Family Caregiver Participation in Palliative Care Research: Challenging the Myth

Context: Despite international guidelines emphasizing consumer-directed care and autonomous decisions in research participation, there is a common myth that research can be an additional and unwanted burden on patients and their family members. Objectives: To examine the experiences and impact of re...

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Main Authors: Aoun, Samar, Slatyer, Susan, Deas, Kathleen, Nekolaichuk, C.
Format: Journal Article
Published: Elsevier 2017
Online Access:http://purl.org/au-research/grants/arc/LP110100622
http://hdl.handle.net/20.500.11937/51551
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author Aoun, Samar
Slatyer, Susan
Deas, Kathleen
Nekolaichuk, C.
author_facet Aoun, Samar
Slatyer, Susan
Deas, Kathleen
Nekolaichuk, C.
author_sort Aoun, Samar
building Curtin Institutional Repository
collection Online Access
description Context: Despite international guidelines emphasizing consumer-directed care and autonomous decisions in research participation, there is a common myth that research can be an additional and unwanted burden on patients and their family members. Objectives: To examine the experiences and impact of research involvement on family caregivers (FCs) of terminally ill people, focusing within home-based palliative care. Methods: Three hundred sixteen of 322 participants (98.1%), who completed an FC support intervention through a stepped-wedge cluster trial (Australia, 2012-2015), participated in a postintervention telephone interview on their study experiences, which included quantitative and qualitative questions. Results: Ninety-seven percent of both the control (n = 89) and intervention (n = 227) groups perceived positive aspects, whereas almost all did not report any negative aspects of being involved in this research; the majority rated their involvement as very/extremely beneficial (control 77%; intervention 83%). The qualitative analysis generated three major themes: "intrapersonal-inward directed"; "connection with others-outward directed"; and "interpersonal-participant-researcher relationship.". Conclusions: This study provided quantitative and qualitative evidence challenging the myth. In contrast to health professional concerns, FCs appreciated the opportunity to participate and benefited from their involvement in research. Research protocols need to be specifically tailored to the needs of family caregivers and include debriefing opportunities for all participants at the end of intervention studies, regardless of which group they have been assigned. Strategies that facilitate health professionals' understanding of the research and risk benefits may help reduce gatekeeping and improve the validity of research findings.
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spelling curtin-20.500.11937-515512025-03-27T06:45:48Z Family Caregiver Participation in Palliative Care Research: Challenging the Myth Aoun, Samar Slatyer, Susan Deas, Kathleen Nekolaichuk, C. Context: Despite international guidelines emphasizing consumer-directed care and autonomous decisions in research participation, there is a common myth that research can be an additional and unwanted burden on patients and their family members. Objectives: To examine the experiences and impact of research involvement on family caregivers (FCs) of terminally ill people, focusing within home-based palliative care. Methods: Three hundred sixteen of 322 participants (98.1%), who completed an FC support intervention through a stepped-wedge cluster trial (Australia, 2012-2015), participated in a postintervention telephone interview on their study experiences, which included quantitative and qualitative questions. Results: Ninety-seven percent of both the control (n = 89) and intervention (n = 227) groups perceived positive aspects, whereas almost all did not report any negative aspects of being involved in this research; the majority rated their involvement as very/extremely beneficial (control 77%; intervention 83%). The qualitative analysis generated three major themes: "intrapersonal-inward directed"; "connection with others-outward directed"; and "interpersonal-participant-researcher relationship.". Conclusions: This study provided quantitative and qualitative evidence challenging the myth. In contrast to health professional concerns, FCs appreciated the opportunity to participate and benefited from their involvement in research. Research protocols need to be specifically tailored to the needs of family caregivers and include debriefing opportunities for all participants at the end of intervention studies, regardless of which group they have been assigned. Strategies that facilitate health professionals' understanding of the research and risk benefits may help reduce gatekeeping and improve the validity of research findings. 2017 Journal Article http://hdl.handle.net/20.500.11937/51551 10.1016/j.jpainsymman.2016.12.327 http://purl.org/au-research/grants/arc/LP110100622 Elsevier fulltext
spellingShingle Aoun, Samar
Slatyer, Susan
Deas, Kathleen
Nekolaichuk, C.
Family Caregiver Participation in Palliative Care Research: Challenging the Myth
title Family Caregiver Participation in Palliative Care Research: Challenging the Myth
title_full Family Caregiver Participation in Palliative Care Research: Challenging the Myth
title_fullStr Family Caregiver Participation in Palliative Care Research: Challenging the Myth
title_full_unstemmed Family Caregiver Participation in Palliative Care Research: Challenging the Myth
title_short Family Caregiver Participation in Palliative Care Research: Challenging the Myth
title_sort family caregiver participation in palliative care research: challenging the myth
url http://purl.org/au-research/grants/arc/LP110100622
http://hdl.handle.net/20.500.11937/51551