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Spouse caregivers' attributed gains from a skill-based counseling program.

Ellen H Zahlis1, Frances Marcus Lewis2

  • 1Department of Child, Family & Population Health, University of Washington, Seattle, 1959 Pacific Street, Box 357262, Seattle, WA, 98195, USA. zahlis@uw.edu.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
|January 13, 2021
PubMed
Summary
This summary is machine-generated.

Spouse caregivers reported significant gains in self-care and interpersonal skills after participating in a brief educational counseling program. The program provided practical strategies for supporting their wives with breast cancer and enhanced personal insights.

Keywords:
Breast neoplasmsCancerCaregiverCommunicationCounselingGrounded theoryOncologySpouses

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Area of Science:

  • Oncology Nursing
  • Psychosocial Oncology
  • Caregiver Support

Background:

  • Breast cancer diagnosis impacts not only patients but also their spouses.
  • Spouse caregivers often require specific support and skill-building to manage their role.
  • The "Helping Her Heal" program was developed to address these caregiver needs.

Purpose of the Study:

  • To explore spouse caregivers' perceived benefits from a structured, 5-session educational counseling program.
  • To understand how the program enhanced caregivers' self-care and their ability to support their wives with breast cancer.
  • To document caregiver insights gained regarding their own and their wife's experience with breast cancer.

Main Methods:

  • Qualitative content analysis of interviews from 81 spouse caregivers.
  • Interviews were conducted 7 months post-program completion.
  • Inductive coding methods adapted from grounded theory ensured rigorous analysis, with consensus coding and peer debriefing enhancing trustworthiness.

Main Results:

  • Three key domains emerged: "Giving Me Structure," "Adding Skills to Help Her and Us," and "Gaining Insights into Myself and My Wife."
  • Caregivers identified practical actions for self-care and supporting their wives.
  • Participants gained insights into their own and their wife's responses to breast cancer.

Conclusions:

  • Short-term, manualized counseling programs can effectively enhance spouse caregivers' skills and insights.
  • The structured "Helping Her Heal" program demonstrated self-reported benefits for caregivers.
  • Even scripted interventions can provide valuable interpersonal communication and self-care support for caregivers.