Is the health literacy of informal caregivers associated with the psychological outcomes of breast cancer survivors?
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Is the health literacy of informal caregivers associated with the psychological outcomes of breast cancer survivors? / Høeg, Beverley Lim; Frederiksen, Marie Hoffmann; Andersen, Elisabeth Anne Wreford; Saltbæk, Lena; Friberg, Anne Sofie; Karlsen, Randi Valbjørn; Johansen, Christoffer; Dalton, Susanne Oksbjerg; Horsbøl, Trine Allerslev; Bidstrup, Pernille Envold.
In: Journal of Cancer Survivorship, Vol. 15, 2021, p. 729–737.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Is the health literacy of informal caregivers associated with the psychological outcomes of breast cancer survivors?
AU - Høeg, Beverley Lim
AU - Frederiksen, Marie Hoffmann
AU - Andersen, Elisabeth Anne Wreford
AU - Saltbæk, Lena
AU - Friberg, Anne Sofie
AU - Karlsen, Randi Valbjørn
AU - Johansen, Christoffer
AU - Dalton, Susanne Oksbjerg
AU - Horsbøl, Trine Allerslev
AU - Bidstrup, Pernille Envold
PY - 2021
Y1 - 2021
N2 - Purpose: To investigate whether health literacy (HL) among informal caregivers of breast cancer (BC) survivors is associated with patient psychological outcomes. Methods: We used data (n = 340 pairs) from baseline questionnaires administered in the MyHealth trial investigating nurse-led BC follow-up. All BC survivors and their invited caregivers were included immediately after completion of primary treatment. We performed multivariate regression analyses to examine the association between caregiver HL (nine dimensions as measured by the Health Literacy Questionnaire) as exposure and patient depression, anxiety, and health-related quality of life (HQoL) as outcomes. We further examined whether any association differed according to type of caregiver, patient HL, and patient activation (skill in managing one’s health). Results: Three dimensions, “ability to engage with providers” (β = − 0.2), “navigating the system” (β = − 0.2), and “understand health information” (β = − 0.2), were significantly associated with lower patient depression (p < 0.05), while four dimensions, “having sufficient information” (β = 0.3), “navigating the system” (β = 0.2), “find health information” (β = 0.2), and “understand health information” (β = 0.2), were significantly associated with better patient HQoL (p < 0.05). No significant associations were found for anxiety. Patient HL and activation did not significantly modify the associations, while certain associations for depression were stronger in patients with non-partner caregivers. Conclusions: The HL of informal caregivers may play an important role in optimizing psychological outcomes in cancer survivors. Implications for Cancer Survivors: Involving informal caregivers, who can provide support related to health information and services, may be beneficial for the psychological well-being of cancer survivors.
AB - Purpose: To investigate whether health literacy (HL) among informal caregivers of breast cancer (BC) survivors is associated with patient psychological outcomes. Methods: We used data (n = 340 pairs) from baseline questionnaires administered in the MyHealth trial investigating nurse-led BC follow-up. All BC survivors and their invited caregivers were included immediately after completion of primary treatment. We performed multivariate regression analyses to examine the association between caregiver HL (nine dimensions as measured by the Health Literacy Questionnaire) as exposure and patient depression, anxiety, and health-related quality of life (HQoL) as outcomes. We further examined whether any association differed according to type of caregiver, patient HL, and patient activation (skill in managing one’s health). Results: Three dimensions, “ability to engage with providers” (β = − 0.2), “navigating the system” (β = − 0.2), and “understand health information” (β = − 0.2), were significantly associated with lower patient depression (p < 0.05), while four dimensions, “having sufficient information” (β = 0.3), “navigating the system” (β = 0.2), “find health information” (β = 0.2), and “understand health information” (β = 0.2), were significantly associated with better patient HQoL (p < 0.05). No significant associations were found for anxiety. Patient HL and activation did not significantly modify the associations, while certain associations for depression were stronger in patients with non-partner caregivers. Conclusions: The HL of informal caregivers may play an important role in optimizing psychological outcomes in cancer survivors. Implications for Cancer Survivors: Involving informal caregivers, who can provide support related to health information and services, may be beneficial for the psychological well-being of cancer survivors.
KW - Anxiety
KW - Breast cancer
KW - Caregiver
KW - Depression
KW - Health literacy
KW - Quality of life
U2 - 10.1007/s11764-020-00964-x
DO - 10.1007/s11764-020-00964-x
M3 - Journal article
C2 - 33169190
AN - SCOPUS:85095704212
VL - 15
SP - 729
EP - 737
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
SN - 1932-2259
ER -
ID: 255048919