Associations with caregiver-assessed communication
Variable . | Level or construct . | n . | % . | Outcome: CCAT . | Outcome: CCID . | ||||
---|---|---|---|---|---|---|---|---|---|
Estimate . | 95% CI . | P value . | Estimate . | 95% CI . | P value . | ||||
Patient age | Continuous, y | 63 | 100 | −0.003 | −0.08-0.08 | .94 | 0.00 | −0.02-0.02 | .70 |
Patient sex | Female | 22 | 35 | Ref | Ref | ||||
Male | 41 | 65 | 0.26 | −1.89-2.42 | .81 | 0.004 | −0.56-0.56 | .99 | |
Patient education | Other | 19 | 30 | Ref | Ref | ||||
College, professional, or graduate | 44 | 70 | −0.11 | −2.35-2.13 | .92 | 0.26 | −0.32-0.84 | .37 | |
Patient income | <$75 000 | 17 | 27 | Ref | Ref | ||||
≥$75 000 | 37 | 59 | −0.62 | −3.04-1.79 | .61 | 0.11 | −0.52-0.75 | .72 | |
Patient neurologic illness | No | 13 | 21 | Ref | Ref | ||||
Yes | 47 | 78 | 0.09 | −2.49-2.66 | .95 | −0.42 | −1.08-0.24 | .21 | |
ECD duration | Continuous, y | 63 | 100 | −0.06 | −0.27-0.15 | .56 | −0.02 | −0.08-0.03 | .40 |
Patient on treatment | No | 14 | 22 | Ref | Ref | ||||
Yes | 49 | 78 | 2.49 | 0.10-4.88 | .04 | −0.12 | −0.76-0.52 | .71 | |
Patient unmet needs (SCNS) | Met health care service needs | 40 | 63 | Ref | Ref | ||||
Unmet health care service needs | 21 | 33 | 1.77 | −0.29-3.82 | .09 | 0.31 | −0.25-0.88 | .27 | |
Met psychological and emotional needs | 30 | 48 | Ref | Ref | |||||
Unmet psychological and emotional needs | 32 | 51 | 2.25 | 0.27-4.23 | .03 | 0.25 | −0.29-0.79 | .36 | |
Met physical and daily living needs | 42 | 67 | Ref | Ref | |||||
Unmet physical and daily living needs | 19 | 30 | 1.25 | −0.89-3.38 | .25 | 0.30 | −0.28-0.89 | .30 | |
Met care and support needs | 52 | 83 | Ref | Ref | |||||
Unmet care and support needs | 9 | 14 | 1.64 | −1.17-4.45 | .25 | 0.37 | −0.39-1.13 | .34 | |
Met sexual needs | 46 | 73 | Ref | Ref | |||||
Unmet sexual needs | 14 | 22 | 0.28 | −2.13-2.69 | .82 | −0.20 | −0.84-0.45 | .55 | |
Met total needs | 21 | 33 | Ref | Ref | |||||
Unmet total needs | 41 | 65 | 1.90 | −0.22-4.03 | .08 | 0.11 | −0.46-0.68 | .71 | |
Patient FACT-Cog | Perceived cognitive impairments | 62 | 98 | −0.06 | −0.13-0.006 | .07 | −0.01 | −0.03-0.01 | .17 |
Impact of perceived cognitive impairments | 62 | 98 | −0.21 | −0.42 to −0.01 | .04 | −0.05 | −0.10-0.00 | .053 | |
Comments from others | 62 | 98 | −0.09 | −0.48-0.31 | .66 | −0.02 | −0.13-0.08 | .64 | |
Perceived cognitive abilities | 62 | 98 | 0.009 | −0.15-0.17 | .91 | −0.02 | −0.07-0.02 | .24 | |
Patient ECDSS | Top 3 symptoms, continuous score | 61 | 97 | 0.27 | −0.10-0.65 | .15 | 0.09 | −0.003-0.19 | .056 |
Top 5 symptoms, continuous score | 61 | 97 | 0.19 | −0.21-0.58 | .35 | 0.09 | −0.01-0.19 | .09 | |
Top 3 symptoms: at least 1 not almost constantly | 55 | 87 | Ref | Ref | |||||
