The effect of routine training on the self-efficacy of informal caregivers of colorectal cancer patients
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Little is known about the degree to which caregiver training as part of routine clinical care influences caregiver self-efficacy. The objective of this study was to examine the relationship between training during routine clinical cancer care and self-efficacy among caregivers of colorectal cancer patients.
Caregivers completed a self-administered questionnaire about their experiences with training for specific patient problems and about their task-specific and general caregiving self-efficacy. Associations between training and self-efficacy were examined for each problem using multivariate logistic regression adjusted for caregiver age, race, care burden, education, perception of patient’s health, and patient stage of disease.
Four hundred seventeen caregivers completed the survey (70% response rate), of whom 374 (90%) were female and 284 (68%) were the patient’s spouse/partner. Overall, 77 (38%) reported inadequate training for pain, 80 (38%) for bowel, 121 (48%) for fatigue, 65 (26%) for medication administration, and 101 (40%) for other symptoms. The odds of having low self-efficacy were significantly higher among those with perceptions of inadequate training across the following cancer-related problems: pain 10.10 (3.36, 30.39), bowel 5.04 (1.98, 12.82), fatigue 8.45 (3.22, 22.15), managing medications 9.00 (3.30, 24.51), and other 3.87 (1.68, 8.93).
Caregivers commonly report inadequate training in routine colorectal cancer care. Significant and consistent associations between training adequacy and self-efficacy were found. This study supports the value of training caregivers in common cancer symptoms. Further work on how and when to provide caregiver training to best impact self-efficacy is needed.
KeywordsCancer Oncology Caregiver Self-efficacy Training
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflicts of interest.
This study was supported by the Interagency Quality of Care Committee, Applied Research Branch, National Cancer Institute (NCI), through an interagency agreement with the Veterans Health Administration and by NCI Grant No. 5R25CA116339, Outcomes Research Branch of the National Cancer Institute, National Institutes of Health, the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, and the CTSA Grant Number UL1 TR000135 from the National Center for Advancing Translational Sciences (NCATS), a component of the National Institutes of Health (NIH). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NIH. The authors have full control of all primary data and agree to allow the journal to review the data if requested.
- 1.National Alliance for Caregiving and the AARP Public Policy Institute. Caregiving in the U.S 2015 http://www.caregiving.org/wp-content/uploads/2015/05/2015_CaregivingintheUS_Final-Report-June-4_WEB.pdf. Accessed 4 October 2016
- 7.Bandura A (1997) Self-efficacy: the exercise of control. Prentice Hall, Englewood CliffsGoogle Scholar
- 8.Pajares F (1997) Current directions in self-efficacy research. In: Maehr M, Pintrich PR (eds) Advances in motivation and achievement. JAI Press, Greenwich, pp. 1–49Google Scholar
- 14.Milligan S (2015) In some states, a new focus on family caregivers. Pew Trust Web. http://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/6/22/in-some-states-a-new-focus-on-family-caregivers. Accessed 4 October 2016
- 21.Archbod PG, Stewart BJ, Greenlick MR, Harvath T (1992) The clinical assessment of mutuality and preparedness in family caregivers to frail older people. In: Funk SG, Tornquist EM, Champagne MT, Copp LA (eds) Kep aspects of eldercare. Springer Publishing Company, New York, pp. 328–339Google Scholar
- 23.SAS Institute Inc (2007) SAS software, Version 9.4 of the SAS System. SAS and all other SAS Institute Inc product or service names are registered trademarks or trademarks of SAS Institute, Cary, NC, USAGoogle Scholar
- 25.Department of Veterans Affairs (2012) 2011 survey of veteran enrollees’ health and reliance upon VA. Veterans Affairs Web. http://www.va.gov/HEALTHPOLICYPLANNING/SOE2011/SoE2011_Report.pdf. Accessed 4 October 2016