Social Network Structures of Breast Cancer Patients and the Contributing Role of Patient Navigators

Gunn, Christine M.; Parker, Victoria A.; Bak, Sharon; Ko, Naomi; Nelson, Kerrie P.; Battaglia, Tracy A.

doi:10.1634/theoncologist.2016-0440

Cited by 8 publications

(10 citation statements)

References 45 publications

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“…Demographic changes, including lower rates of marriage, higher rates of childlessness, and increased mobility, affect who might be available to help care for patients at end-of-life (Cherlin, 2010;Hayford, 2013). Nonfamily informal social network members are increasingly likely to play a role in the care and support a primary caregiver given the variations that exist in the roles and relationships among the people who comprise caregivers' support systems (Gunn et al, 2017). Social networks are, therefore, increasingly diverse in their composition, both in terms of family and non-family memberships, and social network composition can change over the life course and in response to stressors (Benson et al, 2020;Girardin et al, 2018).…”

Section: Changing Structure Of Informal Support Networkmentioning

confidence: 99%

Patterns of stress and support in social support networks of in-home hospice cancer family caregivers

Guo

Reblin

Tay

et al. 2021

Journal of Social and Personal Relationships

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Family caregivers of home hospice cancer patients often experience burden and distress, which can be mitigated by perceived social support. However, less attention has been paid to the non-family sources of support within social networks, or to how sources of support may also be sources of stress. We describe support and stress in social networks of hospice family caregivers and identify caregiving characteristics associated with classes identified in our data. We collected demographic and psychosocial self-report data from family caregivers providing in-home hospice care for advanced cancer patients (N = 90). Caregivers also reported perceived support and stress from specific family and non-family relationships. We identified three classes with unique patterns of stress and support within caregivers’ support networks using a latent class analysis. Classes include: (1) high support, low stress across family and non-family network members (“supportive”; 53% of caregivers); (2) high support, high stress across family and non-family network (“ambivalent maximizers”; 26%); and (3) high support, high stress across family network only (“family-focused ambivalent”; 21%). Caregivers in the ambivalent maximizer class reported more burden than caregivers in the supportive class ( p = .024). This is one of the first studies to systematically explore the role of non-family support, as well as how stress and support co-occur within relationships and across networks. As informal support networks of hospice family caregivers are complex and multifaceted, understanding the patterns of support and stress across various network members is essential to offer services to more effectively manage caregiver burden.

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Section: Changing Structure Of Informal Support Networkmentioning

confidence: 99%

Patterns of stress and support in social support networks of in-home hospice cancer family caregivers

Guo

Reblin

Tay

et al. 2021

Journal of Social and Personal Relationships

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“…When Freeman started navigation, his focus was on breast cancer screening 35 , and since then, much navigation research has focused on breast cancer [36][37][38] . Also, for more than 25 years, breast cancer survivors have been empowered by strong advocacy voices; prostate cancer advocacy is much more recent and muted.…”

Section: Cancer Diagnosesmentioning

confidence: 99%

Comparing Enrolees with Non-Enrolees of Cancer-Patient Navigation at End of Life

Park¹,

Johnston

Urquhart³

et al. 2018

Current Oncology

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“…Social network methods and theory however are not often incorporated into the evaluation of intervention approaches (such as those described above) that may improve cancer survival and/or survivorship through social networks (see Ref. [14] as an exception).…”

Section: What About the Empirical Characterization Of Social Network In Cancer Survival And Survivorship?mentioning

confidence: 99%

“…They are centrally situated in most theoretical frameworks used to understand cancer burden and survival [1][2][3][4][5][6][7][8][9][10]. Several lines of empirical evidence have sought to examine and intervene upon relationships between social factors and cancer survivorship [9,[11][12][13][14][15][16][17][18][19][20]. Social network theory and methods have not been well-integrated into this body of work.…”

Section: Introductionmentioning

confidence: 99%

A conceptual model of social networks and mechanisms of cancer mortality, and potential strategies to improve survival: an invited commentary

Molina

2018

Translational Behavioral Medicine

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In this article, the importance of social factors for cancer survivorship has been theoretically considered and empirically studied. This commentary and Kroenke's narrative review highlight how social network theory and methods may innovatively expand this substantive body of work. First, we add to a new understanding of cancer survivorship through: (a) discussing the delineation and differences between multiple social factors of interest across existing conceptual models; (b) characterizing their relationships to each other and to cancer survivorship through a social network lens; and (c) overall, sharing terminology and strengthening connections within this diverse body of literature. Second, we note opportunities for future research in terms of (a) simultaneous measurement of multiple social factors at different levels and (b) adaptation of designs to leverage and measure the theorized mechanisms. This commentary describes how incorporation of social network research can optimize research, practice, and policy contributions regarding cancer survival and survivorship.

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Social Network Structures of Breast Cancer Patients and the Contributing Role of Patient Navigators

Cited by 8 publications

References 45 publications

Patterns of stress and support in social support networks of in-home hospice cancer family caregivers

Patterns of stress and support in social support networks of in-home hospice cancer family caregivers

Comparing Enrolees with Non-Enrolees of Cancer-Patient Navigation at End of Life

A conceptual model of social networks and mechanisms of cancer mortality, and potential strategies to improve survival: an invited commentary

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