A problem-solving education intervention in caregivers and patients during allogeneic hematopoietic stem cell transplantation

J Health Psychol. 2014 May;19(5):602-17. doi: 10.1177/1359105313475902. Epub 2013 Mar 7.

Abstract

The aim of this study was to determine the effect of problem-solving education on self-efficacy and distress in informal caregivers of allogeneic hematopoietic stem cell transplantation patients. Patient/caregiver teams attended three 1-hour problem-solving education sessions to help cope with problems during hematopoietic stem cell transplantation. Primary measures included the Cancer Self-Efficacy Scale-transplant and Brief Symptom Inventory-18. Active caregivers reported improvements in self-efficacy (p < 0.05) and distress (p < 0.01) post-problem-solving education; caregiver responders also reported better health outcomes such as fatigue. The effect of problem-solving education on self-efficacy and distress in hematopoietic stem cell transplantation caregivers supports its inclusion in future interventions to meet the multifaceted needs of this population.

Keywords: anxiety; behavioral medicine; cancer; coping; distress; family; health behavior; intervention.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Anxiety / psychology
  • Caregivers / education*
  • Caregivers / psychology*
  • Cognitive Behavioral Therapy*
  • Fatigue / psychology
  • Female
  • Health Behavior
  • Hematopoietic Stem Cell Transplantation / psychology*
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Neoplasms / psychology*
  • Neoplasms / therapy*
  • Patient Education as Topic
  • Power, Psychological
  • Problem Solving*
  • Quality of Life / psychology
  • Self Efficacy
  • Surveys and Questionnaires