Occupational and Financial Setbacks in Caregivers of People with Colorectal Cancer: Considerations for Caregiver-Reported Outcomes

Family caregivers of patients with cancer provide substantial physical, emotional, and functional care throughout the cancer trajectory. While caregiving can create employment and financial challenges, there is insufficient evidence to inform the development of caregiver-reported outcomes (CROs) tha...

Full description

Bibliographic Details
Main Authors: A. Fuchsia Howard, Kelsey Lynch, Sally Thorne, Antony Porcino, Leah Lambert, Mary A. De Vera, Angela C. Wolff, Penelope Hedges, Scott M. Beck, María-José Torrejón, Mary T. Kelly, Michael McKenzie
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/29/11/646
_version_ 1797468680440774656
author A. Fuchsia Howard
Kelsey Lynch
Sally Thorne
Antony Porcino
Leah Lambert
Mary A. De Vera
Angela C. Wolff
Penelope Hedges
Scott M. Beck
María-José Torrejón
Mary T. Kelly
Michael McKenzie
author_facet A. Fuchsia Howard
Kelsey Lynch
Sally Thorne
Antony Porcino
Leah Lambert
Mary A. De Vera
Angela C. Wolff
Penelope Hedges
Scott M. Beck
María-José Torrejón
Mary T. Kelly
Michael McKenzie
author_sort A. Fuchsia Howard
collection DOAJ
description Family caregivers of patients with cancer provide substantial physical, emotional, and functional care throughout the cancer trajectory. While caregiving can create employment and financial challenges, there is insufficient evidence to inform the development of caregiver-reported outcomes (CROs) that assess these experiences. The study purpose was to describe the occupational and financial consequences that were important to family caregivers of a patient with colorectal cancer (CRC) in the context of public health care, which represent potential considerations for CROs. In this qualitative Interpretive Description study, we analyzed interview data from 78 participants (25 caregivers, 37 patients, and 16 healthcare providers). Our findings point to temporary and long-term occupational and financial setbacks in the context of CRC. Caregiving for a person with CRC involved managing occupational implications, including (1) revamping employment arrangements, and (2) juggling work, family, and household demands. Caregiver financial struggles included (1) responding to financial demands at various stages of life, and (2) facing the spectre of lifelong expenses. Study findings offer novel insight into the cancer-related occupational and financial challenges facing caregivers, despite government-funded universal health care. Further research is warranted to develop CRO measures that assess the multifaceted nature of these challenges.
first_indexed 2024-03-09T19:09:52Z
format Article
id doaj.art-f4ab3b2c7ef0427693c9f786d5437850
institution Directory Open Access Journal
issn 1198-0052
1718-7729
language English
last_indexed 2024-03-09T19:09:52Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series Current Oncology
spelling doaj.art-f4ab3b2c7ef0427693c9f786d54378502023-11-24T04:16:16ZengMDPI AGCurrent Oncology1198-00521718-77292022-10-0129118180819610.3390/curroncol29110646Occupational and Financial Setbacks in Caregivers of People with Colorectal Cancer: Considerations for Caregiver-Reported OutcomesA. Fuchsia Howard0Kelsey Lynch1Sally Thorne2Antony Porcino3Leah Lambert4Mary A. De Vera5Angela C. Wolff6Penelope Hedges7Scott M. Beck8María-José Torrejón9Mary T. Kelly10Michael McKenzie11School of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaSchool of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaSchool of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaBC Cancer, Vancouver, BC V5Z 4C2 CanadaSchool of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaFaculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, BC V6T 1Z3, CanadaSchool of Nursing, Trinity Western University, Langley, BC V2Y 1Y1, CanadaBC Cancer, Vancouver, BC V5Z 4C2 CanadaSchool of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaBC Cancer, Vancouver, BC V5Z 4C2 CanadaSchool of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, CanadaBC Cancer, Vancouver, BC V5Z 4C2 CanadaFamily caregivers of patients with cancer provide substantial physical, emotional, and functional care throughout the cancer trajectory. While caregiving can create employment and financial challenges, there is insufficient evidence to inform the development of caregiver-reported outcomes (CROs) that assess these experiences. The study purpose was to describe the occupational and financial consequences that were important to family caregivers of a patient with colorectal cancer (CRC) in the context of public health care, which represent potential considerations for CROs. In this qualitative Interpretive Description study, we analyzed interview data from 78 participants (25 caregivers, 37 patients, and 16 healthcare providers). Our findings point to temporary and long-term occupational and financial setbacks in the context of CRC. Caregiving for a person with CRC involved managing occupational implications, including (1) revamping employment arrangements, and (2) juggling work, family, and household demands. Caregiver financial struggles included (1) responding to financial demands at various stages of life, and (2) facing the spectre of lifelong expenses. Study findings offer novel insight into the cancer-related occupational and financial challenges facing caregivers, despite government-funded universal health care. Further research is warranted to develop CRO measures that assess the multifaceted nature of these challenges.https://www.mdpi.com/1718-7729/29/11/646caregiverfamilysupportive care needsemploymentoccupationfinancial costs
spellingShingle A. Fuchsia Howard
Kelsey Lynch
Sally Thorne
Antony Porcino
Leah Lambert
Mary A. De Vera
Angela C. Wolff
Penelope Hedges
Scott M. Beck
María-José Torrejón
Mary T. Kelly
Michael McKenzie
Occupational and Financial Setbacks in Caregivers of People with Colorectal Cancer: Considerations for Caregiver-Reported Outcomes
Current Oncology
caregiver
family
supportive care needs
employment
occupation
financial costs
title Occupational and Financial Setbacks in Caregivers of People with Colorectal Cancer: Considerations for Caregiver-Reported Outcomes
title_full Occupational and Financial Setbacks in Caregivers of People with Colorectal Cancer: Considerations for Caregiver-Reported Outcomes
title_fullStr Occupational and Financial Setbacks in Caregivers of People with Colorectal Cancer: Considerations for Caregiver-Reported Outcomes
title_full_unstemmed Occupational and Financial Setbacks in Caregivers of People with Colorectal Cancer: Considerations for Caregiver-Reported Outcomes
title_short Occupational and Financial Setbacks in Caregivers of People with Colorectal Cancer: Considerations for Caregiver-Reported Outcomes
title_sort occupational and financial setbacks in caregivers of people with colorectal cancer considerations for caregiver reported outcomes
topic caregiver
family
supportive care needs
employment
occupation
financial costs
url https://www.mdpi.com/1718-7729/29/11/646
work_keys_str_mv AT afuchsiahoward occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT kelseylynch occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT sallythorne occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT antonyporcino occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT leahlambert occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT maryadevera occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT angelacwolff occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT penelopehedges occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT scottmbeck occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT mariajosetorrejon occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT marytkelly occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes
AT michaelmckenzie occupationalandfinancialsetbacksincaregiversofpeoplewithcolorectalcancerconsiderationsforcaregiverreportedoutcomes