Top 3 symptoms: all almost constantly | 6 | 10 | 3.92 | 0.51-7.33 | .03 | 0.41 | −0.50-1.32 | .37 | |
Top 5 symptoms: at least 1 not almost constantly | 57 | 90 | Ref | Ref | |||||
Top 5 symptoms: all almost constantly | 2 | 3 | 7.25 | 1.69-12.80 | .01 | 0.18 | −1.32-1.68 | .81 | |
Patient IADL | Continuous score | 62 | 98 | −0.34 | −0.78-0.10 | .13 | −0.04 | −0.16-0.08 | .48 |
Patient anxiety | Continuous HADS anxiety score | 63 | 100 | 0.18 | −0.10-0.47 | .20 | 0.07 | 0.00-0.15 | .04 |
Patient depression | Continuous HADS depression score | 63 | 100 | 0.16 | −0.07-0.40 | .17 | 0.04 | −0.02-0.10 | .20 |
Patient BPI | Severity construct | 62 | 98 | 0.44 | 0.04-0.84 | .03 | 0.10 | −0.002-0.21 | .055 |
Interference construct | 61 | 97 | 0.24 | −0.13-0.61 | .20 | 0.05 | −0.04-0.15 | .26 | |
Total | 61 | 97 | 0.32 | −0.07-0.70 | .11 | 0.07 | −0.03-0.17 | .17 | |
Patient BFI | Severity construct | 62 | 98 | 0.28 | −0.02-0.59 | .07 | 0.14 | 0.07-0.22 | .0002 |
Interference construct | 62 | 98 | 0.22 | −0.09-0.54 | .17 | 0.10 | 0.02-0.18 | .01 | |
Total | 62 | 98 | 0.26 | −0.06-0.58 | .11 | 0.12 | 0.04-0.20 | .003 | |
Caregiver age | Continuous, y | 63 | 100 | −0.006 | −0.09-0.08 | .89 | −0.01 | −0.04-0.003 | .09 |
Caregiver sex | Female | 48 | 76 | Ref | Ref | ||||
Male | 15 | 24 | −0.63 | −3.04-1.78 | .60 | 0.26 | −0.36-0.89 | .40 | |
Caregiver education | Other | 15 | 24 | Ref | Ref | ||||
College, professional, or graduate | 48 | 76 | 1.007 | −1.33-3.47 | .38 | 0.47 | −0.14-1.09 | .13 | |
Caregiver anxiety | Continuous HADS anxiety score | 63 | 100 | 0.30 | 0.08-0.52 | .009 | 0.09 | 0.03-0.14 | .002 |
Caregiver income | <$75 000 | 21 | 33 | Ref | Ref | ||||
≥$75 000 | 39 | 62 | −0.007 | −2.21-2.20 | .99 | −0.002 | −0.58-0.57 | .99 | |
Caregiver depression | Continuous HADS depression score | 63 | 100 | 0.41 | 0.19-0.62 | .0003 | 0.08 | 0.02-0.14 | .009 |
Caregiver unmet needs (SCNS) | Met health care service needs | 33 | 52 | Ref | Ref | ||||
Unmet health care service needs | 30 | 48 | 1.82 | −0.18-3.83 | .07 | 0.10 | −0.43-0.63 | .71 | |
Met psychological and emotional needs | 24 | 28 | Ref | Ref | |||||
Unmet psychological and emotional needs | 39 | 62 | 1.68 | −0.40-3.75 | .11 | 0.22 | −0.33-0.77 | .42 | |
Met work and social needs | 40 | 63 | Ref | Ref | |||||
Unmet work and social needs | 23 | 37 | 2.75 | 0.73-4.77 | .008 | 0.17 | −0.39-0.72 | .55 | |
Met informational needs | 32 | 51 | Ref | Ref | |||||
Unmet informational needs | 31 | 49 | 2.32 | 0.35-4.29 | .02 | 0.27 | −0.26-0.80 | .31 | |
Met total needs | 15 | 24 | Ref | Ref | |||||
Unmet total needs | 48 | 76 | 2.29 | −0.05-4.63 | .06 | −0.19 | −0.82-0.43 | .54 | |
Caregiver Duke-UNC FSSQ | Continuous score | 63 | 100 | −0.85 | −1.90-0.20 | .11 | −0.04 | −0.32-0.23 | .75 |
Caregiver Loneliness | Continuous score | 63 | 100 | 0.16 | −0.07-0.40 | .17 | 0.05 | −0.01-0.11 | .12 |
