title: A problem-solving education intervention in caregivers and patients during allogeneic hematopoietic stem cell transplantation.
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.
authors.affiliation: National Institutes of Health Clinical Center, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Bevans
authors.forename: Leslie
authors.initials: L
authors.lastname: Wehrlen
authors.forename: Kathleen
authors.initials: K
authors.lastname: Castro
authors.forename: Patricia
authors.initials: P
authors.lastname: Prince
authors.forename: Nonniekaye
authors.initials: N
authors.lastname: Shelburne
authors.forename: Karen
authors.initials: K
authors.lastname: Soeken
authors.forename: James
authors.initials: J
authors.lastname: Zabora
authors.forename: Gwenyth R
authors.initials: GR
authors.lastname: Wallen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000523:psychology; D017028:Caregivers / Q000193:education* / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D005221:Fatigue / Q000523:psychology; D005260:Female; D015438:Health Behavior; D018380:Hematopoietic Stem Cell Transplantation / Q000523:psychology*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D010353:Patient Education as Topic; D011209:Power, Psychological; D011340:Problem Solving; D011788:Quality of Life / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires
keywords: anxiety; behavioral medicine; cancer; coping; distress; family; health behavior; intervention