• Rachel McCauley, Karen Ryan, Regina McQuillan, and Geraldine Foley.
• Discipline of Occupational Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland.
• Palliat Med. 2023 Dec 1; 37 (10): 152015281520-1528.

BackgroundPatients in receipt of palliative care services are often viewed primarily as recipients of support from their family caregiver. There is a dearth of evidence in palliative care on what comprises mutual support between patients and their family caregivers in palliative care.AimTo identify processes of mutual support between patients and family caregivers in palliative care.DesignQualitative study comprising semi-structured interviews. Data were analysed using grounded theory procedures.Setting/ParticipantsFifteen patients with advanced illness (cancer n = 14, neurodegenerative n = 1) and 21 family caregivers recruited from a large regional-based hospice.ResultsMutual support between patients and family caregivers comprised two primary modes in which support was provided and received. Mutual support involved both patients and family caregivers providing similar types of support to each other, and which typically manifested as emotional support. However, mutual support also occurred when patients reciprocated by providing emotional support to their family caregivers to compensate for other forms of support which they felt no longer able to provide. Patients supported family caregivers by involving them in decision-making for care and both patient and family caregiver preferences were influenced by obligation to their respective other. Mutual support comprised both disclosure and concealment. Involving family caregivers in patient care decision-making was intended by patients to help family caregivers adjust to a caregiving role.ConclusionsThe findings inform the development and delivery of psychosocial interventions for patients and family caregivers in palliative care aimed at facilitating supportive relations between them.

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