Table 2.

Associations with caregiver-assessed communication

VariableLevel or constructn%Outcome: CCATOutcome: CCID
Estimate95% CIP valueEstimate95% CIP 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 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 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 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 
VariableLevel or constructn%Outcome: CCATOutcome: CCID
Estimate95% CIP valueEstimate95% CIP 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 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 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 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.

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