SEARCHCROSS-SECTIONALoncology, public health

cross-sectional·oncology, public health, epidemiology, family medicine, observational study·PMC10590684

Patterns of health-promoting behaviors and associated factors in family caregivers of people receiving cancer treatment: A latent class profile analysis

Psycho-oncology · 5 authors, 2 centres

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Using latent class profile analysis, the researchers identified three subgroups based on patterns of health-promoting behaviors (HPBs): a high-level group (25.8%), a moderate-level group (53.2%), and a low-level group (21.0%). Multinomial logistic regression revealed that, after controlling for age and sex, factors associated with membership in lower HPB classes included higher caregiver burden due to lack of family support, higher perceived stress, lower self-efficacy, and higher body mass index. The cross-sectional design limits causal inferences, and the specific clinical setting may affect generalizability.

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cross-sectional

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oncology

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ORIGINAL PAPER

PMC10590684

Patterns of health-promoting behaviors and associated factors in family caregivers of people receiving cancer treatment: A latent class profile analysis

Psycho-oncology

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ABSTRACT

Objective: Family caregivers tend to neglect their health while prioritizing the needs of their care recipients. Identifying subgroups of caregivers based on the patterns of health-promoting behaviors (HPBs) may help develop tailored interventions for them, yet little is known. The purpose of this study was: (1) to identify latent classes with distinct patterns of HPBs in family caregivers of people with cancer; and (2) to investigate factors associated with the latent class membership. Methods: We performed a cross-sectional data analysis using the baseline dataset from a longitudinal survey study that assessed HPBs of family caregivers of individuals who received cancer treatment at a national research hospital ( N = 124). Latent class profile analysis was conducted to identify latent classes based on the subdomains of the Health-Promoting Lifestyle Profile II, followed by multinomial logistic regression analysis to investigate factors associated with the latent class membership. Results: Three latent classes were identified: a high level of HPB (Class 1, 25.8%); a moderate level of HPB (Class 2, 53.2%); and a low level of HPB (Class 3, 21.0%) of HPBs. Controlling for caregiver age and sex, caregiver burden due to lack of family support, perceived stress, self-efficacy and body mass index were factors associated with the latent class membership. Conclusions: HPBs of our caregiver sample appeared in relatively stable patterns at different levels. Higher caregiver burden and perceived stress and lower self-efficacy were associated with the lower practice of HPBs overall. Our findings may serve as a reference for screening caregivers who need support and developing person-centered interventions.

CITATION EXPORT

Elisa H. Son, Gwenyth R. Wallen, Sharon Flynn et al.. Patterns of health-promoting behaviors and associated factors in family caregivers of people receiving cancer treatment: A latent class profile analysis. Psycho-oncology. (2023). https://doi.org/10.1002/pon.6145

AUTHORS

5 · 2 CENTRES

Elisa H. Son, Gwenyth R. Wallen, Sharon Flynn, Li Yang, Lena J. Lee

1Translational Biobehavioral and Health Disparities Branch, National Institutes of Health (NIH) Clinical Center, Bethesda, Maryland, USA
2National Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland, USA