Table 2.
Summary of Patient and Caregiver Characteristics
| A. Caregiver characteristics | Mean (SD) / n (%) |
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| Overall (n = 1250) | India (n = 250) | Kenya (n = 250) | Singapore (n = 250) | UK (n = 250) | USA (n = 250) | |||||||
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| Age in years (Mean [SD]) | 42.85 | 15.34 | 37.49 | 15.02 | 32.85 | 9.2 | 42.59 | 11.72 | 50.74 | 15.36 | 50.58 | 15.68 |
| Female | 593 | 47% | 110 | 44% | 94 | 38% | 112 | 45% | 137 | 55% | 140 | 56% |
| Marital status | ||||||||||||
| Single / never married | 299 | 24% | 71 | 28% | 91 | 36% | 72 | 29% | 42 | 17% | 23 | 9% |
| Married / living as a couple / civil partnership | 848 | 68% | 177 | 71% | 148 | 59% | 170 | 68% | 168 | 67% | 185 | 74% |
| Other | 103 | 8% | 2 | 1% | 11 | 4% | 8 | 3% | 40 | 16% | 42 | 17% |
| Bachelor’s degree or higher level of education** | 385 | 31% | 123 | 49% | 46 | 18% | 48 | 19% | 34 | 14% | 134 | 54% |
| Relationship to the patient | ||||||||||||
| Spouse or partner | 62 | 5% | 12 | 5% | 3 | 1% | 9 | 4% | 15 | 6% | 23 | 9% |
| Parent | 203 | 16% | 31 | 12% | 27 | 11% | 48 | 19% | 57 | 23% | 40 | 16% |
| Grandparent | 197 | 16% | 42 | 17% | 38 | 15% | 47 | 19% | 36 | 14% | 34 | 14% |
| Sibling | 81 | 6% | 16 | 6% | 12 | 5% | 10 | 4% | 15 | 6% | 28 | 11% |
| Child | 26 | 2% | 3 | 1% | 3 | 1% | 1 | 0% | 9 | 4% | 10 | 4% |
| Close friend | 223 | 18% | 36 | 14% | 52 | 21% | 45 | 18% | 47 | 19% | 43 | 17% |
| Colleague/co-worker | 94 | 8% | 29 | 12% | 21 | 8% | 22 | 9% | 7 | 3% | 15 | 6% |
| Other (Aunt/Uncle/Other) | 364 | 29% | 81 | 32% | 94 | 38% | 68 | 27% | 64 | 26% | 57 | 23% |
| Caregiver was at least somewhat involved in... | ||||||||||||
| Talking with doctors about treatment decisions? | 153 | 12% | 12 | 5% | 19 | 8% | 27 | 11% | 51 | 20% | 44 | 18% |
| Helping patient get medical care, such as going with them to doctor visits | 1,119 | 90% | 236 | 94% | 240 | 96% | 224 | 90% | 209 | 84% | 210 | 84% |
| Looking after patient’s day-to-day needs? | 1,073 | 86% | 236 | 94% | 230 | 92% | 203 | 81% | 199 | 80% | 205 | 82% |
| Time since caregiver first learned of patient’s terminal condition before patient’s death | ||||||||||||
| < 6 months | 680 | 54% | 144 | 58% | 141 | 56% | 126 | 50% | 135 | 54% | 134 | 54% |
| Between 6 months and 1 yr | 281 | 22% | 57 | 23% | 56 | 22% | 53 | 21% | 63 | 25% | 52 | 21% |
| Between 1 and 3 yrs | 289 | 23% | 49 | 20% | 53 | 21% | 71 | 28% | 52 | 21% | 64 | 26% |
| Locus of control for health and healthcare use (% who strongly agree/agree with statements) | ||||||||||||
| I prefer to leave all health care decisions to the doctor. | 655 | 52% | 177 | 71% | 126 | 50% | 121 | 48% | 103 | 41% | 128 | 51% |
| I am able to help doctors understand what is important to me about my health care. | 1,084 | 87% | 224 | 90% | 222 | 89% | 200 | 80% | 211 | 84% | 227 | 91% |
| My health depends mostly on luck. | 287 | 23% | 81 | 32% | 30 | 12% | 55 | 22% | 61 | 24% | 60 | 24% |
| I can do things to improve my health other than what doctors tell me to do. | 975 | 78% | 199 | 80% | 174 | 70% | 193 | 77% | 202 | 81% | 207 | 83% |
| I want as much information as possible to make decisions about my health care. | 1,118 | 89% | 226 | 90% | 235 | 94% | 210 | 84% | 218 | 87% | 229 | 92% |
| B. Patient characteristics | Mean (SD) / n (%) |
