation(s)
- Nazan Cetin
- School of Social Work, Portland State University, Portland, Oregon, USA
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Li G, Li M, Peng S, Wang Y, Ran L, Chen X, Zhang L, Zhu S, Chen Q, Wang W, Xu Y, Zhang Y, Tan X. Current status and influential factors for family health management during quarantine: A latent category analysis. PLoS One 2022; 17:e0265406. [PMID: 35446866 PMCID: PMC9022814 DOI: 10.1371/journal.pone.0265406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 03/01/2022] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE We aimed to explore factors affecting family health management during home quarantine as well as the effects of variations in family health management (FHM) on individuals' health status. METHODS Using stratified random sampling, 618 families in Wuhan as well as cities within its surrounding provinces were recruited and surveyed online. Latent class variables were extracted from four modules: disinfection, space layout, physical exercise, and food reserves. The analysis was conducted using the poLCA package in R software (v.4.1.0). Chi-squared tests, Fisher's exact tests, and non-parametric Kruskal-Wallis tests were used to compare groups as appropriate. RESULTS We found an overall questionnaire reliability of 0.77 and a total omega of 0.92, indicating that the survey results were credible. The Bayesian information criterion and Akaike information criterion were used to identified four latent class variables, namely latent non-family health management (18.9%) and latent low, medium, and advanced FHM (30.93%, 29.49%, and 20.59%, respectively). Gender, household income level, body mass index, the presence of a nearby community hospital, and self-rated health status showed statistically significant differences with respect to latent FHM. Moreover, we found a statistically significant difference in emotional reactions when comparing latent advanced and low to mid-level latent FHM. Compared with latent non-family health managers, we detected statistically significant differences in individual energy levels between potential family health managers at latent low and medium levels. Additionally, we found statistically significant differences in individual energy levels between latent advanced and low level family health managers. CONCLUSIONS We found that multiple factors, including gender, household income, and body mass index, were correlated with latent FHM during home quarantine. We conclude that FHM can meaningfully improve individuals' health. Thus, increasing social support for individuals can improve FHM as well as individuals' health during home quarantine.
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Affiliation(s)
- Guangming Li
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Mengying Li
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Shuzhen Peng
- Department of Health Management, The People’s Hospital of Huangpi, Wuhan, Hubei, China
| | - Ying Wang
- Department of Hospital Infection Management, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
| | - Li Ran
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Xuyu Chen
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Ling Zhang
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Sirong Zhu
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Qi Chen
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Wenjing Wang
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
| | - Yang Xu
- Department of Geography, The College of Geography and Environment, Henan University, Kaifeng, Henan, China
- Department of Geography, National Earth System Science Data Center, National Science & Technology Infrastructure of China, Beijing, China
| | - Yubin Zhang
- Department of Health management, Wuchang Center for Disease Control and Prevention, Wuhan, Hubei, China
| | - Xiaodong Tan
- Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, Hubei, China
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Knafl KA, Deatrick JA, Gallo AM, Skelton B. Tracing the Use of the Family Management Framework and Measure: A Scoping Review. JOURNAL OF FAMILY NURSING 2021; 27:87-106. [PMID: 33749353 PMCID: PMC8044632 DOI: 10.1177/1074840721994331] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
This article reports the results of a scoping review of research applications of the Family Management Style Framework (FMSF) and the Family Management Measure (FaMM). We identified 32 studies based on the FMSF and 41 studies in which the FaMM was used, 17 of which were based on the FMSF. Both the framework and measure have been used by investigators in multiple countries, with most applications of the FaMM outside the United States. Although the FMSF and FaMM were originally developed for use with families in which there was a child with a chronic physical condition, both have been applied to a broader range of health conditions and to studies focusing on families with an adult member facing a health challenge. Based on our findings, we make recommendations for how researchers can more fully address all aspects of the FMSF.
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Affiliation(s)
| | | | | | - Beth Skelton
- The University of North Carolina at Chapel Hill, USA
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