Caregiver Difficulties in Emotional Regulation | Nonacceptance of emotional response | 62 | 98 | 0.34 | 0.14-0.54 | .001 | 0.07 | 0.02-0.13 | .01 |
Difficulty engaging in goal-directed behavior | 63 | 100 | 0.28 | −0.0004-0.57 | .05 | 0.10 | 0.02-0.17 | .01 | |
Impulse control difficulties | 63 | 100 | 0.44 | 0.19-0.69 | .0008 | 0.07 | 0.01-0.14 | .04 | |
Lack of emotional awareness | 63 | 100 | 0.35 | 0.17-0.52 | .0002 | 0.09 | 0.04-0.13 | .0003 | |
Limited access to emotional regulation strategies | 63 | 100 | 0.49 | 0.29-0.68 | < .0001 | 0.11 | 0.05-0.16 | .0002 | |
Lack of emotional clarity | 63 | 100 | 0.46 | 0.18-0.73 | .001 | 0.12 | 0.05-0.19 | .0015 | |
Total | 62 | 98 | 0.12 | 0.07-0.17 | < .0001 | 0.03 | 0.02-0.04 | < .0001 | |
Caregiver Burden | Self-esteem | 63 | 100 | −0.28 | −0.55 to −0.005 | .046 | −0.07 | −0.14-0.003 | .06 |
Impact on schedule | 63 | 100 | 0.11 | −0.09-0.30 | .27 | −0.01 | −0.06-0.04 | .61 | |
Lack of family support | 63 | 100 | 0.14 | −0.06-0.35 | .17 | −0.02 | −0.08-0.03 | .38 | |
Impact on finances | 63 | 100 | 0.14 | −0.14-0.43 | .32 | 0.09 | 0.02-0.16 | .02 | |
Impact on health | 63 | 100 | 0.30 | −0.17-0.77 | .20 | −0.01 | −0.13-0.11 | .87 |
Variable . | Level or construct . | n . | % . | Outcome: CCAT . | Outcome: CCID . | ||||
---|---|---|---|---|---|---|---|---|---|
Estimate . | 95% CI . | P value . | Estimate . | 95% CI . | P value . | ||||
Patient age | Continuous, y | 63 | 100 | −0.003 | −0.08-0.08 | .94 | 0.00 | −0.02-0.02 | .70 |
Patient sex | Female | 22 | 35 | Ref | Ref | ||||
Male | 41 | 65 | 0.26 | −1.89-2.42 | .81 | 0.004 | −0.56-0.56 | .99 | |
Patient education | Other | 19 | 30 | Ref | Ref | ||||
College, professional, or graduate | 44 | 70 | −0.11 | −2.35-2.13 | .92 | 0.26 | −0.32-0.84 | .37 | |
Patient income | <$75 000 | 17 | 27 | Ref | Ref | ||||
≥$75 000 | 37 | 59 | −0.62 | −3.04-1.79 | .61 | 0.11 | −0.52-0.75 | .72 | |
Patient neurologic illness | No | 13 | 21 | Ref | Ref | ||||
Yes | 47 | 78 | 0.09 | −2.49-2.66 | .95 | −0.42 | −1.08-0.24 | .21 | |
ECD duration | Continuous, y | 63 | 100 | −0.06 | −0.27-0.15 | .56 | −0.02 | −0.08-0.03 | .40 |
Patient on treatment | No | 14 | 22 | Ref | Ref | ||||
Yes | 49 | 78 | 2.49 | 0.10-4.88 | .04 | −0.12 | −0.76-0.52 | .71 | |
Patient unmet needs (SCNS) | Met health care service needs | 40 | 63 | Ref | Ref | ||||
Unmet health care service needs | 21 | 33 | 1.77 | −0.29-3.82 | .09 | 0.31 | −0.25-0.88 | .27 | |
Met psychological and emotional needs | 30 | 48 | Ref | Ref | |||||
Unmet psychological and emotional needs | 32 | 51 | 2.25 | 0.27-4.23 | .03 | 0.25 | −0.29-0.79 | .36 | |
Met physical and daily living needs | 42 | 67 | Ref | Ref | |||||
Unmet physical and daily living needs | 19 | 30 | 1.25 | −0.89-3.38 | .25 | 0.30 | −0.28-0.89 | .30 | |
