title: The interaction between informal cancer caregivers and health care professionals: a survey of caregivers' experiences of problems and unmet needs.
abstract: OBJECTIVE
  In order to meet the caregiving challenges, informal caregivers often need a substantial level of interaction with health care professionals (HCPs). This study investigated to which extent the cancer caregivers' needs regarding the interaction with HCPs are met and the associations between dissatisfaction with the interaction and socio-demographic and disease-related variables.
  
  
  METHODS
  In a cross-sectional questionnaire study, cancer patients with various diagnoses and disease stages were invited to pass on the 'cancer caregiving tasks, consequences and needs questionnaire' (CaTCoN) to up to three of their caregivers.
  
  
  RESULTS
  A total of 590 caregivers (related to 415 (55 %) of 752 eligible patients) participated. Although many caregivers were satisfied, considerable proportions experienced problems or had unmet needs regarding the interaction with HCPs. Prominent problematic aspects included optimal involvement of the caregivers in the patients' disease, treatment and/or care (30 % were dissatisfied), attention to the caregivers' wellbeing (e.g., 51 % of the caregivers reported that HCPs only sometimes or rarely/never had shown interest in how the caregivers had been feeling), and provision of enough information to the caregivers (e.g. 39 % were dissatisfied with the amount of time spent on informing caregivers). The patients' adult children and siblings, younger caregivers and caregivers to younger patients tended to report the highest levels of interaction problems and unmet needs.
  
  
  CONCLUSIONS
  The caregivers' dissatisfaction with the interaction with HCPs was pronounced. More focus on and involvement of the caregivers, in a way that matches the caregivers' needs, is still warranted.
authors.affiliation: The Research Unit, Department of Palliative Medicine, Bispebjerg and Frederiksberg Hospitals, University of Copenhagen, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark, lundline@gmail.com.
authors.forename: Line
authors.initials: L
authors.lastname: Lund
authors.forename: Lone
authors.initials: L
authors.lastname: Ross
authors.forename: Morten Aagaard
authors.initials: MA
authors.lastname: Petersen
authors.forename: Mogens
authors.initials: M
authors.lastname: Groenvold
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003142:Communication; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing*; D011795:Surveys and Questionnaires; D055815:Young Adult