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| Overall (n = 1250) | India (n = 250) | Kenya (n = 250) | Singapore (n = 250) | UK (n = 250) | USA (n = 250) | |||||||
|
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| Patients age at death (Mean, SD) | 62.41 | 21.27 | 55.588 | 20.938 | 53.404 | 21.573 | 66.51 | 19.89 | 70.792 | 17.015 | 65.77 | 21.28 |
| Marital status | ||||||||||||
| Single / never married | 168 | 13% | 39 | 16% | 36 | 14% | 43 | 17% | 25 | 10% | 25 | 10% |
| Married / living as a couple | 728 | 58% | 173 | 69% | 142 | 57% | 151 | 60% | 129 | 52% | 133 | 53% |
| Other | 354 | 28% | 38 | 15% | 72 | 29% | 56 | 22% | 96 | 38% | 92 | 37% |
| Bachelor’s degree or higher level of education** | 523 | 42% | 170 | 68% | 92 | 37% | 81 | 32% | 82 | 33% | 98 | 39% |
| Time since patient died | ||||||||||||
| < 6 months | 473 | 38% | 105 | 42% | 110 | 44% | 83 | 33% | 75 | 30% | 100 | 40% |
| Between 6 months and 1 yr | 354 | 28% | 89 | 36% | 65 | 26% | 72 | 29% | 59 | 24% | 69 | 28% |
| Between 1 and 2 yrs | 423 | 34% | 56 | 22% | 75 | 30% | 95 | 38% | 116 | 46% | 81 | 32% |
| Care provided to patient during the last 6 weeks of life was mostly... | ||||||||||||
| Very good or good | 945 | 76% | 185 | 74% | 192 | 77% | 181 | 72% | 182 | 73% | 205 | 82% |
| Neither good nor poor | 166 | 13% | 37 | 15% | 33 | 13% | 46 | 18% | 37 | 15% | 13 | 5% |
| Poor or very poor | 111 | 9% | 24 | 10% | 22 | 9% | 17 | 7% | 24 | 10% | 24 | 10% |
| Don’t know/not sure | 28 | 2% | 4 | 2% | 3 | 1% | 6 | 2% | 7 | 3% | 8 | 3% |
| Professional services received by patient | ||||||||||||
| Nonmedical support | 335 | 27% | 75 | 30% | 62 | 25% | 62 | 25% | 68 | 27% | 68 | 27% |
| At-home medical care | 619 | 50% | 141 | 56% | 106 | 42% | 117 | 47% | 123 | 49% | 132 | 53% |
| In-patient medical care | 780 | 62% | 154 | 62% | 175 | 70% | 146 | 58% | 156 | 62% | 149 | 60% |
| Outpatient medical care | 610 | 49% | 118 | 47% | 143 | 57% | 126 | 50% | 104 | 42% | 119 | 48% |
| Palliative/hospice care | 350 | 28% | 62 | 25% | 46 | 18% | 66 | 26% | 92 | 37% | 84 | 34% |
| Traditional or herbal medicine | 168 | 13% | 47 | 19% | 35 | 14% | 38 | 15% | 14 | 6% | 34 | 14% |
| Other | 13 | 1% | 0 | 0% | 1 | 0% | 3 | 1% | 5 | 2% | 4 | 2% |
| Patienťs ability to communicate during last 6 weeks of life | ||||||||||||
| Had a condition or treatments that made it difficult for them to communicate | 575 | 46% | 147 | 59% | 94 | 38% | 125 | 50% | 103 | 41% | 106 | 42% |
| Had trouble getting what they needed because they did not speak the same language as their doctors or nurses | 328 | 26% | 98 | 39% | 57 | 23% | 96 | 38% | 29 | 12% | 48 | 19% |
| Main reason for patient’s deatha | ||||||||||||
| Cancer | 335 | 27% | 38 | 15% | 60 | 24% | 76 | 30% | 82 | 33% | 79 | 32% |
| COVID-19 | 152 | 12% | 51 | 20% | 25 | 10% | 7 | 3% | 22 | 9% | 47 | 19% |
| Heart problems | 151 | 12% | 34 | 14% | 17 | 7% | 33 | 13% | 30 | 12% | 37 | 15% |
| Kidney diseases | 69 | 6% | 23 | 9% | 9 | 4% | 23 | 9% | 7 | 3% | 7 | 3% |
| Natural causes/Old age | 68 | 5% | 15 | 6% | 9 | 4% | 23 | 9% | 12 | 5% | 9 | 4% |
| Stroke | 67 | 5% | 13 | 5% | 14 | 6% | 17 | 7% | 17 | 7% | 6 | 2% |
| Other | 408 | 33% | 76 | 30% | 116 | 46% | 71 | 28% | 80 | 32% | 65 | 26% |
“Bachelor’s degree or higher” is defined as a minimum of a three-year college degree (Singapore, India), or four-year college degree (USA), Degree level qualification or equivalent not including NVQ (UK), Higher diploma or degree (Kenya).
Additional details provided in Appendix B2.