The Prevalence and Risks for Depression and Anxiety in Hospice Caregivers

Oliver, Debra Parker; Washington, Karla T.; Smith, Jamie; Uraizee, Aisha; Demiris, George

doi:10.1089/jpm.2016.0372

Cited by 38 publications

(24 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is possible that CGs with current or past depressive episodes have a skewed perception of their patient's symptom presentation, which reflects the CG's depressive perspective rather than the patient's symptomatology. Future research would also be strengthened by consideration of CG anxiety in addition to depression, as anxiety has been found to have a higher prevalence among hospice CGs than depression (Parker Oliver et al, 2016), and might reasonably be related to challenges associated with pain and symptom management.…”

Section: Discussionmentioning

confidence: 99%

Differential effects of patient symptom subtypes on informal hospice caregiver depression

et al. 2017

Self Cite

View full text Add to dashboard Cite

Burden associated with patients' psychological symptoms uniquely contributed to caregiver depression, further highlighting the clinical utility and necessity for hospice providers to address the emotional needs of patients and their caregivers alike. Developing clinical procedures to identify and respond to such needs would not only behoove hospice agencies, but it would likely enhance the caregiving experience holistically, which might be particularly imperative for male caregivers.

show abstract

Section: Discussionmentioning

confidence: 99%

Differential effects of patient symptom subtypes on informal hospice caregiver depression

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…The total score is calculated by assigning scores of 0 to 3 for each of the seven items. This instrument was used widely to assess anxiety of informal caregivers in hospice and serves as a valid screening and continuous assessment tool given its brevity that reduces respondent burden …”

Section: Methodsmentioning

confidence: 99%

A Problem‐Solving Intervention for Hospice Family Caregivers: A Randomized Clinical Trial

Demiris

Oliver

Washington

et al. 2019

J American Geriatrics Society

Self Cite

View full text Add to dashboard Cite

OBJECTIVES Family caregivers of hospice patients have multiple needs as they try to cope during a stressful time. Translatable interventions effective in improving caregiver outcomes are greatly needed. Our objective was to assess the impact of a problem‐solving intervention (called Problem‐Solving Intervention to Support Caregivers in End‐of‐Life Care Settings [PISCES]) to support hospice caregivers on caregiver quality of life and anxiety, and compare its effectiveness delivered face to face and via videoconferencing. DESIGN In this 4‐year randomized clinical trial, caregivers were randomly assigned to a group receiving standard care with added “friendly calls” (attention control [AC] group), a group receiving standard care and PISCES delivered face to face (F2F), or a group receiving standard care and PISCES delivered via videoconferencing (VC). SETTING Home hospice. PARTICIPANTS A total of 514 caregivers participated (172 in AC, 171 in F2F, and 171 in VC). Caregivers were predominantly female (75%); mean age was 60.3 years. INTERVENTION PISCES includes a structured curriculum delivered in three sessions and motivates caregivers to adopt a positive attitude, define problems by obtaining facts, set goals, and generate and evaluate solutions. MEASUREMENTS Quality of life was measured by the Caregiver Quality of Life Index‐Revised; anxiety was measured by the Generalized Anxiety Disorder 7‐Item. Other measures included the Caregiver Reaction Assessment scale, demographic data, and an exit interview. RESULTS Compared with AC, caregivers in the F2F condition had postintervention reduced anxiety (−1.31 [95% confidence interval [CI] = −2.11 to .50]; p = .004) and improved social (.57 [95% CI = .19‐.95]; p = .01), financial (.57 [95% CI = .21‐.93]; p = .004), and physical quality of life (.53 [95% CI = .19‐.87]; p = .01). There were no differences in caregivers in the VC condition compared with the AC condition. CONCLUSION The PISCES intervention improves caregiver outcomes and is effective when delivered in person. How to integrate technology to reduce the intervention delivery cost warrants further investigation.

show abstract

“…In home hospice, the majority of care is provided by family caregivers. 2 Patients with advanced illnesses have frequent symptom management needs, and family hospice caregivers struggle to meet those needs. 2 According to a qualitative study of hospice caregivers, many family caregivers reported feeling frustration with patient care issues.…”

mentioning

confidence: 99%

“…2 Patients with advanced illnesses have frequent symptom management needs, and family hospice caregivers struggle to meet those needs. 2 According to a qualitative study of hospice caregivers, many family caregivers reported feeling frustration with patient care issues. 2 A secondary data analysis of 433 hospice caregivers revealed that 31% of them had moderate or higher levels of anxiety.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Examination and Analysis of After-Hours Calls in Hospice

Mayahara

Fogg

2020

Am J Hosp Palliat Care

View full text Add to dashboard Cite

To ensure safe and effective care at home, most hospice agencies provide 24-hour call services to patients and their families. However, responding to such calls can be very extensive since so many calls occur after hours when staff are fewer. The purpose of the current study was to better understand the types of after-hours calls and differences across patient teams. By understanding why these calls are made, we might be able to reduce the number of avoidable after-hours calls. This descriptive retrospective chart review study was conducted using data from 9 patient care teams within a single hospice agency. During the 6-month study period, the hospice agency received 1596 after-hours calls. The number of calls averaged 10.3 per night. Common clinical-related calls included consultations about the shortness of breath (10.2%) and pain (9.5%). A total of 37.7% of the calls were nonclinical, nonemergency in nature, including requests for supplies (29.6%) and medication refills (8.1%). There were statistically significant differences ( P < .05) between teams in the numbers of supply request calls, medication refill request calls, and calls associated with clinical-related issues. Also, there was a statistically significant difference in the after-hours calls across teams that resulted in dispatching staff to a home ( P < .05). These findings suggest that many after-hours calls would be more appropriately addressed during regular daytime hours. There are significant across-team differences that are not yet well understood. Further studies are needed to determine how to reduce the number of after-hours calls.

show abstract

The Prevalence and Risks for Depression and Anxiety in Hospice Caregivers

Abstract: Hospice providers' recognition of family caregivers as both coproviders and corecipients of care underscores the need to more fully assess and respond to depression and anxiety among caregivers.

Cited by 38 publications

References 35 publications

Differential effects of patient symptom subtypes on informal hospice caregiver depression

Differential effects of patient symptom subtypes on informal hospice caregiver depression

A Problem‐Solving Intervention for Hospice Family Caregivers: A Randomized Clinical Trial

Examination and Analysis of After-Hours Calls in Hospice

Contact Info

Product

Resources

About