A comparison of adult-child and spousal cancer caregivers’ participation in medical decisions Article Swipe
Anny Fenton
,
Katherine Ornstein
,
Erin E. Kent
,
Ellen Miller‐Sonet
,
Alexi A. Wright
,
J. Nicholas Dionne‐Odom
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0300450
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0300450
Background Family caregivers often play a key role in medical decision-making for patients with cancer. Adult-children account for nearly half of caregivers, but often have less experience with serious illness care and decision-making and face unique relational challenges as the patient’s child. Yet little research explores the potentially distinctive decision-making, involvement in decisions, and support needs of adult-child caregivers. Methods Analysis of survey data of U.S. cancer caregivers conducted by Cancer Care ® in 2021. Chi-square tests and multivariable regression models assessed whether adult-child and spousal caregivers differed on the type of medical decisions they participated in (e.g., treatment planning, medication management), who made the decision (e.g., caregiver or joint decision), and the resources that informed decisions (e.g., friends and family, education materials). Results Adult-children (N = 892) were less likely than spouses (N = 314) to participate in treatment planning (beta = -0.41; 95%CI = -0.81,-0.01), but more likely to be involved in decisions about whether to challenge medical authority (e.g., seeking alternative treatment, second opinion) (beta = 0.50; 95%CI = 0.22,0.78). Compared to spouses, adult-children made joint decisions with patients less often (-13.2-percentage points; 95%CI = -19.64,-6.67) and acted as primary decision-maker more frequently (5.60-percentage points; 95%CI = 0.01,10.43). More adult-children than spouses sought help and information regarding decisions from the oncology team (8.42-percentage points; 95%CI = 1.98,14.87) and friends and family (7.91-percentage points; 95%CI = 1.34,14.48). Conclusions How cancer caregivers and patients are related to each other shapes caregivers’ medical decision-making. Adult-children’s and spouses’ probabilities of participating in and influencing decisions differed for certain types of decisions while adult-children were more likely to seek information and social support regarding decisions. These findings highlight the importance of the patient’s and caregiver’s relationship type in medical decision-making, suggesting that decision support programs may be more effective if they tailor programs by relationship type.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0300450
- https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0300450&type=printable
- OA Status
- gold
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399621568
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399621568Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1371/journal.pone.0300450Digital Object Identifier
- Title
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A comparison of adult-child and spousal cancer caregivers’ participation in medical decisionsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-06-13Full publication date if available
- Authors
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Anny Fenton, Katherine Ornstein, Erin E. Kent, Ellen Miller‐Sonet, Alexi A. Wright, J. Nicholas Dionne‐OdomList of authors in order
- Landing page
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https://doi.org/10.1371/journal.pone.0300450Publisher landing page
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0300450&type=printableDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0300450&type=printableDirect OA link when available
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Medicine, Young adult, Family medicine, Cancer, Psychology, Gerontology, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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32Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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