Met care and support needs | 52 | 83 | Ref | Ref | |||||
Unmet care and support needs | 9 | 14 | 1.64 | −1.17-4.45 | .25 | 0.37 | −0.39-1.13 | .34 | |
Met sexual needs | 46 | 73 | Ref | Ref | |||||
Unmet sexual needs | 14 | 22 | 0.28 | −2.13-2.69 | .82 | −0.20 | −0.84-0.45 | .55 | |
Met total needs | 21 | 33 | Ref | Ref | |||||
Unmet total needs | 41 | 65 | 1.90 | −0.22-4.03 | .08 | 0.11 | −0.46-0.68 | .71 | |
Patient FACT-Cog | Perceived cognitive impairments | 62 | 98 | −0.06 | −0.13-0.006 | .07 | −0.01 | −0.03-0.01 | .17 |
Impact of perceived cognitive impairments | 62 | 98 | −0.21 | −0.42 to −0.01 | .04 | −0.05 | −0.10-0.00 | .053 | |
Comments from others | 62 | 98 | −0.09 | −0.48-0.31 | .66 | −0.02 | −0.13-0.08 | .64 | |
Perceived cognitive abilities | 62 | 98 | 0.009 | −0.15-0.17 | .91 | −0.02 | −0.07-0.02 | .24 | |
Patient ECDSS | Top 3 symptoms, continuous score | 61 | 97 | 0.27 | −0.10-0.65 | .15 | 0.09 | −0.003-0.19 | .056 |
Top 5 symptoms, continuous score | 61 | 97 | 0.19 | −0.21-0.58 | .35 | 0.09 | −0.01-0.19 | .09 | |
Top 3 symptoms: at least 1 not almost constantly | 55 | 87 | Ref | Ref | |||||
Top 3 symptoms: all almost constantly | 6 | 10 | 3.92 | 0.51-7.33 | .03 | 0.41 | −0.50-1.32 | .37 | |
Top 5 symptoms: at least 1 not almost constantly | 57 | 90 | Ref | Ref | |||||
Top 5 symptoms: all almost constantly | 2 | 3 | 7.25 | 1.69-12.80 | .01 | 0.18 | −1.32-1.68 | .81 | |
Patient IADL | Continuous score | 62 | 98 | −0.34 | −0.78-0.10 | .13 | −0.04 | −0.16-0.08 | .48 |
Patient anxiety | Continuous HADS anxiety score | 63 | 100 | 0.18 | −0.10-0.47 | .20 | 0.07 | 0.00-0.15 | .04 |
Patient depression | Continuous HADS depression score | 63 | 100 | 0.16 | −0.07-0.40 | .17 | 0.04 | −0.02-0.10 | .20 |
Patient BPI | Severity construct | 62 | 98 | 0.44 | 0.04-0.84 | .03 | 0.10 | −0.002-0.21 | .055 |
Interference construct | 61 | 97 | 0.24 | −0.13-0.61 | .20 | 0.05 | −0.04-0.15 | .26 | |
Total | 61 | 97 | 0.32 | −0.07-0.70 | .11 | 0.07 | −0.03-0.17 | .17 | |
Patient BFI | Severity construct | 62 | 98 | 0.28 | −0.02-0.59 | .07 | 0.14 | 0.07-0.22 | .0002 |
Interference construct | 62 | 98 | 0.22 | −0.09-0.54 | .17 | 0.10 | 0.02-0.18 | .01 | |
Total | 62 | 98 | 0.26 | −0.06-0.58 | .11 | 0.12 | 0.04-0.20 | .003 | |
Caregiver age | Continuous, y | 63 | 100 | −0.006 | −0.09-0.08 | .89 | −0.01 | −0.04-0.003 | .09 |
Caregiver sex | Female | 48 | 76 | Ref | Ref | ||||
Male | 15 | 24 | −0.63 | −3.04-1.78 | .60 | 0.26 | −0.36-0.89 | .40 | |
Caregiver education | Other | 15 | 24 | Ref | Ref | ||||
College, professional, or graduate | 48 | 76 | 1.007 | −1.33-3.47 | .38 | 0.47 | −0.14-1.09 | .13 | |
Caregiver anxiety | Continuous HADS anxiety score | 63 | 100 | 0.30 | 0.08-0.52 | .009 | 0.09 | 0.03-0.14 | .002 |
Caregiver income | <$75 000 | 21 | 33 | Ref | Ref | ||||
