Megan C Thomas Hebdon1, Lorinda A Coombs2, Pamela Reed3, Tracy E Crane4, Terry A Badger5. 1. University of Utah College of Nursing, 10 2000 E. Salt Lake City, Utah, 84112, USA. Electronic address: meg.hebdon@utah.edu. 2. University of North Carolina Chapel Hill, School of Nursing, Lineberger Comprehensive Cancer Center, USA. Electronic address: lcoombs@ad.unc.edu. 3. University of Arizona College of Nursing, 1305 N. Martin Ave., Tucson, AZ, 85721, USA. Electronic address: preed@email.arizona.edu. 4. University of North Carolina Chapel Hill, School of Nursing, Lineberger Comprehensive Cancer Center, USA. Electronic address: tecrane@email.arizona.edu. 5. University of North Carolina Chapel Hill, School of Nursing, Lineberger Comprehensive Cancer Center, USA. Electronic address: tbadger@email.arizona.edu.
Abstract
PURPOSE: Cancer caregivers experience health challenges related to their caregiving role, and self-efficacy can contribute to health outcomes through behavioral, environmental, and personal factors. The purpose of this integrative review was to examine self-efficacy in caregivers of adults diagnosed with cancer, including its association with health factors. METHOD: A systematic search of PubMed, CINAHL, and PsychInfo yielded 560 articles. Following duplicate removal, 232 articles were screened for inclusion criteria with 71 articles remaining for final review. RESULTS: Studies were generally quantitative (n = 67), with predominantly female (n = 55), White (n = 36) caregivers, between the ages of 45-60 (n = 48). Self-efficacy was significantly associated with quality of life, caregiver function, social support, hope, depression, anxiety, and burden as a predictor, mediator, and outcome. Physical health and social determinants of health (social support and financial well-being) were addressed among fewer studies than mental and emotional health outcomes. CONCLUSIONS: Addressing self-efficacy in diverse populations and within physical, mental, and social health contexts will enhance understanding of how self-efficacy impacts caregivers of adults diagnosed with cancer. Nurses and other health care professionals can then effectively address supportive needs of caregivers in the personal, behavioral, and environmental domains.
PURPOSE: Cancer caregivers experience health challenges related to their caregiving role, and self-efficacy can contribute to health outcomes through behavioral, environmental, and personal factors. The purpose of this integrative review was to examine self-efficacy in caregivers of adults diagnosed with cancer, including its association with health factors. METHOD: A systematic search of PubMed, CINAHL, and PsychInfo yielded 560 articles. Following duplicate removal, 232 articles were screened for inclusion criteria with 71 articles remaining for final review. RESULTS: Studies were generally quantitative (n = 67), with predominantly female (n = 55), White (n = 36) caregivers, between the ages of 45-60 (n = 48). Self-efficacy was significantly associated with quality of life, caregiver function, social support, hope, depression, anxiety, and burden as a predictor, mediator, and outcome. Physical health and social determinants of health (social support and financial well-being) were addressed among fewer studies than mental and emotional health outcomes. CONCLUSIONS: Addressing self-efficacy in diverse populations and within physical, mental, and social health contexts will enhance understanding of how self-efficacy impacts caregivers of adults diagnosed with cancer. Nurses and other health care professionals can then effectively address supportive needs of caregivers in the personal, behavioral, and environmental domains.
Authors: J Nicholas Dionne-Odom; Wendy Demark-Wahnefried; Richard A Taylor; Gabrielle B Rocque; Andres Azuero; Aras Acemgil; Michelle Y Martin; Meka Astin; Deborah Ejem; Elizabeth Kvale; Karen Heaton; Maria Pisu; Edward E Partridge; Marie A Bakitas Journal: Support Care Cancer Date: 2017-03-01 Impact factor: 3.603
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