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Carer perceived burden as a predictor of health-related quality of life: the case of colorectal cancer

Hanly, Paul, Maguire, Rebecca, Hyland, Philip and Sharp, Linda (2014) Carer perceived burden as a predictor of health-related quality of life: the case of colorectal cancer. In: ISPOR 17th Annual European Congress, 8th-12th November 2014, Amsterdam, The Netherlands . (Submitted)

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Abstract

OBJECTIVES
This study aimed to (i) investigate the impact of subjective and objective factors on colorectal cancer carer physical and mental health, and (ii) identify key subjective burden predictors of these two domains.

METHODS
228 colorectal cancer survivors diagnosed October 2007–September 2009 nominated an informal carer. Carers were posted a questionnaire which included questions on socio-demographic characteristics, relationship with the care recipient, the caregiver reaction assessment (CRA) scale and the SF-12v2. Multivariate linear regression was used to assess whether five CRA domains (family support, finances, schedule and health, esteem) predicted carer mental or physical health, controlling for age and other confounders.

RESULTS
153 carers (82% female) completed the questionnaire (response rate = 68%). Carers’ mean physical component score (PCS) was 48.56 (SD=10.38) and mean mental component score (MCS) was 49.22 (SD=9.7). The most negatively affected CRA domain was disrupted schedule (mean=3.0), followed by financial problems (mean=2.4), health problems (mean=2.3) and lack of family support (mean=2.0). Multiple regression analysis showed health burden was the strongest predictor (β = -.54, p < .001) of carer PCS, followed by having a comorbid condition (β = -.34, p < .001), age (β = -.33, p < .001) and schedule burden (β = .25, p = .008). MCS was significantly predicated by financial problems (β = -.20, p = .02), age (β = -.16, p = .05) and esteem (β = -.16, p = .05).

CONCLUSIONS
Our results demonstrate the need to recognise the different aspects of the impact of caring on caregivers (i.e. physical and mental), and that different domains of subjective caregiver burden impact differently on each of these.

Item Type: Conference or Workshop Item (Poster)
Subjects: Q Science > Life sciences > Medical sciences > Pathology > Tumors > Cancer
H Social Sciences > HD Industries. Land use. Labor > Non Profit Organisations. Voluntary Sector. > Carers
Divisions: School of Business > Staff Research and Publications
Related URLs:
Depositing User: CAOIMHE NI MHAICIN
Date Deposited: 18 Nov 2014 14:49
Last Modified: 18 Nov 2014 14:49
URI: http://trap.ncirl.ie/id/eprint/1785

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