TY - JOUR
T1 - Self-efficacy in caregivers of adults diagnosed with cancer
T2 - An integrative review
AU - Thomas Hebdon, Megan C.
AU - Coombs, Lorinda A.
AU - Reed, Pamela
AU - Crane, Tracy E.
AU - Badger, Terry A.
N1 - Funding Information:
Cancer burden will continue to grow globally with a projected 27.5 million new cancer cases in 2040, although global cancer caregiver numbers are less well understood (American Cancer Society, 2018). Informal caregivers, herein referred to as family caregivers, are foundational to health care delivery (National Cancer Institute, 2019), with caregivers described as the hidden patient (Roche, 2009). Family caregivers of individuals diagnosed with cancer may provide physical, mental, emotional, spiritual, and financial support, and they may be asked to provide care for which they feel unprepared to deliver (National Cancer Institute, 2019). Caregivers may also suffer consequences from their caregiving role including unintentional weight changes, sleep deprivation, depressive symptoms, anxiety, social isolation, and an increased risk of mortality (Adelman et al., 2014; Perkins et al., 2013).Dr. Hebdon is supported by the National Institute of Nursing Research (T32NR013456).
Funding Information:
Dr. Hebdon is supported by the National Institute of Nursing Research ( T32NR013456 ).
Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/6
Y1 - 2021/6
N2 - Purpose: Cancer caregivers experience health challenges related to their caregiving role, and self-efficacy can contribute to health outcomes through behavioral, environmental, and personal factors. The purpose of this integrative review was to examine self-efficacy in caregivers of adults diagnosed with cancer, including its association with health factors. Method: A systematic search of PubMed, CINAHL, and PsychInfo yielded 560 articles. Following duplicate removal, 232 articles were screened for inclusion criteria with 71 articles remaining for final review. Results: Studies were generally quantitative (n = 67), with predominantly female (n = 55), White (n = 36) caregivers, between the ages of 45–60 (n = 48). Self-efficacy was significantly associated with quality of life, caregiver function, social support, hope, depression, anxiety, and burden as a predictor, mediator, and outcome. Physical health and social determinants of health (social support and financial well-being) were addressed among fewer studies than mental and emotional health outcomes. Conclusions: Addressing self-efficacy in diverse populations and within physical, mental, and social health contexts will enhance understanding of how self-efficacy impacts caregivers of adults diagnosed with cancer. Nurses and other health care professionals can then effectively address supportive needs of caregivers in the personal, behavioral, and environmental domains.
AB - Purpose: Cancer caregivers experience health challenges related to their caregiving role, and self-efficacy can contribute to health outcomes through behavioral, environmental, and personal factors. The purpose of this integrative review was to examine self-efficacy in caregivers of adults diagnosed with cancer, including its association with health factors. Method: A systematic search of PubMed, CINAHL, and PsychInfo yielded 560 articles. Following duplicate removal, 232 articles were screened for inclusion criteria with 71 articles remaining for final review. Results: Studies were generally quantitative (n = 67), with predominantly female (n = 55), White (n = 36) caregivers, between the ages of 45–60 (n = 48). Self-efficacy was significantly associated with quality of life, caregiver function, social support, hope, depression, anxiety, and burden as a predictor, mediator, and outcome. Physical health and social determinants of health (social support and financial well-being) were addressed among fewer studies than mental and emotional health outcomes. Conclusions: Addressing self-efficacy in diverse populations and within physical, mental, and social health contexts will enhance understanding of how self-efficacy impacts caregivers of adults diagnosed with cancer. Nurses and other health care professionals can then effectively address supportive needs of caregivers in the personal, behavioral, and environmental domains.
KW - Cancer
KW - Caregiver
KW - Caregiving
KW - Health outcomes
KW - Integrative review
KW - Self-efficacy
KW - Social determinants of health
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U2 - 10.1016/j.ejon.2021.101933
DO - 10.1016/j.ejon.2021.101933
M3 - Review article
C2 - 33799022
AN - SCOPUS:85103385512
VL - 52
JO - European Journal of Oncology Nursing
JF - European Journal of Oncology Nursing
SN - 1462-3889
M1 - 101933
ER -