≥$75 000 | 39 | 62 | −0.007 | −2.21-2.20 | .99 | −0.002 | −0.58-0.57 | .99 | |
Caregiver depression | Continuous HADS depression score | 63 | 100 | 0.41 | 0.19-0.62 | .0003 | 0.08 | 0.02-0.14 | .009 |
Caregiver unmet needs (SCNS) | Met health care service needs | 33 | 52 | Ref | Ref | ||||
Unmet health care service needs | 30 | 48 | 1.82 | −0.18-3.83 | .07 | 0.10 | −0.43-0.63 | .71 | |
Met psychological and emotional needs | 24 | 28 | Ref | Ref | |||||
Unmet psychological and emotional needs | 39 | 62 | 1.68 | −0.40-3.75 | .11 | 0.22 | −0.33-0.77 | .42 | |
Met work and social needs | 40 | 63 | Ref | Ref | |||||
Unmet work and social needs | 23 | 37 | 2.75 | 0.73-4.77 | .008 | 0.17 | −0.39-0.72 | .55 | |
Met informational needs | 32 | 51 | Ref | Ref | |||||
Unmet informational needs | 31 | 49 | 2.32 | 0.35-4.29 | .02 | 0.27 | −0.26-0.80 | .31 | |
Met total needs | 15 | 24 | Ref | Ref | |||||
Unmet total needs | 48 | 76 | 2.29 | −0.05-4.63 | .06 | −0.19 | −0.82-0.43 | .54 | |
Caregiver Duke-UNC FSSQ | Continuous score | 63 | 100 | −0.85 | −1.90-0.20 | .11 | −0.04 | −0.32-0.23 | .75 |
Caregiver Loneliness | Continuous score | 63 | 100 | 0.16 | −0.07-0.40 | .17 | 0.05 | −0.01-0.11 | .12 |
Caregiver Difficulties in Emotional Regulation | Nonacceptance of emotional response | 62 | 98 | 0.34 | 0.14-0.54 | .001 | 0.07 | 0.02-0.13 | .01 |
Difficulty engaging in goal-directed behavior | 63 | 100 | 0.28 | −0.0004-0.57 | .05 | 0.10 | 0.02-0.17 | .01 | |
Impulse control difficulties | 63 | 100 | 0.44 | 0.19-0.69 | .0008 | 0.07 | 0.01-0.14 | .04 | |
Lack of emotional awareness | 63 | 100 | 0.35 | 0.17-0.52 | .0002 | 0.09 | 0.04-0.13 | .0003 | |
Limited access to emotional regulation strategies | 63 | 100 | 0.49 | 0.29-0.68 | < .0001 | 0.11 | 0.05-0.16 | .0002 | |
Lack of emotional clarity | 63 | 100 | 0.46 | 0.18-0.73 | .001 | 0.12 | 0.05-0.19 | .0015 | |
Total | 62 | 98 | 0.12 | 0.07-0.17 | < .0001 | 0.03 | 0.02-0.04 | < .0001 | |
Caregiver Burden | Self-esteem | 63 | 100 | −0.28 | −0.55 to −0.005 | .046 | −0.07 | −0.14-0.003 | .06 |
Impact on schedule | 63 | 100 | 0.11 | −0.09-0.30 | .27 | −0.01 | −0.06-0.04 | .61 | |
Lack of family support | 63 | 100 | 0.14 | −0.06-0.35 | .17 | −0.02 | −0.08-0.03 | .38 | |
Impact on finances | 63 | 100 | 0.14 | −0.14-0.43 | .32 | 0.09 | 0.02-0.16 | .02 | |
Impact on health | 63 | 100 | 0.30 | −0.17-0.77 | .20 | −0.01 | −0.13-0.11 | .87 |
BFI, Brief Fatigue Inventory; BPI, Brief Pain Inventory; ECD-SS, ECD Symptom Scale; FACT-Cog, Functional Assessment of Cancer Therapy–Cognitive assessment; FSSQ, Functional Social Support Questionnaire; HADS, Hospital Anxiety and Depression Scale; IADL, Instrumental Activities of Daily Life; Ref, reference category; SCNS, Supportive Care Needs Survey; UNC, University of North Carolina.