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The Impace of Health Care Provider Communication on Self-Efficacy and Caregiver Burden in Older Spousal Oncology Caregivers

Grater, Joyce J (2005) The Impace of Health Care Provider Communication on Self-Efficacy and Caregiver Burden in Older Spousal Oncology Caregivers. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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This study explored how health care provider communication was related to self-efficacy and caregiver burden in older spousal caregivers of oncology patients. A convenience sample of 66 older (over 60 years of age) spousal caregivers of patients with advanced disease, completed a self-administered questionnaire. The questionnaire included measures of health care provider communication, social support, self- efficacy, and caregiver burden. The communication and self-efficacy measures were developed for this study. A factor analysis was done on both measures and both had good validity (á >.90). A multiple regression analysis was performed to test for predictors to caregiver burden. Neither communication, nor self-efficacy were significant predictors of caregiver burden. Nor was communication a predictor to self-efficacy. Gender and social support were the predictors of burden. Bivariate analyses had shown a correlation between a caregivers health status and increased burden. One major finding was that, although this was a group of caregivers caring for spouses with advanced or terminal disease, very few had seen a social worker and none had been referred to a hospice or palliative care program. No caregivers were using any community social services. Implications for social work include early assessments of older caregivers to help identify at-risk caregivers, and to provide appropriate referrals to alleviate burden. Other research implications include further testing of the communication and self-efficacy measures.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Grater, Joyce
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairSales, Esther Gsales@pitt.eduSALES
Committee MemberBender, Catherine
Committee MemberKoeske, Garykoeskeg@pitt.eduKOESKEG
Committee MemberKorr,
Date: 1 September 2005
Date Type: Completion
Defense Date: 11 August 2005
Approval Date: 1 September 2005
Submission Date: 31 August 2005
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: School of Social Work > Social Work
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: caregiver burden; health care provider communication; oncology family caregiving; self-efficacy
Other ID:, etd-08312005-180506
Date Deposited: 10 Nov 2011 20:01
Last Modified: 15 Nov 2016 13:49


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