Table 1. Overview of measured variables regarding patients’ and family caregivers’ experiences of stress, support and sense of security during palliative care asked during the interview.
Main Variables | Measures | Reference no |
---|---|---|
Sense of security with care1 | Assessed with two (Care interaction; Mastery) of three validated subscales from The sense of security in care-Patients’ Evaluation instrument (SEC-P; 15 items) and The sense of security in care-Relatives’ Evaluation instrument (SEC-R; 17 items). Care interaction (SEC-P 3 items, SEC-R 4 items) and Mastery (8 items both from SEC-P and SEC-R); both 6-point scale: 1 (never) - 6 (always); (higher scores representing higher sense of security), mean values of subscales |
[28,29] |
Perceived stress1 | Perceived stress: Two (of ten) items from the Perceived Stress Scale (PSS) (felt nervous and stressed; difficulties were piling up so high that you could not overcome them); 5-point scale: 0 (never)– 4 (very often); (higher scores representing worse perceived stress), mean value | [30] |
Self-efficacy: One statement (of ten; I can solve most problems if I invest the necessary effort) from the General Self-Efficacy Scale (GSE); 4-point scale: 1 (not at all true)– 4 (exactly true); (higher scores representing higher self-efficacy). | [31] | |
Perception of support1 | Quality of support scale: One (of 3 validated subscales) from the COPE questionnaire (i.e Do you feel supported by your family; by health and social services): 4 of 15 questions; 4-point scale: 1 (never)– 4 (always); (higher scores representing higher perceived support), sums for each subscale | [32] |
Descriptive variables/ covariables | ||
Demographics1 | Age, gender, family caregiver’s relation to the patient | |
Attachment security1 | The Experiences in Close Relationships scale (ECR-M16); 16 items to measure attachment anxiety (fear of rejection and abandonment) and avoidance (discomfort with closeness and dependence on close others) in close relationships (including non-romantic partners); 7-point scale: 1 (lower attachment insecurity) - 7 (greater attachment insecurity) | [33] |
Health-related quality of life1 | The EuroQol-5D (EQ-5D), including five subscales: mobility, self-care, pain, usual activities, and psychological status; 3-point response scale: 1 (no problems) - 3 (severe problems). An index score was calculated for each respondent (–0.594 (worst possible health status)– 1.00 (best possible)) | [34] |
Patient symptom intensity2 | The Edmonton Symptom Assessment System (ESAS)12 is a validated self-report tool. 9 common symptoms of advanced cancer (pain, tiredness, nausea, depression, anxiety, drowsiness, shortness of breath, appetite, well-being); 0–10 (higher scores representing worse symptom intensity). A total symptom distress score as a measure of overall symptom burden was calculated score (mean value of the nine symptoms). | [35] |
1Reported by patients and caregivers
2Reported by patients.